Determinants of pain intensity and magnitude of incapability more than two years after arthroscopic Bankart repair for anterior shoulder instability

© 2024 The Authors.

Bibliographische Detailangaben
Veröffentlicht in:JSES international. - 2020. - 8(2024), 5 vom: 28. Sept., Seite 941-945
1. Verfasser: Broekman, Melle M (VerfasserIn)
Weitere Verfasser: Verweij, Lukas P E, Doornberg, Job N, Floor, Sebastiaan, Ring, David, van den Bekerom, Michel P J
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2024
Zugriff auf das übergeordnete Werk:JSES international
Schlagworte:Journal Article Bankart repair Incapability Mental health Pain intensity Pathophysiology severity Unhelpful thinking
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520 |a Background: Individuals treated with arthroscopic Bankart repair after anterior shoulder dislocations experience varied discomfort and incapability. The aim of this study was to determine the relative association of mental health and physical health factors with 1) magnitude of capability and 2) pain intensity 2 or more years after surgery 
520 |a Methods: This cross-sectional study evaluated 80 military patients that experienced one or more traumatic anterior shoulder dislocations a minimum of 2 years after arthroscopic Bankart repair without remplissage. We measured capability (Oxford Shoulder Instability Score), pain intensity using an 11-point ordinal scale, symptoms of anxiety (Generalized Anxiety Disorder-2 questionnaire), symptoms of depression (Patient Health Questionnaire-2), catastrophic thinking (Pain Catastrophizing Scale-4), and kinesiophobia (Tampa scale for kinesiophobia-4). We also identified preoperative presence of a Hill-Sachs lesion on radiographs and postoperative occurrence of subluxation or a dislocation episode. A negative binominal regression analysis sought factors associated with magnitude of incapability and pain intensity 
520 |a Results: Greater incapability was strongly associated with both greater kinesiophobia (Regression Coefficient [RC] = -0.50; 95% confidence interval [CI] = -0.73 to -0.26; P ≤ .01) and repeat surgery (RC = -0.27; 95% CI = -0.41 to -0.13; P ≤ .01). Greater pain intensity was only strongly associated with greater kinesiophobia (RC = 0.25; 95% CI = 0.039 to 0.46; P = .021) 
520 |a Conclusion: The observation that greater unhelpful thinking is associated with greater pain intensity and greater magnitude of incapability after a Bankart repair for anterior shoulder instability, whereas pathophysiological factors such as glenoid bone loss were not, emphasizes the degree to which mindset is associated with musculoskeletal health 
650 4 |a Journal Article 
650 4 |a Bankart repair 
650 4 |a Incapability 
650 4 |a Mental health 
650 4 |a Pain intensity 
650 4 |a Pathophysiology severity 
650 4 |a Unhelpful thinking 
700 1 |a Verweij, Lukas P E  |e verfasserin  |4 aut 
700 1 |a Doornberg, Job N  |e verfasserin  |4 aut 
700 1 |a Floor, Sebastiaan  |e verfasserin  |4 aut 
700 1 |a Ring, David  |e verfasserin  |4 aut 
700 1 |a van den Bekerom, Michel P J  |e verfasserin  |4 aut 
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