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The Archives of Bone and Joint Surgery، جلد ۱۰، شماره ۱۲، صفحات ۱۰۱۳-۱۰۱۹
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عنوان انگلیسی Shoulder Synovitis Does not Affect Pain After Arthroscopic Rotator Cuff Repair
چکیده انگلیسی مقاله Background: The goal of this study was to determine if there is an association between glenohumeral synovitis andearly post-operative pain after arthroscopic rotator cuff repair.Methods: Fifty patients with symptomatic rotator cuff tears were prospectively enrolled prior to RCR. Baseline ASESscore, VAS Pain score, forward elevation, and external rotation were recorded. Intra-operatively, synovitis was gradedon a scale of zero to six as based on a previously validated scoring system. VAS Pain scores were obtained frompatients 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 synovitisscore 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 atany time point. There was a moderate correlation between both pre-operative VAS Pain and ASES scores and postoperativeVAS Pain in the first post-operative week. Workers’ compensation patients had worse pain at 3 months postoperativelycompared to non-workers compensation patients (P=0.038).Conclusion: This study reveals that macroscopically assessed glenohumeral synovitis does not have any significantcorrelation with pre-operative or post-operative pain in patients undergoing arthroscopic rotator cuff repair; althoughhigher pre-operative pain levels, worse pre-operative ASES scores, and workers compensation status do influencepost-operative pain levels in arthroscopic rotator cuff repair.Level of evidence: III
کلیدواژه‌های انگلیسی مقاله Postoperative pain, Rotator cuff repair, Synovitis
نویسندگان مقاله | Christopher Joyce
Rothman Orthopaedic Institute, Department of Orthopaedic Surgery,Philadelphia, Pennsylvania, USA


| Kurt Stoll
Rothman Orthopaedic Institute, Department of Orthopaedic Surgery,Philadelphia, Pennsylvania, USA


| Thomas Harper
Pennsylvania State University, College of Medicine, Philadelphia, Pennsylvania, USA


| Matthew Sherman
Rothman Orthopaedic Institute, Department of Orthopaedic Surgery,Philadelphia, Pennsylvania, USA


| Joe Botros
Thomas Jefferson University Sydney Kimmel Medical College, Philadelphia, Pennsylvania, USA


| Charles Getz
Rothman Orthopaedic Institute, Department of Orthopaedic Surgery,Philadelphia, Pennsylvania, USA


| Surena Namdari
Rothman Orthopaedic Institute, Department of Orthopaedic Surgery,Philadelphia, Pennsylvania, USA


| Daniel Davis
Rothman Orthopaedic Institute, Department of Orthopaedic Surgery,Philadelphia, Pennsylvania, USA
نشانی اینترنتی https://abjs.mums.ac.ir/article_21302.html
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نوع مقاله منتشر شده RESEARCH PAPER
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