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Arthroscopic Management of Massive Irreparable Rotator Cuff Tears: Whole Rotator Cable Reconstruction Using Proximal Biceps Tendon Autograft
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Sleep Disturbance and Rotator Cuff Tears: A Systematic Review
Umile Giuseppe Longo1, Gabriella Facchinetti2, Anna Marchetti2
1Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy. g.longo@unicampus.it.
Medicina (Kaunas, Lithuania)
|August 11, 2019
Summary
Patients with rotator cuff tears often experience sleep disturbances, particularly before surgery. Treatment for rotator cuff tears generally improves sleep quality, which is linked to pain and other factors.
Area of Science:
- Orthopedics
- Sleep Medicine
- Systematic Review
Background:
- Sleep disorders are a frequent complaint among individuals with rotator cuff (RC) tears.
- The relationship between rotator cuff tear treatment and sleep disorder causes requires further investigation.
Purpose of the Study:
- To systematically review and evaluate sleep quality in patients before and after rotator cuff tear surgery.
- To identify factors influencing sleep quality in patients undergoing rotator cuff tear treatment.
Main Methods:
- A systematic review methodology was employed.
- Included studies were assessed using the "Quality Assessment Tool for Quantitative Studies" from the Effective Public Health Practice Project.
- The Simple Shoulder Test (SST) and Pittsburgh Sleep Quality Index (PSQI) were key assessment tools.
Main Results:
- Four studies were included after a systematic review of 78 articles.
- A majority of patients with rotator cuff tears reported sleep disturbances, predominantly pre-operatively.
- Post-operative sleep quality showed general improvement compared to the pre-operative state.
Conclusions:
- Sleep quality in rotator cuff tear patients significantly improves after surgical intervention.
- Sleep quality is correlated with pain levels.
- Comorbidities, sleeping position, narcotic use, and psychiatric issues may impact sleep quality.
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