Poster 192: Depressive and Anxiety Disorders Increase Risk for Continued Biceps Pain Following Arthroscopic Biceps Tenodesis

Objectives: Arthroscopic suprapectoral biceps tenodesis (ASPBT) may result in postoperative pain. Previous studies have revealed associations between demographic or intraoperative factors and shoulder pain, but with conflicting results. No study has exclusively investigated predictors of pain following ASPBT. The purpose this was to evaluate associated ASPBT while also determining the clinical impact We hypothesized that younger age pre-existing diagnoses chronic syndromes would be increased Methods: A retrospective comprised patients underwent completed. Groups were categorized by presence (BP+) absence (BP-) Differences continuous variables tested two-sample t-tests differences categorical chi-squared Fisher’s exact test. Variables collected at different timepoints first analyzed using a linear mixed model generalized fixed effects for group, timepoint, group*timepoint interaction, random subject effect. Post-hoc comparisons p-values adjusted multiple testing Benjamini-Hochberg procedure. Results: total 461 (47 BP+, 414 BP-) met criteria analysis. lower mean observed BP+ group (p<0.01). Diagnoses major depressive disorder (MDD) (p=0.03) any anxiety (p<0.01) more prevalent group. Prescription medication selective serotonin reuptake inhibitors norepinephrine atypical antidepressants (p=0.01) Subacromial decompression (SAD) performed less frequently Conclusions: Younger age, diagnosis MDD disorder, as well use psychotropic medications predictive odds developing undergoing concomitant SAD. Postoperative after resulted prolonged recovery, inferior PROs, higher incidence repeat surgical procedures. decision perform patients, diagnosed anxiety, taking should carefully considered given correlation outcomes. [Table: see text][Table: text]