Analysis of the Impact of Asymptomatic Hyperuricemia on Patient Outcomes After Rotator Cuff Repair
Objective To preliminarily study the effect of asymptomatic hyperuricemia on functional recovery of the shoulder joint and tendon healing in patients after arthroscopic rotator cuff repair.Methods We retrospectively analyzed the clinical data of 55 patients with rotator cuff tears admitted to the Orthopedic Center of Xinjiang Uygur People's Hospital between November 2021 and January 2023.The study participants were divided into two groups based on their blood uric acid levels:The hyperuricemia group(26 cases)and the normal blood uric acid group(29 cases).Hyperuricemia was diagnosed when the uric acid level was greater than 420 μmol/L on two separate occasions(not on the same day).The hyperuricemia group consisted of 17 males and 9 females,with ages ranging from 38 to 69 years old and an average age of(53.4±8.8)years old.The normal blood uric acid group consisted of 16 males and 13 females,with ages ranging from 44 to 74 years old and an average age of(53.9±11.3)years old.Shoulder flexion mobility,external rotation mobility,internal rotation mobility,visual analogue scale(VAS),Constant-Murley shoulder score,American shoulder and elbow surgeon(ASES)were recorded at 3 months and 6 months after surgery.At the final follow-up,shoulder radiographs and MRI were conducted to evaluate the healing of the rotator cuff using the Sugaya evaluation criteria.Results 55 patients were followed up postoperatively,ranging from 6 to 8 months,the follow-up times in the hyperuricemic and normal groups were(6.56±0.64)months and(6.62±0.62)months,respectively,and the difference in the follow-up times between the two groups did not reach statistical significance(t=-0.256,P=0.771).The postoperative observational indexes of patients in both groups were significantly improved compared with the preoperative period(P＜0.05).The follow-up results at 3 and 6 months after surgery showed that the postoperative shoulder forward flexion mobility,external rotation mobility,internal rotation mobility,VAS score,Constant-Murley shoulder score,and ASES score of patients in the normal blood uric acid group were better than those of patients in the hyperuricemia group,and the difference was statistically significant(P＜0.05).Shoulder MRI was performed in 43 patients at the last follow-up.According to the Sugaya criteria,the evaluation results showed that MRI grading was better in patients with normal blood uric acid than in the hyperuricemia group,and the difference between the two groups was statistically significant(Z=-1.985,P=0.047).Conclusion Among the patients after arthroscopic rotator cuff repair,the shoulder joint function,pain level and tendon healing results of patients with normal blood uric acid are better than those of patients with hyperuricemia.
万方数据
维普
