Department of Orthopaedics and Traumatology, 29 Mayıs Goverment Hospital, Ankara, Turkey
Department of Orthopaedics and Traumatology, Ankara City Hospital, Ankara, Turkey
Turk J Med Sci. 2021 Feb 26;51(1):181-187. doi: 10.3906/sag-2012-169.
BACKGROUND/AIM: Sleep disturbance and related improvement in quality of life as a result of arthroscopic repair in rotator cuff tear (RCT) patients can be considered as an important parameter. The aim of our study is to evaluate the rotator cuff by ultrasonography (USG) in the first postoperative year and to examine whether there is a difference between sleep disturbance and quality of life between cases of rupture and healthy patients. In addition, we aim to compare the preoperative and at least the first postoperative year’s sleep disturbances and quality of life among patients who underwent arthroscopic RCT repair and to examine the effects of factors affecting this situation.
We retrospectively reviewed the records of patients who were operated on for RCT. In this process, 257 patients were examined and 76 patients who met the inclusion criteria were included in the study. The Pittsburgh sleep quality index (PSQI), Constant–Murley shoulder score (CSS), and Oxford shoulder score (OSS) were used to evaluate the results preoperatively and at the last control visit of each patient. In the USG performed in the postoperative first year, the rotor cuff was evaluated in terms of rerupture.
It was observed that 14 (18.4%) patients’ rotor cuffs were reruptured and those of 62 (81.6%) patients were intact. The preoperative PSQI, CSS, and OSS values of the patients were calculated as an average of 10.79 ± 3.58, 35.61 ± 8.88, and 17.61 ± 4.20 and the mean postoperative values were calculated as 5.45 ± 1.68, 81.55 ± 5.27, and 38.05 ± 3.06, respectively. The postoperative PSQI value was statistically significantly lower in patients with tears of <1 cm (PSQI: 4.29 ± 0.73) than in those with tears of 1–3 cm (PSQI: 5.50 ± 2.17) and 3–5 cm (PSQI: 5.88 ± 1.25) (P < 0.001). The mean CSS and OSS values were significantly higher in postoperative measurements for all tear types. According to the size of the tear, postoperative CSS and OSS values were statistically significantly lower in patients with tears of 3–5 cm (CSS: 78.59 ± 4.50 and OSS: 36.18 ± 2.47) than those with <1 cm (CSS: 85.43 ± 2.14 and OSS: 40.57 ± 1.55) and 1–3 cm (CSS: 83.21 ± 5.35 and OSS: 39.07 ± 2.94) tears (P < 0.001).
In the USG performed in the postoperative first year, it was determined that the patients with healthy rotator cuffs recovered better than those with rerupture.
背景/目的：关节镜修复肩袖撕裂（RCT）患者的睡眠障碍及生活质量改善可被视为一个重要的参数。我们的研究目的是在术后第一年通过超声检查（USG）评估肩袖，并检查撕裂和健康患者之间的睡眠障碍和生活质量是否存在差异。此外，我们旨在比较接受关节镜 RCT 修复的患者的术前和至少第一年的睡眠障碍和生活质量，并检查影响这种情况的因素的影响。
我们回顾性地检查了接受 RCT 手术的患者的记录。在此过程中，共检查了 257 例患者，符合纳入标准的 76 例患者被纳入研究。使用匹兹堡睡眠质量指数（PSQI）、Constant–Murley 肩部评分（CSS）和牛津肩部评分（OSS）在术前和每位患者的最后一次随访时进行评估。在术后第一年进行的 USG 中，评估了肩袖的再撕裂情况。
我们观察到 14 例（18.4%）患者的肩袖出现再撕裂，62 例（81.6%）患者的肩袖保持完整。患者术前 PSQI、CSS 和 OSS 的平均值分别为 10.79 ± 3.58、35.61 ± 8.88 和 17.61 ± 4.20，术后平均值分别为 5.45 ± 1.68、81.55 ± 5.27 和 38.05 ± 3.06。<1cm 撕裂患者的术后 PSQI 值（PSQI：4.29 ± 0.73）明显低于 1-3cm（PSQI：5.50 ± 2.17）和 3-5cm（PSQI：5.88 ± 1.25）撕裂患者（P < 0.001）。所有撕裂类型的术后 CSS 和 OSS 平均值均显著升高。根据撕裂的大小，3-5cm 撕裂患者的术后 CSS 和 OSS 值（CSS：78.59 ± 4.50 和 OSS：36.18 ± 2.47）明显低于<1cm（CSS：85.43 ± 2.14 和 OSS：40.57 ± 1.55）和 1-3cm（CSS：83.21 ± 5.35 和 OSS：39.07 ± 2.94）撕裂患者（P < 0.001）。
在术后第一年的 USG 中，我们发现健康肩袖的患者恢复情况优于再撕裂的患者。
