Psychological stress, pain management and the development of a stiff, painful shoulder following rotator cuff or clavicular surgery.

The relationship between pain, depression and sleep and the development of a stiff painful shoulder in patient's undergoing rotator cuff repair, distal clavicular resection or sub-acromial decompression.

Status

Completed

Phases

Unknown

Study type

Observational

Source

ANZCTR

Registry ID

ACTRN12613001271796

Enrollment

137

Registered

2013-11-19

Start date

2013-11-28

Completion date

2014-06-04

Last updated

2021-11-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

This study aims to find out whether having a depressed mood or inadequate postoperative pain control are associated with the development of a stiff and painful shoulder following shoulder surgery. Surgery to the muscles and tendons (rotator cuff) of the shoulder and surgery to the end of the collar bone (clavicle) are common procedures. However one complication that occurs is the development of a stiff painful shoulder in the first 3 months of the postoperative phase. A number of factors have been associated with the development of postoperative shoulder stiffness. It has been suggested that depressed mood and postoperative pain are associated with the development of postoperative shoulder stiffness but this area has not been studied. The purpose of this study is to look at the relationship between postoperative pain, depressed mood and the development of postoperative shoulder stiffness and determine whether either depressed mood or postoperative pain are important predictors of and possible management targets to decrease the rate of postoperative shoulder stiffness. The study will involve 100 to 200 participants who will all be patients of A/Professor Simon Bell undergoing rotator cuff or clavicular surgery

Interventions

Observational study. Procedure - rotator cuff repair, subacromial decompression or distal clavicle resection Observation - pre and postoperative pain, analgesia, depression and quality of sleep. Observations performed at - preoperative assessment, postoperative days 2, 5 and 7 and weeks 2, 4, 7 and 10 Outcome - development of stiff painful shoulder at 10-12 week postoperative follow up

Eligibility

Sex/Gender

All

Age

18 Years to 90 Years

Healthy volunteers

Inclusion criteria

Patients of A/Professor Simon Bell who are undergoing rotator cuff repair, distal clavicular resection or subacromial decompression during the recruitment period of November 2013 to April 2014 will be invited to participate.

Exclusion criteria

Gleno-humeral arthritis of the operated shoulder. Preoperative shoulder stiffness Previous surgery in the same shoulder Concomitant surgical procedure except for arthroscopic or mini-open rotator cuff repair, subacromial decompression or distal clavicular resection Inability to answer questions by phone. Poor English language skills.

Outcome results