Evidence map›Paper›PMID 34173872›Full record

ArticleJournal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology2021

Early postoperative pain as a risk factor of shoulder stiffness after arthroscopic rotator cuff repair.

Mohammad Reza Guity, Amir Sobhani Eraghi, Fatemeh Sadat Hosseini-Baharanchi

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07057947 (Is Pericapsular Nerve Group), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07057947 nacompletednot on this mapstarted 2025, after this paper: background citation

Is Pericapsular Nerve Group (PENG) Block Superior to Interscalene Nerve Block Regarding Motor Power Affection in Shoulder Scope Surgeries? A Randomised Comparative Study.

TypeinterventionalSponsorSherin RefaatRan2025 to 2025Enrolled60ConditionsShoulder Arthroscopic SurgeryArmsPericapsular Nerve Group (PENG) Block, Interscalene Nerve Block, Acuson X300 ultrasound,Siemens medical solution INC, Germany
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. [Early postoperative functional outcomes and influencing factors in patients with rotator cuff injury].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. The effect of continuous interscalene brachial plexus block for arthroscopic rotator cuff repair.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2024
    Article
  20. The effect of cellular nuclear function alteration on the pathogenesis of shoulder adhesive capsulitis: an immunohistochemical study on lamin A/C expression.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Mohammad Reza GuityDepartment of Orthopaedics, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Amir Sobhani EraghiDepartment of Orthopaedics, Rasool Akram Medical Complex, Iran University of Medical Sciences, Niayesh Ave., Sattarkhan St, Tehran, Iran. sobhani.a@iums.ac.ir.
Fatemeh Sadat Hosseini-BaharanchiMinimally Invasive Surgery Research Center & Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Iran University of Medical Sciences · IRTehran University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of postoperative pain in incidence of shoulder stiffness (SS) after shoulder arthroscopy has not been thoroughly investigated. The present study was conducted to assess the effects of early postoperative pain (EPOP) on onset of SS after arthroscopic rotator cuff (RC) repair. MATERIALS AND

methodsIn a retrospective analysis of a prospectively collected database, 335 patients who underwent arthroscopic RC repair were evaluated. RC tendons were sutured to the bone using the double-row technique. EPOP was evaluated 1 week after surgery using the visual analog scale (VAS). SS was assessed 3 months after surgery and was categorized into moderate or severe based on shoulder range of motion (ROM). Each type of complication including SS was identified and recorded.

resultsPostoperative shoulder stiffness (POSS) was identified in 121 patients (36.2%) that was moderate in 86 patients (70.1%) and severe in 35 patients (28.9%). After 1 week, VAS pain score was equal to 7.7 ± 3.1 and 4.5 ± 2.1 in the patients with and without stiffness, respectively (p < 0.001). Diabetes and traumatic tear were found to be associated with postoperative stiffness (p = 0.046 and p < 0.001, respectively). Similar associations were found on multivariate analysis of data. VAS pain score was higher in the patients with severe stiffness compared with those with moderate stiffness (p < 0.001).

conclusionsOur findings revealed that EPOP is associated with shoulder stiffness after arthroscopic RC repair. Therefore, strategies to ameliorate EPOP could be opted to decrease rate of POSS. LEVEL OF EVIDENCE: Level IV.

Indexed as

AgedArthroplastyArthroscopyContractureFemaleHumansJoint DiseasesMaleMiddle AgedPain MeasurementPostoperative PainRange of Motion, ArticularRetrospective StudiesRisk FactorsRotator CuffRotator Cuff InjuriesArthroscopyPainRisk factorRotator cuff tear

Identifiers

PMID34173872
PMCPMC8236012
OpenAlexW3177062982

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.