Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
권호 표지
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Bilateral Shoulder Involvement with Mirror Image Lesion -An Arthroscopic Study in Overhead Workers

양측 견관절을 침범한 거울 병변 -머리 위의 작업을 하는 근로자 대상 관절경적 연구

  • Moon, Young-Lae (Department of Orthopedic Surgery, Chosun University) ;
  • Lee, Chul-Gab (Department of Occupational and Environment, Chosun University) ;
  • Kim, Jong-Sik (Department of Orthopedic Surgery, Seonam University)
  • 문영래 (조선대학교병원 정형외과학교실) ;
  • 이철갑 (조선대학교병원 산업의학과교실) ;
  • 김종식 (서남대학교병원 정형외과학교실)
  • Published : 2006.06.30
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Abstract

Purpose: To demonstrate arthroscopically the presence of bilateral shoulder "mirror lesions" due to overhead work. Materials and Methods: A cross-sectional study was performed in a historical cohort of 10 male tire plant workers who underwent MRI studies of both shoulders. Bilateral intraarticular shoulder pathology was diagnosed by magnetic resonance imaging and confirmed by arthroscopy. "Mirror lesions" were defined as similar pathology between an individual patient's two shoulders. Results: We report on ten patients who had bilateral "mirror lesions." The most common mirror lesions were tears of the rotator cuff. Most patients (7 of 10) had more than one mirror lesion in their shoulders. There were two bilateral full thickness tears involving the supraspinatus and infraspinatus, four bilateral partial thickness supraspinatus tears, six bilateral partial or upper corner lesion complete subscapularis tears, and one bilateral complete supraspinatus tear. Conclusion: Occupational overhead work with simultaneous use of both arms is associated with bilateral shoulder lesions verified by arthroscopy. By demonstrating the work-related bilateral shoulder involvement, this study suggests an etiopathogenesis for these lesions and provides rational for developing worksite prevention strategies.

Keywords

References

  1. 최창혁, 권굉우, 김신근, 이상욱, 조명래, 고상봉, 김 태훈: 회전근 개 파열의 관절경적 치료 시 관찰된 관절와 상완관절의 동반 변화-파열의 정도에 따른 차이-. 대한견주관절학회지, 7:5-9, 2004. https://doi.org/10.5397/CiSE.2004.7.1.005
  2. 하권익: 회전근 개 손상의 최신 치료. 대한견주관절학회지, 1:1-5, 1998.
  3. Armstrong BG: Effect of measurement error on epidemiological studies of environmental and occupational exposures. Occup Environ Med, 55:651-656, 1998. https://doi.org/10.1136/oem.55.10.651
  4. Armstrong TJ, Buckle P, Fine LJ, Hagberg M, Jonsson B, Kilbom A, Kuorinka IA, Silverstein BA, Sjogaard G and Viikari-Juntura FR: A conceptual model for work-related neck and upper-limb musculoskeletal disorders. Scand J Work Environ Health, 19:73-84, 1993. https://doi.org/10.5271/sjweh.1494
  5. Badley EM and Tennant A: Changing profile of joint disorders with age: findings from a postal survey of the population of Calderdale, West Yorkshire, United Kingdom. Ann Rheum Dis, 51:366-371, 1992. https://doi.org/10.1136/ard.51.3.366
  6. Bencardino JT, Garcia AI and Palmer WE: Magnetic resonance imaging of the shoulder: rotator cuff. Top Magn Reson Imaging, 14:51-67, 2003. https://doi.org/10.1097/00002142-200302000-00005
  7. Bjelle A: Epidemiology of shoulder problems. Baillieres Clin Rheumatol, 3:437-451, 1989. https://doi.org/10.1016/S0950-3579(89)80003-2
  8. Dickinson CE, Campion K, Foster AF, Newman SJ, O'Rourke AM and Thomas PG: Questionnaire development: an examination of the Nordic Musculoskeletal questionnaire. Appl Ergon, 23:197-201, 1992. https://doi.org/10.1016/0003-6870(92)90225-K
  9. Hagberg M: ABC of work related disorders. Neck and arm disorders. BMJ, 313:419-422, 1996. https://doi.org/10.1136/bmj.313.7054.419
  10. Latko WA, Armstrong TJ, Franzblau A, Ulin SS, Werner RA and Albers JW: Cross-sectional study of the relationship between repetitive work and the prevalence of upper limb musculoskeletal disorders. Am J Ind Med, 36:248-259, 1999. https://doi.org/10.1002/(SICI)1097-0274(199908)36:2<248::AID-AJIM4>3.0.CO;2-Q
  11. Leclerc A, Chastang JF, Niedhammer I, Landre MF and Roquelaure Y: Incidence of shoulder pain in repetitive work. Occup Environ Med, 61:39-44, 2004.
  12. Milgrom C, Schaffler M, Gilbert S and van Holsbeeck M: Rotator-cuff changes in asymptomatic adults. The effect of age, hand dominance and gender. J Bone Joint Surg, 77-B:296-298, 1995.
  13. Sher JS, Uribe JW, Posada A, Murphy BJ and Zlatkin MB: Abnormal findings on magnetic resonance images of asymptomatic shoulders. J Bone Joint Surg, 77-A:10-15, 1995.
  14. Svendsen SW, Gelineck J, Mathiassen SE, Bonde JP, Frich LH, Stengaard-Pedersen K and Egund N: Work above shoulder level and degenerative alterations of the rotator cuff tendons: amagnetic resonance imaging study. Arthritis Rheum, 50: 3314-3322, 2004. https://doi.org/10.1002/art.20495
  15. van der Windt DA, Thomas E, Pope DP, de Winter AF, Macfarlane GJ, Bouter LM and Silman AJ: Occupational risk factors for shoulder pain: a systematic review. Occup Environ Med, 57:433-442, 2000. https://doi.org/10.1136/oem.57.7.433
  16. Westgaard RH and Winkel J: Guidelines for occupational musculoskeletal load as a basis for intervention: a critical review. Appl Ergon, 27:79-88, 1996. https://doi.org/10.1016/0003-6870(95)00062-3