2014

How does rerupture affect sleep and quality of life in patients undergoing arthroscopic rotator cuff repair?

Background/aim: Sleep disturbance and related improvement in quality of life as a result of arthroscopic repair in rotator cuff tear (RCT) patients can be considered as an important parameter. The aim of our study is to evaluate the rotator cuff by ultrasonography (USG) in the first postoperative year and to examine whether there is a difference between sleep disturbance and quality of life between cases of rupture and healthy patients. In addition, we aim to compare the preoperative and at least the first postoperative year’s sleep disturbances and quality of life among patients who underwent arthroscopic RCT repair and to examine the effects of factors affecting this situation. Materials and methods: We retrospectively reviewed the records of patients who were operated on for RCT. In this process, 257 patients were examined and 76 patients who met the inclusion criteria were included in the study. The Pittsburgh sleep quality index (PSQI), Constant–Murley shoulder score (CSS), and Oxford shoulder score (OSS) were used to evaluate the results preoperatively and at the last control visit of each patient. In the USG performed in the postoperative first year, the rotor cuff was evaluated in terms of rerupture. Results: It was observed that 14 (18.4%) patients’ rotor cuffs were reruptured and those of 62 (81.6%) patients were intact. The preoperative PSQI, CSS, and OSS values of the patients were calculated as an average of 10.79 ± 3.58, 35.61 ± 8.88, and 17.61 ± 4.20 and the mean postoperative values were calculated as 5.45 ± 1.68, 81.55 ± 5.27, and 38.05 ± 3.06, respectively. The postoperative PSQI value was statistically significantly lower in patients with tears of

PDF

___

1. Gomoll AH, Katz JN, Warner JJ, Millett PJ. Rotator cuff disorders: recognition and management among patients with shoulder pain. Arthritis And Rheumatism 2004; 50 (12): 3751- 3761. doi: 10.1002/art.20668
2. Picavet HSJ, Schouten JSAG. Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC3-study. Pain 2003; 102 (1-2): 167-178. doi: 10.1016/ s0304-3959(02)00372-x
3. Chung SW, Park JS, Kim SH, Shin SH, Oh JH. Quality of life after arthroscopic rotator cuff repair: evaluation using SF-36 and an analysis of affecting clinical factors. The American Journal Of Sports Medicine 2012; 40 (3): 631-639. doi: 10.1177/0363546511430309
4. Zenian J. Sleep position and shoulder pain. Medical Hypotheses 2010; 74 (4): 639-643. doi: 10.1016/j.mehy.2009.11.013
5. Mulligan EP, Brunette M, Shirley Z, Khazzam M. Sleep quality and nocturnal pain in patients with shoulder disorders. Journal of Shoulder and Elbow Surgery 2015; 24 (9): 1452-1457. doi: 10.1016/j.jse.2015.02.013
6. Cho CH, Seo HJ, Bae KC, Lee KJ, Hwang I et al. The impact of depression and anxiety on self-assessed pain, disability, and quality of life in patients scheduled for rotator cuff repair. Journal of Shoulder and Elbow Surgery 2013; 22 (9): 1160- 1166. doi: 10.1016/j.jse.2013.02.006
7. Khazzam MS, Mulligan EP, Brunette-Christiansen M, Shirley Z. Sleep quality in patients with rotator cuff disease. The Journal of the American Academy of Orthopaedic Surgeons 2018; 26 (6): 215-222. doi: 10.5435/JAAOS-D-16-00547
8. Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM et al. (Consensus Conference Panel). Recommended amount of sleep for a healthy adult: a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society. Journal of Clinical Sleep Medicine 2015; 11 (6): 591- 592. doi: 10.5664/jcsm.4758
9. Austin L, Pepe M, Tucker B, Ong A, Nugent R et al. Sleep disturbance associated with rotator cuff tear: correction with arthroscopic rotator cuff repair. The American Journal of Sports Medicine 2015; 43 (6): 1455-1459. doi: 0.1177/0363546515572769
10. Depres-Tremblay G, Chevrier A, Snow M, Hurtig MB, Rodeo S et al. Rotator cuff repair: a review of surgical techniques, animal models, and new technologies under development. Journal of Shoulder and Elbow Surgery 2016; 25 (12): 2078- 2085. doi: 10.1016/j.jse.2016.06.009
11. Cho CH, Jung SW, Park JY, Song KS, Yu KI. Is shoulder pain for three months or longer correlated with depression, anxiety, and sleep disturbance? Journal of Shoulder And Elbow Surgery 2013; 22 (2): 222-228. doi: 10.1016/j.jse.2012.04.001
12. Longo UG, Facchinetti G, Marchetti A, Candela V, Risi Ambrogioni L et al. Sleep disturbance and rotator cuff tears: a systematic review. Medicina 2019; 55 (8): 453. doi: 10.3390/ medicina55080453
13. Cronin AJ, Keifer JC, Davies MF, King TS, Bixler EO. Postoperative sleep disturbance: influences of opioids and pain in humans. Sleep 20011; 24 (1): 39-44. doi: 10.1093/ sleep/24.1.39
14. Reyes BA, Hull BR, Kurth AB, Kukowski NR, Mulligan EP et al. Do magnetic resonance imaging characteristics of fullthickness rotator cuff tears correlate with sleep disturbance? Orthopaedic Journal of Sports Medicine 2017; 5 (11). doi: 10.1177/2325967117735319
15. Cofield RH. Subscapular muscle transposition for repair of chronic rotator cuff tears. Surgery, Gynecology & Obstetrics 1982; 154 (5): 667-672.
16. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry Research 1989; 28 (2): 193-213. doi: 10.1016/0165-1781(89)90047-4
17. Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clinical Orthopaedics and Related Research 1987; 214: 160-164.
18. Dawson J, Fitzpatrick R, Carr A. Questionnaire on the perceptions of patients about shoulder surgery. The Journal of Bone and Joint Surgery (British Volume) 1996; 78-B (4): 593- 600.
19. Cole TJ, Freeman JV, Preece MA. Body mass index reference curves for the UK, 1990. Archives of Disease in Childhood 1995; 73 (1): 25-29. doi: 10.1136/adc.73.1.25
20. Cho CH, Song KS, Hwang I, Warner JJ. Does rotator cuff repair improve psychologic status and quality of life in patients with rotator cuff tear? Clinical Orthopaedics and Related Research 2015; 473 (11): 3494-3500. doi: 10.1007/s11999-015-4258-1
21. Gumina S, Candela V, Passaretti D, Venditto T, Mariani L et al. Sleep quality and disturbances in patients with different-sized rotator cuff tear. Musculoskeletal Surgery 2016; 100 (Suppl. 1): 33-38. doi: 10.1007/s12306-016-0405-4
22. Serbest S, Tiftikci U, Askin A, Yaman F, Alpua M. Preoperative and post-operative sleep quality evaluation in rotator cuff tear patients. Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA 2017; 25 (7): 2109-2113. doi: 10.1007/s00167-016-4228-5
23. Horneff III JG, Tjoumakaris F, Wowkanech C, Pepe M, Tucker B et al. Long-term correction in sleep disturbance is sustained after arthroscopic rotator cuff repair. The American Journal of Sports Medicine 2017; 45 (7): 1670-1675. doi: 10.1177/0363546517692551
24. Cicekli O. Does sleep disturbance and quality of life improve after arthroscopic rotator cuff repair? Annals of Medical Research 2019; 26 (4): 664-669. doi: 10.5455/ annalsmedres.2019.01.049