{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T14:49:44Z","timestamp":1786632584108,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the effect of perioperative dexamethasone on patient\u2010reported pain, functional outcomes, and minimal clinically important difference (MCID) achievement following arthroscopic rotator cuff repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who underwent rotator cuff repair between 2013 and 2023 were identified and divided into groups. Those who received peri operative dexamethasone were compared with controls. Outcomes included visual analog scale (VAS) pain, patient\u2010reported outcomes measurement information system (PROMIS) upper extremity, PROMIS pain interference, and MCID. Multivariate logistic and linear regression models adjusted for age, sex, body mass index, diabetes, race\/ethnicity, smoking, and preoperative opioid use. Subgroup analyses were performed by tear size.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 309 patients was included (187 dexamethasone and 122 control). Dexamethasone administration was associated with improved functional recovery and sustained pain reduction. PROMIS upper extremity and PROMIS pain interference scores favored Dexamethasone at 6\u2009weeks, 3\u2009months, and 6\u2009months (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.01). VAS pain was significantly lower at 12\u2009months (1.9\u2009\u00b1\u20092.9 vs 3.1\u2009\u00b1\u20093.5,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.003) and 24\u2009months (1.0\u2009\u00b1\u20092.5 vs 1.8\u2009\u00b1\u20093.1,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.035). Only 37% of patients completed a 2\u2010year follow\u2010up, limiting the strength of these long\u2010term comparisons. In small\/medium tears, MCID achievement for VAS was greater at 6 weeks (31% vs 21%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.041) and 3 months (34% vs 21%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.012). Logistic regression confirmed dexamethasone as an independent predictor of early MCID (OR 1.67, 95% CI 1.02\u20102.73,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.041). Large\/massive tears showed transient VAS improvement without MCID benefit. Opioid consumption did not differ between groups (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u2009.12). Dexamethasone reduced ondansetron use in large\/massive tears at 0\u20104\u2009hour (\u03b2\u2009=\u2009\u22120.34,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.04) and in small\/medium tears at 4\u20108\u2009hour (\u03b2\u2009=\u2009\u22120.19,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.04), with no differences for other antiemetics. Complication rates were similar (11.2% vs 4.9%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.055).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Perioperative intravenous dexamethasone is a safe adjunct to arthroscopic rotator cuff repair, supporting early antiemetic benefits, durable pain relief, and selective improvements in patient\u2010reported outcomes. Benefits appear most pronounced in small\/medium tears at early follow\u2010up and large\/massive tears at later stages, suggesting tear size\u2010specific response.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ars2.70047","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T16:34:57Z","timestamp":1780936497000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perioperative Intravenous Dexamethasone Improves Pain and Functional Outcomes After Arthroscopic Rotator Cuff Repair"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8588-0099","authenticated-orcid":false,"given":"Trevor D.","family":"Wolterink","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Henry Ford Health  Detroit Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4894-0806","authenticated-orcid":false,"given":"Germain","family":"Craddock","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Henry Ford Health  Detroit Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua P.","family":"Castle","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Henry Ford Health  Detroit Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3366-1708","authenticated-orcid":false,"given":"Michael A.","family":"Gaudiani","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Henry Ford Health  Detroit Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chimdindu","family":"Obinero","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Henry Ford Health  Detroit Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander S.","family":"Jurayj","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Henry Ford Health  Detroit Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian A.","family":"Freitag","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Henry Ford Health  Detroit Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan Y.","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Henry Ford Health  Detroit Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5946-8973","authenticated-orcid":false,"given":"Jared","family":"Mahylis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Henry Ford Health  Detroit Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6617-4116","authenticated-orcid":false,"given":"Stephanie J.","family":"Muh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Henry Ford Health  Detroit Michigan U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"iData Research. 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