Stein Alexandra M, Hardy Alexandre, Moussa Mohamad, Bauer Thomas, Werthel Jean-David
Service de chirurgie orthopédique Hôpital Ambroise Paré Boulogne-Billancourt France.
Chirurgie du sport Clinique du sport Paris France.
J Exp Orthop. 2025 Jul 13;12(3):e70359. doi: 10.1002/jeo2.70359. eCollection 2025 Jul.
Many psychological factors play a role in the patient's reported pain after rotator cuff surgery. The aim of this study was to investigate the influence of preoperative pain catastrophizing, assessed using the Pain Catastrophizing Scale (PCS), on early postoperative pain following rotator cuff repair.
A prospective case series was conducted. Patients who underwent a rotator cuff repair in our hospital were included consecutively for 6 months in 2024. The PCS was used preoperatively to evaluate patient's apprehensions about pain. The primary outcome measure was the visual analog scale (VAS) as compared between both group on postoperative Days 0-5.
A total of 33 patients were included in the study, with 16 patients in the low PCS group (mean PCS score of 4.6) and 16 patients in the high PCS group (mean PCS score of 25.0). Pain scores, measured using the Visual Analog Scale (VAS), were significantly higher in the high PCS group compared to the low PCS group at all time points. On Day 2 (D2), the VAS pain score was 2.0 (1.8; 4.0) in the low PCS group and 5.0 (2.0; 8.0) in the high PCS group ( = 0.02). On Day 3 (D3), scores were 2.0 (1.0; 3.0) and 5.5 (1.8; 7.3), respectively ( = 0.03). On Day 4 (D4), the scores were 2.0 (0.8; 3.0) in the low PCS group and 4.5 (1.0; 6.0) in the high PCS group ( = 0.03). Finally, on Day 5 (D5), pain scores were 1.5 (0.0; 2.3) for the low PCS group and 4.0 (1.0; 5.3) for the high PCS group ( = 0.04).
Patients presenting high levels of catastrophizing experienced more early postoperative pain following arthroscopic rotator cuff repair surgery than patients with low levels of catastrophizing.
IV.
许多心理因素在肩袖手术后患者自述的疼痛中起作用。本研究的目的是调查使用疼痛灾难化量表（PCS）评估的术前疼痛灾难化对肩袖修复术后早期疼痛的影响。
进行了一项前瞻性病例系列研究。2024年连续6个月纳入我院接受肩袖修复术的患者。术前使用PCS评估患者对疼痛的担忧程度。主要结局指标是术后0至5天两组之间比较的视觉模拟量表（VAS）评分。
本研究共纳入33例患者，低PCS组16例（平均PCS评分为4.6），高PCS组16例（平均PCS评分为25.0）。在所有时间点，高PCS组使用视觉模拟量表（VAS）测量的疼痛评分均显著高于低PCS组。术后第2天（D2），低PCS组的VAS疼痛评分为2.0（1.8；4.0），高PCS组为5.0（2.0；8.0）（P = 0.02）。术后第3天（D3），评分分别为2.0（1.0；3.0）和5.5（1.8；7.3）（P = 0.03）。术后第4天（D4），低PCS组评分为2.0（0.8；3.0），高PCS组为4.5（1.0；6.0）（P = 0.03）。最后，在术后第5天（D5），低PCS组疼痛评分为1.5（0.0；2.3），高PCS组为4.0（1.0；5.3）（P = 0.04）。
与低灾难化水平的患者相比，高灾难化水平的患者在关节镜下肩袖修复术后经历了更多的早期术后疼痛。
IV级。
