Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Simple Radiographic Analysis of Chronic Shoulder Pain in Patients 50 Years and Older

만성 견관절 동통을 가진 50세 이상 환자의 단순 방사선 사진 분석

  • Yoo Chong II (Department of Orthopaedic Surgery, Pusan National University Hospital) ;
  • Kim Hui Taek (Department of Orthopaedic Surgery, Pusan National University Hospital) ;
  • Eun II Soo (Department of Orthopaedic Surgery, Pusan Medical Center)
  • 류총일 (부산대학교 정형외과교실) ;
  • 김휘택 (부산대학교 정형외과교실) ;
  • 은일수 (부산의료원 정형외과학교실)
  • Published : 2004.06.01
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Abstract

Purpose: To evaluate a usefulness of the simple radiograph in the patients with chronic shoulder pain 50 years and older. Material and method: 1152 patients with chronic shoulder pain and 100 asymptomatic individuals were involved in this study. All patients were 50 years and older. We excluded patients who had a history of fracture or dislocation. Radiographic interpretation was performed on a shoulder AP view, an axillary view and a supraspinatus outlet view. For statistical analysis, a chi-square test was performed. A p value of <0.05 was considered statistically significant. Results: Abnormal radiologic findings were identified in 369(32%) out of 1152 patients with a shoulder pain: greater tuberosity sclerosis, acromial sclerosis, subacromial osteophytes are common abnormal radiologic findings. A rotator cuff tear or impingement syndrome was identified on a final diagnosis in 61(85.2%) out of the 76 patients with radiologic abnormalities in both greater tuberosity and acromion (p<0.05). Abnormal radiologic findings were identified in 18% of the asymptomatic individuals. Conclusion: Simple radiographic analysis is an important primary diagnostic tool in patients (50 years and old) with chronic shoulder pain.

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References

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