title: Sleep Disturbance and Anatomic Shoulder Arthroplasty.
abstract: Sleep disturbance is commonly encountered in patients with glenohumeral joint arthritis and can be a factor that drives patients to consider surgery. The prevalence of sleep disturbance before or after anatomic total shoulder arthroplasty has not been reported. The authors identified 232 eligible patients in a prospective shoulder arthroplasty registry following total shoulder arthroplasty for primary glenohumeral joint arthritis with 2- to 5-year follow-up. Sleep disturbance secondary to the affected shoulder was characterized preoperatively and postoperatively as no sleep disturbance, frequent sleep disturbance, or nightly sleep disturbance. A total of 211 patients (91%) reported sleep disturbance prior to surgery. Patients with nightly sleep disturbance had significantly worse (P<.05) Constant pain, Constant activity, and Western Ontario Osteoarthritis Shoulder index scores prior to surgery. Postoperatively, there was a significant improvement in the prevalence of sleep disturbance, with 186 patients (80%) reporting no sleep disturbance (P<.001). The no sleep disturbance group had significantly greater patient-reported outcome scores and range of motion following surgery compared with the other sleep disturbance groups for nearly all outcome measures (P≤.01). Patients have significant improvements in sleep after anatomic shoulder arthroplasty. There was a high prevalence of sleep disturbance preoperatively (211 patients, 91%) compared with postoperatively (46 patients, 20%). [Orthopedics. 2017; 40(3):e450-e454.].
authors.forename: Brent J
authors.initials: BJ
authors.lastname: Morris
authors.forename: Aaron D
authors.initials: AD
authors.lastname: Sciascia
authors.forename: Cale A
authors.initials: CA
authors.lastname: Jacobs
authors.forename: T Bradley
authors.initials: TB
authors.lastname: Edwards
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000072228:Arthroplasty, Replacement, Shoulder; D020920:Dyssomnias / Q000209:etiology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000150:complications* / Q000503:physiopathology / Q000601:surgery*; D010147:Pain Measurement; D000071066:Patient Reported Outcome Measures; D011184:Postoperative Period; D011446:Prospective Studies; D016059:Range of Motion, Articular; D012042:Registries; D012785:Shoulder Joint / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome