PMID- 37388874
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230703
IS  - 2666-061X (Electronic)
IS  - 2666-061X (Linking)
VI  - 5
IP  - 3
DP  - 2023 Jun
TI  - Depressive and Anxiety Disorders Increase Risk for Recurrent Anterior Shoulder 
      Pain Following Arthroscopic Suprapectoral Biceps Tenodesis.
PG  - e739-e749
LID - 10.1016/j.asmr.2023.04.001 [doi]
AB  - PURPOSE: To evaluate factors associated with postoperative anterior shoulder pain 
      following arthroscopic suprapectoral biceps tenodesis (ABT) and to determine the 
      clinical impact of postoperative anterior shoulder pain. METHODS: A retrospective 
      study of patients that underwent ABT between 2016 and 2020 was conducted. Groups 
      were categorized by the presence (ASP+) or absence (ASP-) of postoperative 
      anterior shoulder pain. Patient-reported outcomes (American Shoulder and Elbow 
      score [ASES], visual analog scale [VAS] for pain, subjective shoulder value 
      [SSV]), strength, range of motion, and complication rates were analyzed. 
      Differences between continuous and categorical variables were tested with 
      two-sample t-tests and chi-squared or Fisher's exact tests, respectively. 
      Variables collected at different postoperative timepoints were analyzed using 
      mixed models with post hoc comparisons when significant interactions were 
      detected. RESULTS: A total of 461 (47 ASP+, 414 ASP-) patients were included. A 
      statistically significant lower mean age was observed in the ASP+ group (P < 
      .001). A statistically significant higher prevalence of major depressive disorder 
      (MDD) (P = .03) or any anxiety disorder (P = .002) was observed in the ASP+ 
      group. Prescription medication with psychotropic medications (P = .01) was 
      significantly more prevalent in the ASP+ group. No significant differences were 
      observed in the proportion of individuals reaching the minimal clinical important 
      difference (MCID) for ASES, VAS, or SSV between groups. CONCLUSIONS: A 
      pre-existing diagnosis of major depressive disorder or any anxiety disorder, as 
      well as the use of psychotropic medications was associated with postoperative 
      anterior shoulder pain following ABT. Other factors associated with anterior 
      shoulder pain included younger age, participation in physical therapy before 
      surgery, and lower rate of concomitant rotator cuff repair or subacromial 
      decompression. Although the proportion of individuals reaching MCID did not 
      differ between groups, the presence of anterior shoulder pain after ABT resulted 
      in prolonged recovery, inferior PROs, and a higher incidence of repeat surgical 
      procedures. The decision to perform ABT in patients diagnosed with MDD or anxiety 
      should be carefully considered, given the correlation to postoperative anterior 
      shoulder pain and inferior outcomes. LEVEL OF EVIDENCE: Level III, retrospective 
      case-control study.
CI  - (c) 2023 The Authors.
FAU - Drain, Nicholas P
AU  - Drain NP
AD  - Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 
      Pittsburgh, Pennsylvania, U.S.A.
FAU - Greiner, Justin J
AU  - Greiner JJ
AD  - Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 
      Pittsburgh, Pennsylvania, U.S.A.
FAU - Simonian, Lauren E
AU  - Simonian LE
AD  - University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A.
FAU - Carlos, Noel Bien T
AU  - Carlos NBT
AD  - University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A.
FAU - Hyre, Nathan D
AU  - Hyre ND
AD  - University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A.
FAU - Smith, Clair
AU  - Smith C
AD  - Department of Physical Therapy, University of Pittsburgh Medical Center, 
      Pittsburgh, Pennsylvania, U.S.A.
FAU - Hughes, Jonathan D
AU  - Hughes JD
AD  - Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 
      Pittsburgh, Pennsylvania, U.S.A.
AD  - Pittsburgh Shoulder Institute, Pittsburgh, Pennsylvania, U.S.A.
FAU - Lin, Albert
AU  - Lin A
AD  - Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 
      Pittsburgh, Pennsylvania, U.S.A.
AD  - Pittsburgh Shoulder Institute, Pittsburgh, Pennsylvania, U.S.A.
FAU - Lesniak, Bryson P
AU  - Lesniak BP
AD  - Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 
      Pittsburgh, Pennsylvania, U.S.A.
AD  - Pittsburgh Shoulder Institute, Pittsburgh, Pennsylvania, U.S.A.
LA  - eng
PT  - Journal Article
DEP - 20230512
PL  - United States
TA  - Arthrosc Sports Med Rehabil
JT  - Arthroscopy, sports medicine, and rehabilitation
JID - 101765256
PMC - PMC10300603
EDAT- 2023/06/30 13:11
MHDA- 2023/06/30 13:12
PMCR- 2023/05/12
CRDT- 2023/06/30 10:09
PHST- 2023/01/03 00:00 [received]
PHST- 2023/04/05 00:00 [accepted]
PHST- 2023/06/30 13:12 [medline]
PHST- 2023/06/30 13:11 [pubmed]
PHST- 2023/06/30 10:09 [entrez]
PHST- 2023/05/12 00:00 [pmc-release]
AID - S2666-061X(23)00059-7 [pii]
AID - 10.1016/j.asmr.2023.04.001 [doi]
PST - epublish
SO  - Arthrosc Sports Med Rehabil. 2023 May 12;5(3):e739-e749. doi: 
      10.1016/j.asmr.2023.04.001. eCollection 2023 Jun.