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.
Study Type
OBSERVATIONAL
Enrollment
84
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
Hallym University Chuncheon Sacred Heart Hospital
Chuncheon, Gangwon-do, South Korea
Change in Hamilton Depression Rating Scale (HDRS) Score
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.
Time frame: Preoperatively (within 2 weeks before surgery) and at 3, 6, 12, and 24 months after surgery
Visual Analog Scale (VAS) Score for Pain
Score range 0-10; higher scores indicate more severe pain.
Time frame: Preoperatively (within 2 weeks before surgery) and at 3, 6, 12, and 24 months after surgery
American Shoulder and Elbow Surgeons (ASES) Score
Score range 0-100; higher scores indicate better shoulder function.
Time frame: Preoperatively (within 2 weeks before surgery) and at 3, 6, 12, and 24 months after surgery
Constant Score
Score range 0-100; higher scores indicate better shoulder function.
Time frame: Preoperatively (within 2 weeks before surgery) and at 3, 6, 12, and 24 months after surgery
Retear of the Repaired Rotator Cuff on Ultrasonography
Retear was defined as complete discontinuity of the repaired rotator cuff tendon on ultrasonography.
Time frame: 24 months after surgery
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.