Determinants of pain intensity and magnitude of incapability more than two years after arthroscopic Bankart repair for anterior shoulder instability.
| Autor: | Broekman MM; Department of Surgery and Perioperative Care, Dell Medical School at the University of Texas at Austin, Austin, TX, USA.; Faculty of Behavioural and Movement Sciences, Vrije Universiteit van Amsterdam, Amsterdam, The Netherlands., Verweij LPE; Department of Orthopaedic Surgery, Shoulder and Elbow Unit, Amsterdam, The Netherlands., Doornberg JN; Department of Orthopedic Trauma Surgery, Universitair Medisch Centrum Groningen, Groningen, The Netherlands., Floor S; Department of Orthopedic Surgery, Centraal Militair Hospitaal, Utrecht, The Netherlands., Ring D; Department of Surgery and Perioperative Care, Dell Medical School at the University of Texas at Austin, Austin, TX, USA., van den Bekerom MPJ; Faculty of Behavioural and Movement Sciences, Vrije Universiteit van Amsterdam, Amsterdam, The Netherlands.; Department of Orthopaedic Surgery, Shoulder and Elbow Unit, Amsterdam, The Netherlands. |
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| Jazyk: | angličtina |
| Zdroj: | JSES international [JSES Int] 2024 May 17; Vol. 8 (5), pp. 941-945. Date of Electronic Publication: 2024 May 17 (Print Publication: 2024). |
| DOI: | 10.1016/j.jseint.2024.05.001 |
| Abstrakt: | Background: Individuals treated with arthroscopic Bankart repair after anterior shoulder dislocations experience varied discomfort and incapability. The aim of this study was to determine the relative association of mental health and physical health factors with 1) magnitude of capability and 2) pain intensity 2 or more years after surgery. Methods: This cross-sectional study evaluated 80 military patients that experienced one or more traumatic anterior shoulder dislocations a minimum of 2 years after arthroscopic Bankart repair without remplissage. We measured capability (Oxford Shoulder Instability Score), pain intensity using an 11-point ordinal scale, symptoms of anxiety (Generalized Anxiety Disorder-2 questionnaire), symptoms of depression (Patient Health Questionnaire-2), catastrophic thinking (Pain Catastrophizing Scale-4), and kinesiophobia (Tampa scale for kinesiophobia-4). We also identified preoperative presence of a Hill-Sachs lesion on radiographs and postoperative occurrence of subluxation or a dislocation episode. A negative binominal regression analysis sought factors associated with magnitude of incapability and pain intensity. Results: Greater incapability was strongly associated with both greater kinesiophobia (Regression Coefficient [RC] = -0.50; 95% confidence interval [CI] = -0.73 to -0.26; P ≤ .01) and repeat surgery (RC = -0.27; 95% CI = -0.41 to -0.13; P ≤ .01). Greater pain intensity was only strongly associated with greater kinesiophobia (RC = 0.25; 95% CI = 0.039 to 0.46; P = .021). Conclusion: The observation that greater unhelpful thinking is associated with greater pain intensity and greater magnitude of incapability after a Bankart repair for anterior shoulder instability, whereas pathophysiological factors such as glenoid bone loss were not, emphasizes the degree to which mindset is associated with musculoskeletal health. (© 2024 The Authors.) |
| Databáze: | MEDLINE |
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