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Impacts of preoperative anxiety and depression on pain and range of motion after arthroscopic frozen shoulder release: a cohort study.
Haroun, Yahia; Younis, Ahmed Saeed; Ebied, Wessam Fakhery; Hemida, Mohamed Amr; Khater, Ahmed H.
Afiliação
  • Haroun Y; Orthopedic Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
  • Younis AS; Lecturer of Orthopedic Surgery, Ain Shams University, Cairo, Egypt.
  • Ebied WF; Orthopedic Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt. ahmed.s.younis@med.asu.edu.eg.
  • Hemida MA; Lecturer of Orthopedic Surgery, Ain Shams University, Cairo, Egypt. ahmed.s.younis@med.asu.edu.eg.
  • Khater AH; Orthopedic Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Int Orthop ; 48(8): 2113-2119, 2024 Aug.
Article em En | MEDLINE | ID: mdl-38658422
ABSTRACT

PURPOSE:

We aimed to evaluate the impact of preoperative anxiety and depression levels on baseline and postoperative pain in patients who underwent arthroscopic frozen shoulder release.

METHODS:

The study included 59 patients with more than three months of idiopathic frozen shoulder. All patients had arthroscopic frozen shoulder release. Two patients were excluded from statistical analysis. Therefore, the statistical analysis was performed on the remaining 57 patients. The patients were divided into two groups according to HADS scores group 1 which included 28 patients with a healthy psychological status (anxiety ≤ 7 and depression ≤ 7), and Group 2, which included 29 patients with psychological distress ( anxiety ≥ 8 or depression ≥ 8).

RESULTS:

The hallmark finding of this study is that patients complaining of frozen shoulder symptoms and having psychological distress (HADS ≥ 8) experienced higher pain scores preoperatively and at one-year follow-up after arthroscopic release. All patients showed significant improvement between the preoperative period and the one year follow-up regarding the abduction, forward flexion, external rotation at the side and the VAS pain score with a P value of 0.001.

CONCLUSIONS:

Arthroscopic frozen shoulder release significantly lowers the VAS pain score over the 12-month.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Ansiedade / Artroscopia / Bursite / Amplitude de Movimento Articular / Depressão Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Ansiedade / Artroscopia / Bursite / Amplitude de Movimento Articular / Depressão Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2024 Tipo de documento: Article