STUDY DESIGN: Clinical and radiographic evaluation of the shoulders of tetraplegic and paraplegic patients who attend rehabilitation program. OBJECTIVES: The objective of this study is to establish the usefulness of radiography as a trial exam for shoulder pain in spinal cord injured patients. SETTING: Hospital das Clinicas-UNICAMP. Campinas, Sao Paulo, Brazil. METHODS: Thirty-two shoulders of 16 patients were evaluated by clinical exam and radiography. Patients were divided into two groups: paraplegic and tetraplegic. A control group of 16 normal volunteer subjects was selected. RESULTS: Shoulder pain was reported in 88.89% of tetraplegic and 42.85% of paraplegic. The time of injury ranged from 1.5-22 years (mean 7.88 years); patients had a mean age of 34.68 years (range, 21-57 years). The acromioclavicular joint (ACJ) space ranged from 0.03-0.7 cm on the right side and 0.15-0.7 cm on the left side, with a mean of 0.37 and 0.41 cm, respectively. No correlation was found between shoulder pain and gender, age or time since injury. There was a trend to correlation between shoulder pain and type of injury with tetraplegic having a tendency to pain symptoms. On average, tetraplegic had smaller ACJ. CONCLUSIONS: The small number of patients in this study did not allow us to confirm the hypothesis that X-ray finding may indicate risk for shoulder pain in spinal cord injury patients. A work with a greater number of subjects could demonstrate association between shoulder pain and the reduced acromioclavicular distance, making plain radiography a trial exam for spinal cord-injured patients.
STUDY DESIGN: Clinical and radiographic evaluation of the shoulders of tetraplegic and paraplegic patients who attend rehabilitation program. OBJECTIVES: The objective of this study is to establish the usefulness of radiography as a trial exam for shoulder pain in spinal cord injured patients. SETTING: Hospital das Clinicas-UNICAMP. Campinas, Sao Paulo, Brazil. METHODS: Thirty-two shoulders of 16 patients were evaluated by clinical exam and radiography. Patients were divided into two groups: paraplegic and tetraplegic. A control group of 16 normal volunteer subjects was selected. RESULTS: Shoulder pain was reported in 88.89% of tetraplegic and 42.85% of paraplegic. The time of injury ranged from 1.5-22 years (mean 7.88 years); patients had a mean age of 34.68 years (range, 21-57 years). The acromioclavicular joint (ACJ) space ranged from 0.03-0.7 cm on the right side and 0.15-0.7 cm on the left side, with a mean of 0.37 and 0.41 cm, respectively. No correlation was found between shoulder pain and gender, age or time since injury. There was a trend to correlation between shoulder pain and type of injury with tetraplegic having a tendency to pain symptoms. On average, tetraplegic had smaller ACJ. CONCLUSIONS: The small number of patients in this study did not allow us to confirm the hypothesis that X-ray finding may indicate risk for shoulder pain in spinal cord injurypatients. A work with a greater number of subjects could demonstrate association between shoulder pain and the reduced acromioclavicular distance, making plain radiography a trial exam for spinal cord-injured patients.
Authors: Carolina Lins; Alex Castro; Giovanna I S Medina; Eliza R F B M Azevedo; Bruno S Donato; Marina S S Chagas; Janaína Roland Tancredo; Letícia Vargas de Almeida; Alberto Cliquet Journal: J Spinal Cord Med Date: 2017-11-16 Impact factor: 1.985
Authors: Y Kentar; R Zastrow; H Bradley; M Brunner; W Pepke; T Bruckner; P Raiss; A Hug; H Almansour; M Akbar Journal: Spinal Cord Date: 2018-01-24 Impact factor: 2.772
Authors: G I S Medina; C L M Jesus; D M Ferreira; E M B Pacheco; G L Beraldo; F de Franca Urquiza; A Cliquet Journal: Spinal Cord Date: 2015-03-17 Impact factor: 2.772
Authors: Rafaella Camilo de Oliveira; Laura Bellintani de Freitas; Roberta Rocha Gomes; Alberto Cliquet Journal: Acta Ortop Bras Date: 2020 Jul-Aug Impact factor: 0.513
Authors: Inge E Eriks-Hoogland; Trynke Hoekstra; Sonja de Groot; Gerold Stucki; Marcel W Post; Lucas H van der Woude Journal: J Spinal Cord Med Date: 2013-11-07 Impact factor: 1.985