Depressive Symptoms, Rotator Cuff Tears
Conditions
Keywords
rotator cuff repair, arthroscopy, depression, Hamilton Depression Rating Scale
Brief summary
This prospective cohort study evaluated how depressive symptom severity changes during the first 2 years after arthroscopic rotator cuff repair, and whether changes in depressive symptoms are associated with improvements in shoulder pain and function. Adults who underwent arthroscopic suture-bridge repair for a symptomatic full-thickness rotator cuff tear were classified by preoperative Hamilton Depression Rating Scale (HDRS) score as having depressive symptoms (HDRS ≥8) or not (HDRS ≤7). Depressive symptom severity (HDRS), shoulder pain (visual analog scale), and shoulder function (American Shoulder and Elbow Surgeons score and Constant score) were assessed before surgery and at 3, 6, 12, and 24 months after surgery. Integrity of the repaired tendon was evaluated with ultrasonography at 24 months.
Interventions
Arthroscopic repair of a full-thickness rotator cuff tear using a suture-bridge technique with medial-row suture anchors and lateral-row knotless anchors, performed as standard care in all participants
Sponsors
Chuncheon Sacred Heart Hospital
Hallym University Medical Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Primary arthroscopic suture-bridge repair for a symptomatic full-thickness rotator cuff tear identified on preoperative MRI * Assessment of depressive symptom severity with the Hamilton Depression Rating Scale within 2 weeks before surgery * Willingness to complete scheduled follow-up assessments, including HDRS and clinical scores at 3, 6, 12, and 24 months and shoulder ultrasonography at 24 months after surgery
Exclusion criteria
* Partial-thickness rotator cuff tear or isolated subscapularis tear * Revision rotator cuff surgery * Shoulder instability * Glenohumeral osteoarthritis * Neurologic or systemic disease affecting the shoulder joint * History of acute trauma or infection * Incomplete medical records
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Hamilton Depression Rating Scale (HDRS) Score | Preoperatively (within 2 weeks before surgery) and at 3, 6, 12, and 24 months after surgery | Clinician-administered rating scale of depressive symptom severity; higher scores indicate more severe depressive symptoms. A score of 8 or higher was defined as the presence of depressive symptoms. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale (VAS) Score for Pain | Preoperatively (within 2 weeks before surgery) and at 3, 6, 12, and 24 months after surgery | Score range 0-10; higher scores indicate more severe pain. |
| American Shoulder and Elbow Surgeons (ASES) Score | Preoperatively (within 2 weeks before surgery) and at 3, 6, 12, and 24 months after surgery | Score range 0-100; higher scores indicate better shoulder function. |
| Constant Score | Preoperatively (within 2 weeks before surgery) and at 3, 6, 12, and 24 months after surgery | Score range 0-100; higher scores indicate better shoulder function. |
| Retear of the Repaired Rotator Cuff on Ultrasonography | 24 months after surgery | Retear was defined as complete discontinuity of the repaired rotator cuff tendon on ultrasonography. |
Countries
South Korea
Outcome results
None listed