Pain, depression and the postoperative stiff shoulder

Area of Science:

• Orthopedic Surgery
• Pain Management
• Mental Health

Background:

• Shoulder surgery for rotator cuff disease and acromio-clavicular joint arthritis has advanced.
• Postoperative stiff shoulder remains a significant complication, affecting 4.9-23.2% of patients.
• The pathology and diagnostic criteria for postoperative stiff shoulder and frozen shoulder are poorly understood.

Purpose of the Study:

• To determine the incidence of postoperative stiff shoulder after shoulder surgery.
• To analyze perioperative pain and depression as potential predictors of postoperative stiff shoulder.
• To compare incidences of postoperative stiff shoulder determined by different objective criteria.

Main Methods:

• Prospective cohort study of 132 participants undergoing shoulder surgery.
• Preoperative and postoperative questionnaires assessed shoulder pain (0-10 NRS) and depression (PHQ-9).
• Clinical diagnosis of stiff shoulder and range of motion measured at 3 months postoperatively.

Main Results:

• This section is not available in the provided abstract.

Conclusions:

• This trial will enhance understanding of postoperative stiff shoulder incidence.
• It will assess pain and depression as predictors for early intervention.
• The study allows comparison of incidence rates using various objective criteria.