Increase in Deltoid Compartment Pressures Immediately After Arthroscopic Rotator Cuff Repair Does Not Significantly Affect Postoperative Opioid Consumption
Purpose: To investigate the association between changes in individual (anterior, lateral, and posterior) and overall deltoid compartment pressures and postoperative opioid consumption up to 14 days after primary double-row arthroscopic rotator cuff repair (ARCR). Methods: In 113 consecutive patients...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-08-01
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| Series: | Arthroscopy, Sports Medicine, and Rehabilitation |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666061X23001104 |
| _version_ | 1797780051661422592 |
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| author | Derrick M. Knapik, M.D. Joseph E. Tanenbaum, Ph.D. Michael J. Salata, M.D. Brian N. Victoroff, M.D. James E. Voos, M.D. Robert J. Gillespie, M.D. |
| author_facet | Derrick M. Knapik, M.D. Joseph E. Tanenbaum, Ph.D. Michael J. Salata, M.D. Brian N. Victoroff, M.D. James E. Voos, M.D. Robert J. Gillespie, M.D. |
| author_sort | Derrick M. Knapik, M.D. |
| collection | DOAJ |
| description | Purpose: To investigate the association between changes in individual (anterior, lateral, and posterior) and overall deltoid compartment pressures and postoperative opioid consumption up to 14 days after primary double-row arthroscopic rotator cuff repair (ARCR). Methods: In 113 consecutive patients undergoing primary double-row ARCR, anterior, lateral, and posterior deltoid compartment pressures were measured prior to incision and immediately after closure with a manometer. Postoperatively, all patients were provided with an identical rehabilitation protocol, quantity and dose of opioid tablets, and pain journal in which to record daily opioid consumption and visual analog scale pain scores for 14 days after surgery. The pain journals were collected at the first postoperative visit, and opioid consumption was calculated based on morphine equivalents. Statistical analysis was performed to determine the association between deltoid compartment pressures and opioid consumption postoperatively. Results: Sixty-nine percent of patients who met the inclusion criteria (74 of 107) returned the pain journals. The mean age at the time of surgery was 57.4 ± 8.8 years (range, 30-75 years), with female patients being significantly older (P = .03). The mean length of surgery was 71.7 ± 16.3 minutes. No significant association between increase in individual (anterior, lateral, or posterior) or mean overall compartment pressures and morphine equivalents of opioid consumption was appreciated on any postoperative day. Conclusions: No significant correlation between increase in individual or overall deltoid compartment pressures after ARCR and postoperative opioid consumption in the immediate postoperative period was found in this study. Level of Evidence: Level II, prospective cohort study. |
| first_indexed | 2024-03-12T23:39:04Z |
| format | Article |
| id | doaj.art-c08494a773624e0a87f615f5127e0c9e |
| institution | Directory Open Access Journal |
| issn | 2666-061X |
| language | English |
| last_indexed | 2024-03-12T23:39:04Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy, Sports Medicine, and Rehabilitation |
| spelling | doaj.art-c08494a773624e0a87f615f5127e0c9e2023-07-15T04:29:15ZengElsevierArthroscopy, Sports Medicine, and Rehabilitation2666-061X2023-08-0154100760Increase in Deltoid Compartment Pressures Immediately After Arthroscopic Rotator Cuff Repair Does Not Significantly Affect Postoperative Opioid ConsumptionDerrick M. Knapik, M.D.0Joseph E. Tanenbaum, Ph.D.1Michael J. Salata, M.D.2Brian N. Victoroff, M.D.3James E. Voos, M.D.4Robert J. Gillespie, M.D.5Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, U.S.A.; University Hospitals Sports Medicine Institute, Cleveland, Ohio, U.S.A.; School of Medicine, Case Western Reserve University, Cleveland, Ohio, U.S.A.; Address correspondence to Derrick M. Knapik, M.D., Department of Orthopaedic Surgery, Washington University in St Louis, 660 S Euclid Ave, Box 8233, St Louis, MO 63110, U.S.A.School of Medicine, Case Western Reserve University, Cleveland, Ohio, U.S.A.Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, U.S.A.; University Hospitals Sports Medicine Institute, Cleveland, Ohio, U.S.A.; School of Medicine, Case Western Reserve University, Cleveland, Ohio, U.S.A.Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, U.S.A.; University Hospitals Sports Medicine Institute, Cleveland, Ohio, U.S.A.; School of Medicine, Case Western Reserve University, Cleveland, Ohio, U.S.A.Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, U.S.A.; University Hospitals Sports Medicine Institute, Cleveland, Ohio, U.S.A.; School of Medicine, Case Western Reserve University, Cleveland, Ohio, U.S.A.Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, U.S.A.; University Hospitals Sports Medicine Institute, Cleveland, Ohio, U.S.A.; School of Medicine, Case Western Reserve University, Cleveland, Ohio, U.S.A.Purpose: To investigate the association between changes in individual (anterior, lateral, and posterior) and overall deltoid compartment pressures and postoperative opioid consumption up to 14 days after primary double-row arthroscopic rotator cuff repair (ARCR). Methods: In 113 consecutive patients undergoing primary double-row ARCR, anterior, lateral, and posterior deltoid compartment pressures were measured prior to incision and immediately after closure with a manometer. Postoperatively, all patients were provided with an identical rehabilitation protocol, quantity and dose of opioid tablets, and pain journal in which to record daily opioid consumption and visual analog scale pain scores for 14 days after surgery. The pain journals were collected at the first postoperative visit, and opioid consumption was calculated based on morphine equivalents. Statistical analysis was performed to determine the association between deltoid compartment pressures and opioid consumption postoperatively. Results: Sixty-nine percent of patients who met the inclusion criteria (74 of 107) returned the pain journals. The mean age at the time of surgery was 57.4 ± 8.8 years (range, 30-75 years), with female patients being significantly older (P = .03). The mean length of surgery was 71.7 ± 16.3 minutes. No significant association between increase in individual (anterior, lateral, or posterior) or mean overall compartment pressures and morphine equivalents of opioid consumption was appreciated on any postoperative day. Conclusions: No significant correlation between increase in individual or overall deltoid compartment pressures after ARCR and postoperative opioid consumption in the immediate postoperative period was found in this study. Level of Evidence: Level II, prospective cohort study.http://www.sciencedirect.com/science/article/pii/S2666061X23001104 |
| spellingShingle | Derrick M. Knapik, M.D. Joseph E. Tanenbaum, Ph.D. Michael J. Salata, M.D. Brian N. Victoroff, M.D. James E. Voos, M.D. Robert J. Gillespie, M.D. Increase in Deltoid Compartment Pressures Immediately After Arthroscopic Rotator Cuff Repair Does Not Significantly Affect Postoperative Opioid Consumption Arthroscopy, Sports Medicine, and Rehabilitation |
| title | Increase in Deltoid Compartment Pressures Immediately After Arthroscopic Rotator Cuff Repair Does Not Significantly Affect Postoperative Opioid Consumption |
| title_full | Increase in Deltoid Compartment Pressures Immediately After Arthroscopic Rotator Cuff Repair Does Not Significantly Affect Postoperative Opioid Consumption |
| title_fullStr | Increase in Deltoid Compartment Pressures Immediately After Arthroscopic Rotator Cuff Repair Does Not Significantly Affect Postoperative Opioid Consumption |
| title_full_unstemmed | Increase in Deltoid Compartment Pressures Immediately After Arthroscopic Rotator Cuff Repair Does Not Significantly Affect Postoperative Opioid Consumption |
| title_short | Increase in Deltoid Compartment Pressures Immediately After Arthroscopic Rotator Cuff Repair Does Not Significantly Affect Postoperative Opioid Consumption |
| title_sort | increase in deltoid compartment pressures immediately after arthroscopic rotator cuff repair does not significantly affect postoperative opioid consumption |
| url | http://www.sciencedirect.com/science/article/pii/S2666061X23001104 |
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