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Related Experiment Video

Updated: Mar 1, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
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Opioid Consumption After Rotator Cuff Repair.

Robert W Westermann1, Chris A Anthony2, Nic Bedard1

  • 1Department of Orthopedics and Rehabilitation, University of Iowa, Iowa City, Iowa, U.S.A.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|June 3, 2017
PubMed
Summary

Nearly half of patients undergoing rotator cuff repair (RCR) used opioids pre-surgery. Preoperative opioid use and conditions like psychiatric diagnoses increase the risk of prolonged opioid dependence after RCR.

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Area of Science:

  • Orthopedic Surgery
  • Pain Management
  • Public Health

Background:

  • Rising perioperative opioid use presents a significant concern in the United States.
  • Rotator cuff repair (RCR) is a common orthopedic procedure where opioid consumption patterns require investigation.

Purpose of the Study:

  • To define opioid consumption patterns following arthroscopic rotator cuff repair (RCR) in the US.
  • To identify patient-specific factors associated with prolonged opioid use post-arthroscopic RCR.

Main Methods:

  • Retrospective analysis of 35,155 arthroscopic RCRs performed between 2007 and 2014.
  • Patients were categorized based on preoperative opioid prescription fills (1-3 months vs. 1 month prior to RCR).
  • Risk ratios (RRs) were calculated to assess the association between patient factors and postoperative opioid use.

Main Results:

  • Approximately 43% of patients had filled an opioid prescription within 3 months before RCR.
  • Patients with prior opioid use were significantly more likely to continue opioid prescriptions post-RCR (RR 7.45 for 1-3 months prior, RR 3.04 for 1 month prior).
  • Psychiatric diagnoses (RR 1.94), myalgia (RR 1.67), and low-back pain (RR 2.09) were associated with increased risk of 3-month postoperative opioid prescription.

Conclusions:

  • A substantial proportion of patients undergoing RCR are prescribed opioids preoperatively.
  • Preoperative opioid use is a strong predictor of prolonged opioid demand after RCR.
  • Identifying patients with psychiatric diagnoses, myalgia, or low-back pain can help anticipate and manage prolonged postoperative opioid use.