Psychological stress, pain management and the development of a stiff, painful shoulder following rotator cuff or clavicular surgery.

Not Applicable

Completed

• Conditions: Rotator cuff repair, sub-acromial decompression and distal clavicle resection for rotator cuff tears.; Postoperative Pain; Depressed mood; Musculoskeletal - Other muscular and skeletal disorders; Surgery - Surgical techniques; Mental Health - Depression

• Registration Number: ACTRN12613001271796
• Lead Sponsor: A/Professor Simon Bell

Brief Summary

Results The overall incidence of postoperative stiff painful shoulder was 18.7%. 71 patients underwent rotator cuff repair RCR with 13 (18.3%) developing postoperative stiff painful shoulder. Performance of a rotator cuff repair surgery did not significantly change the incidence of postoperative stiff painful shoulder. Patients who developed postoperative stiff painful shoulder scored 1.30 units higher on an 11-point pain scale from weeks four to ten postoperatively, requiring opiates twice as frequently at week four (36.0% vs 17.4%,)and six times more frequently at week seven (24.0% vs 3.7%, ). This translated to 60% of those requiring strong opioids at week 7 developing postoperative stiff painful shoulder (6/10, 60.0% vs 19/124, 15.3%). Additionally, women aged 45 to 55 were more than three times more likely than other women to develop postoperative stiff painful shoulder (6/12, 50% vs 6/34, 17.7% ).

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2013-11-19
• Study Completion: 2014-11-10
• Last Update Posted: 1 November 2021

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 137

Inclusion Criteria

Patients of A/Professor Simon Bell who are undergoing rotator cuff repair, distal clavicular resection or subacromial decompression during the recruitment period of November 2013 to April 2014 will be invited to participate.

Exclusion Criteria

Gleno-humeral arthritis of the operated shoulder.
Preoperative shoulder stiffness
Previous surgery in the same shoulder
Concomitant surgical procedure except for arthroscopic or mini-open rotator cuff repair, subacromial decompression or distal clavicular resection
Inability to answer questions by phone.
Poor English language skills.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Development of postoperative stiff, painful shoulder following rotator cuff repair, subacromial decompression or distal clavicle resection as assessed by the treating surgeon.[10 to 12 weeks postoperatively.]

Secondary Outcome Measures

Name	Time	Method
Pre and postoperative pain levels over 24 hours. Average pain, pain at night, worst pain at rest, worst pain with movement. Assessed using a numerical rating scale.<br>[At the preoperative consultation.<br><br>Postoperatively on day 2, 5, 7 and week 2, 4, 7 and 10.];Pre and postoperative analgesia. Enquire as to type and dose in past 24 hours.[At the preoperative consultation. <br><br>Postoperatively on day 2, 5, 7 and week 2, 4, 7 and 10.];Pre and postoperative PHQ-9 depression score.[At the preoperative consultation.<br><br>Postoperatively on day 2, 5, 7 and week 2, 4, 7 and 10.];Pre and postoperative sleep quality. Assessed using a numerical rating scale.[At the preoperative consultation.<br><br>Postoperatively on day 2, 5, 7 and week 2, 4, 7 and 10.]