Abstract
Background
The management of pain in patients with rotator cuff tears can be challenging. Neuropathic
pain is reportedly associated with pain occurrence in musculoskeletal diseases. However,
to date, few studies have reported on the prevalence of neuropathic pain in patients
with rotator cuff tears or identified the factors associated with neuropathic pain
in a multicenter study.
Methods
A total of 391 patients (205 males and 186 females; median age, 67.7 years; range,
27–92 years) with rotator cuff tears were included in this study. The prevalence of
neuropathic pain in rotator cuff tears was investigated using the Japanese version
of the painDETECT questionnaire for all patients. In addition, factors significantly
associated with the occurrence of neuropathic pain were examined using multivariate
logistic regression analysis.
Results
Twenty-eight patients (7.2%) were classified into the neuropathic pain group (score
≥19), 97 (24.8%) into the uncertainty regarding neuropathy group (score 13–18), and
266 (68.0%) into the nociceptive pain group (score ≤12). According to the multivariate
logistic regression analysis, the independent predictors of neuropathic pain were
the VAS score (most severe pain during the past 4 weeks; odds ratio, 1.55; 95% confidence
interval [CI], 1.23–2.09) and UCLA shoulder score (odds ratio, 0.81; 95% CI, 0.65–0.97).
Conclusions
Based on the study findings, the prevalence of neuropathic pain in patients with rotator
cuff tear was 7.2%. It is important to investigate the presence or absence of neuropathic
pain when treating patients with painful rotator cuff tears, because neuropathy associated
with rotator cuff tears may adversely affect patient outcomes.
Keywords
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Article info
Publication history
Published online: January 04, 2023
Accepted:
October 19,
2022
Received in revised form:
October 9,
2022
Received:
February 24,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 Published by Elsevier B.V. on behalf of The Japanese Orthopaedic Association.
