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.
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.
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).
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.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Orthopaedic Science
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Factors involved in the presence of symptoms associated with rotator cuff tears: a comparison of asymptomatic and symptomatic rotator cuff tears in the general population..J Shoulder Elbow Surg. 2011 Oct; 20: 1133-1137
- Prevalence and risk factors of a rotator cuff tear in the general population..J Shoulder Elbow Surg. 2010 Jan; 19: 116-120
- A new definition of neuropathic pain.Pain. 2011 Oct; 152: 2204-2205
- Neuropathic pain: spotlighting anatomy, experimental models, mechanisms, and therapeutic aspects..Eur J Neurosci. 2021 Jul; 54: 4475-4496
- Clinical features of chronic pain with neuropathic characteristics: a symptom-based assessment using the pain DETECT questionnaire..Eur J Pain. 2013 Nov; 17: 1529-1538
- The prevalence and impact of chronic neuropathic pain on daily and social life: a nationwide study in a Japanese population..Eur J Pain. 2017 Apr; 21 (727–7)
- Karasugi T, Ide J, Kitamura T, Okamoto N, Tokunaga T, Mizuta H. Neuropathic pain in patients with rotator cuff tears..BMC Muscoskel Disord. 2016 Nov; 17: 451
- Prevalence and risk factors of neuropathic pain in patients with a rotator cuff tear.Pain Physician. 2018 Mar; 21: E173-E180
- painDETECT: a new screening questionnaire to identify neuropathic components in patients with back pain.Curr Med Res Opin. 2006 Oct; 22: 1911-1920
- The painDETECT project - far more than a screening tool on neuropathic pain.Curr Med Res Opin. 2016 Jun; 32: 1033-1057
- Prevalence and location of neuropathic pain in lumbar spinal disorders: analysis of 1804 consecutive patients with primary lower back pain.Spine. 2016 Aug; 41: 1224-1231
- Prevalence of neuropathic pain in cases with chronic pain related to spinal disorders.J Orthop Sci. 2014 Jan; 19: 15-21
- Use of the painDETECT questionnaire to differentiate the nature of hip pain associated with a labrum tear.Asia Pac J Sports Med Arthrosc Rehabil Technol. 2017 Nov; 16: 1-5
- Development and persistence of suspected neuropathic pain after total knee arthroplasty in individuals with osteoarthritis.Pharm Manag PM R. 2018 Sep; 10: 903-909
- Existence of a neuropathic pain component in patients with osteoarthritis of the knee.Yonsei Med J. 2012 Jul; 53: 801-805
- Clinical characteristics of neuropathic pain in patients with carpal tunnel syndrome..Hand Surg. 2014; 19: 43-48
- Prevalence of neuropathic pain symptoms in foot and ankle patients.Foot Ankle Int. 2019 Jun; 40: 629-633
- Validity and reliability of the Japanese version of the painDETECT questionnaire: a multicenter observational study..PLoS One. 2013 Sep; 8e68013
- Glenoid lateralization influences active internal rotation after reverse shoulder arthroplasty..J Shoulder Elbow Surg. 2021 Nov; 30: 2498-2505
- How internal rotation is measured in reverse total shoulder arthroplasty: a systematic review of the literature.JSES Int. 2019 Dec; 4: 182-188
- Functional internal rotation after shoulder arthroplasty: a comparison of anatomic and reverse shoulder arthroplasty..J Shoulder Elbow Surg. 2015 Jun; 24: 867-874
- Results of a second attempt at surgical repair of a failed initial rotator-cuff repair.J Bone Joint Surg Am. 1984 April; 66: 563-567
- UCLA anatomic total shoulder arthroplasty.Clin Orthop Relat Res. 1981 Mar-Apr; : 7-20
- Fatty degeneration of the muscles of the rotator cuf: assessment by computed tomography versus magnetic resonance imaging.J Shoulder Elbow Surg. 1999 Nov; 8: 599-605
- Fatty muscle degeneration in cuf ruptures. Pre- and postoperative evaluation by CT scan.Clin Orthop Relat Res. 1994 Jul; : 78-83
Published online: January 04, 2023
Accepted: October 19, 2022
Received in revised form: October 9, 2022
Received: February 24, 2022
Publication stageIn Press Corrected Proof
© 2023 Published by Elsevier B.V. on behalf of The Japanese Orthopaedic Association.