Shoulder Synovitis Does not Affect Pain After Arthroscopic Rotator Cuff Repair.

Content Provider	Europe PMC
Author	Joyce, Christopher D. Stoll, Kurt E. Harper, Thomas M. Sherman, Matthew Botros, Joe Getz, Charles L. Namdari, Surena Davis, Daniel E.
Abstract	Background: The goal of this study was to determine if there is an association between glenohumeral synovitis and early post-operative pain after arthroscopic rotator cuff repair. Methods: Fifty patients with symptomatic rotator cuff tears were prospectively enrolled prior to RCR. Baseline ASES score, VAS Pain score, forward elevation, and external rotation were recorded. Intra-operatively, synovitis was graded on a scale of zero to six as based on a previously validated scoring system. VAS Pain scores were obtained from patients post-operatively on days one through 14, week 6, and 3 months. Results: Average intra-operative synovitis score was 2.4 ± 1.6. No significant correlation was found between synovitis score and pre-operative forward elevation (P=0.171), external rotation (P=0.126), VAS Pain (P=0.623), or ASES (P=0.187) scores. No significant correlation was found between synovitis score and post-operative VAS Pain level at any time point. There was a moderate correlation between both pre-operative VAS Pain and ASES scores and post-operative VAS Pain in the first post-operative week. Workers’ compensation patients had worse pain at 3 months post-operatively compared to non-workers compensation patients (P=0.038). Conclusion: This study reveals that macroscopically assessed glenohumeral synovitis does not have any significant correlation with pre-operative or post-operative pain in patients undergoing arthroscopic rotator cuff repair; although higher pre-operative pain levels, worse pre-operative ASES scores, and workers compensation status do influence post-operative pain levels in arthroscopic rotator cuff repair.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC9846722&blobtype=pdf
ISSN	23454644
Volume Number	10
PubMed Central reference number	PMC9846722
Issue Number	12
PubMed reference number	36721651
Journal	Archives of Bone and Joint Surgery [Arch Bone Jt Surg]
e-ISSN	2345461X
DOI	10.22038/abjs.2022.64501.3101
Language	English
Publisher	Mashhad University of Medical Sciences
Publisher Date	2022-12-01
Publisher Place	Mashhad, Iran
Access Restriction	Open
Rights License	2022 © BY THE ARCHIVES OF BONE AND JOINT SURGERY
Subject Keyword	postoperative pain rotator cuff repair Synovitis
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery