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Reverse Total Shoulder Arthroplasty
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Sleep Disturbance and Anatomic Shoulder Arthroplasty
Orthopedics
|January 31, 2017
Summary
Anatomic total shoulder arthroplasty significantly improves sleep disturbance in patients with glenohumeral joint arthritis. Most patients experienced nightly sleep issues pre-surgery, with 80% reporting no disturbance post-procedure.
Area of Science:
- Orthopedics
- Sleep Medicine
- Rheumatology
Background:
- Sleep disturbance is a common complaint in glenohumeral joint arthritis patients.
- Sleep issues can influence the decision to undergo surgical intervention.
- Prevalence of sleep disturbance before and after shoulder arthroplasty is not well-documented.
Purpose of the Study:
- To determine the prevalence of sleep disturbance in patients with glenohumeral joint arthritis before and after anatomic total shoulder arthroplasty.
- To assess the impact of sleep disturbance on patient-reported outcomes and range of motion following surgery.
Main Methods:
- Prospective registry study of 232 patients undergoing primary anatomic total shoulder arthroplasty.
- Sleep disturbance characterized preoperatively and postoperatively (2- to 5-year follow-up).
- Assessment of Constant pain, Constant activity, and Western Ontario Osteoarthritis Shoulder index scores.
Main Results:
- 91% of patients reported sleep disturbance preoperatively.
- Significant improvement in sleep disturbance post-surgery, with 80% reporting no disturbance (P<.001).
- Patients without sleep disturbance post-surgery showed better outcome scores and range of motion.
Conclusions:
- Anatomic total shoulder arthroplasty leads to significant improvements in sleep for patients with glenohumeral joint arthritis.
- Preoperative sleep disturbance is highly prevalent but substantially reduced after surgery.
- Improved sleep correlates with better functional outcomes and range of motion post-arthroplasty.
