A STUDY ON THE AETIOLOGICAL PROFILE OF PAIN AROUND SHOULDER AMONG PATIENTS ATTENDING PHYSICAL MEDICINE AND REHABILITATION DEPARTMENT OF A TERTIARY CARE CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 46
Abstract
ACKGROUND Pain around the shoulder is one of the most common regional musculoskeletal conditions seeking medical advice. It has a lifetime prevalence of up to 70% and this seems to be increasing in incidence. The diagnosis of these disorders is based primarily upon results of specific clinical tests. There are not many studies regarding its aetiological profile. The aim of this study is to assess the proportion of various disorders causing pain in and around the shoulder joint in patients reporting to the Physical Medicine and Rehabilitation Department of a tertiary care hospital in Kerala. MATERIALS AND METHODS This study was carried out in the Outpatient Department of Physical Medicine and Rehabilitation, Government TD Medical College, Alappuzha, during a period of one year from April 2016 - March 2017 to assess the aetiological profile of various disorders causing pain around the shoulder joint. This was a descriptive study conducted by evaluating the final diagnosis from the OP records of patients who were fully evaluated in the Shoulder Pain Clinic, which is functioning in the department. RESULTS Age of patients ranged between 15 to 85 years (mean age 48 years). A predominance of females was observed (Male-Female ratio: 1: 1.84). The commonest causes of pain around the shoulder joint were myofascial pain (38.2%) followed by rotator cuff disease (29.7%), adhesive capsulitis (19.1%). Other causes were C5 radiculopathy (3.8%), brachial plexopathy (1.7%) and GH arthritis (1%); 2 cases of acromioclavicular joint arthritis and one case of malignancy (multiple myeloma) were also diagnosed. Myofascial pain was more seen among younger age group; 96.5% with myofascial pain were in the below 50 years of age category. Rotator cuff disease and adhesive capsulitis were seen more common in the middle and older age group. 70% of rotator cuff disease and 75% of patients with adhesive capsulitis were in the > 50 years of age category. CONCLUSION Myofascial pain, rotator cuff disease and adhesive capsulitis were three most common diagnoses reporting to our centre with pain around shoulder. Myofascial pain is more common in females (P value of 0.00) and rotator cuff injury is more in males (P value of 0.00). Adhesive capsulitis was seen almost similar in both with a slight male predominance
Authors and Affiliations
Roy Rama Chandran, Charvakan Suthan, Santhosh Kothirappallil Raghavan, Mitu Chirakkalthazhath Sankar, Dhanya Raj
Keywords
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- EP ID EP217373
- DOI 10.14260/Jemds/2017/775
- Views 82
- Downloads 0
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