Clinical outcome in patients with hand lesions associated with complex regional pain syndrome after arthroscopic rotator cuff repair

Autor: Takaki Imai, Masafumi Gotoh, Keiji Fukuda, Misa Ogino, Hidehiro Nakamura, Hiroki Ohzono, Naoto Shiba, Takahiro Okawa
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Clinics in Shoulder and Elbow, Vol 24, Iss 2, Pp 80-87 (2021)
Druh dokumentu: article
ISSN: 2288-8721
DOI: 10.5397/cise.2021.00080
Popis: Background Complex regional pain syndrome (CRPS)-related hand lesions are one of the complications following arthroscopic rotator cuff repair (ARCR). This study aimed to investigate the clinical outcomes of patients with CRPS-related hand lesions following ARCR. Methods Altogether, 103 patients with ARCR were included in this study (mean age, 63.6±8.2 years; 66 males and 37 females; follow-up period, preoperative to 12 months postoperative). Clinical assessment included the Japanese Orthopaedic Association (JOA) score, University of California, Los Angeles (UCLA) score, Constant score, 36-item short form health survey (SF-36) score, and Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score from preoperative to 12 months postoperatively. The patients were either assigned to the CRPS group or non-CRPS group depending on CRPS diagnosis until the final follow-up, and clinical outcomes were then compared between the groups. Results Of 103 patients, 20 (19.4%) had CRPS-related hand lesions that developed entirely within 2 months postoperatively. Both groups showed significant improvement in JOA, UCLA, and Constant scores preoperatively to 12 months postoperatively (p
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