Seoyon Yang1, Dae Hwan Park1, Sei Hyun Ahn2, Jisun Kim2, Jong Won Lee2, Jun Young Han1, Dong Kyu Kim3, Jae Yong Jeon1, Kyoung Hyo Choi1, Won Kim4. 1. Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-Ro 43-Gil, Songpa-gu, Seoul, 05505, South Korea. 2. Division of Breast-Endocrine Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-Ro 43-Gil, Songpa-gu, Seoul, 05505, South Korea. 3. Department of Physical Medicine and Rehabilitation, Kosin University College of Medicine, 262 Gamcheon-ro, Seo-gu, Busan, 602-702, South Korea. 4. Department of Rehabilitation Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-Ro 43-Gil, Songpa-gu, Seoul, 05505, South Korea. duocl79@gmail.com.
Abstract
PURPOSE: The present study investigated the prevalence and risk factors of adhesive capsulitis of the shoulder in breast cancer patients between 13 and 18 months after surgery. METHODS: This study included 271 women who underwent surgery for breast cancer with a postoperative period of 13-18 months. Current adhesive capsulitis was defined as restriction of external rotation and one or more additional directional restrictions with history of shoulder pain. Cumulative adhesive capsulitis was defined as current adhesive capsulitis or a previous history of adhesive capsulitis after breast cancer surgery. Multivariate logistic regression analysis was performed to examine associations between current or cumulative adhesive capsulitis and potential risk factors. RESULTS: Among the 271 study patients, 28 (10.3%) and 21 (7.7%) had cumulative or current adhesive capsulitis, respectively. The incidences of cumulative and current adhesive capsulitis were higher in those aged 50-59 years (odds ratio [OR], 9.912; 95% confidence interval [CI], 1.790-54.880; and OR, 12.395; 95% CI, 1.187-129.444, respectively) and those who underwent mastectomy (OR, 6.805; 95% CI, 1.800-25.733; and OR, 9.645; 95% CI, 2.075-44.829, respectively) or mastectomy with reconstruction (OR, 13.122; 95% CI, 2.488-69.218; and OR, 20.075; 95% CI, 2.873-140.261, respectively). CONCLUSIONS: Adhesive capsulitis of the shoulder is a common problem after breast cancer treatment. An age of 50-59 years and mastectomy are major risk factors for adhesive capsulitis, and breast reconstruction additionally increases the risk. Patients with these risk factors require greater attention for early diagnosis and proper treatment.
PURPOSE: The present study investigated the prevalence and risk factors of adhesive capsulitis of the shoulder in breast cancerpatients between 13 and 18 months after surgery. METHODS: This study included 271 women who underwent surgery for breast cancer with a postoperative period of 13-18 months. Current adhesive capsulitis was defined as restriction of external rotation and one or more additional directional restrictions with history of shoulder pain. Cumulative adhesive capsulitis was defined as current adhesive capsulitis or a previous history of adhesive capsulitis after breast cancer surgery. Multivariate logistic regression analysis was performed to examine associations between current or cumulative adhesive capsulitis and potential risk factors. RESULTS: Among the 271 study patients, 28 (10.3%) and 21 (7.7%) had cumulative or current adhesive capsulitis, respectively. The incidences of cumulative and current adhesive capsulitis were higher in those aged 50-59 years (odds ratio [OR], 9.912; 95% confidence interval [CI], 1.790-54.880; and OR, 12.395; 95% CI, 1.187-129.444, respectively) and those who underwent mastectomy (OR, 6.805; 95% CI, 1.800-25.733; and OR, 9.645; 95% CI, 2.075-44.829, respectively) or mastectomy with reconstruction (OR, 13.122; 95% CI, 2.488-69.218; and OR, 20.075; 95% CI, 2.873-140.261, respectively). CONCLUSIONS:Adhesive capsulitis of the shoulder is a common problem after breast cancer treatment. An age of 50-59 years and mastectomy are major risk factors for adhesive capsulitis, and breast reconstruction additionally increases the risk. Patients with these risk factors require greater attention for early diagnosis and proper treatment.
Entities:
Keywords:
Adhesive capsulitis; Breast cancer; Mastectomy; Risk factor; Shoulder pain
Authors: Delva R Shamley; Ragavan Srinanaganathan; Rosamund Weatherall; Reza Oskrochi; Marion Watson; Simon Ostlere; Elaine Sugden Journal: Breast Cancer Res Treat Date: 2007-01-13 Impact factor: 4.872
Authors: Jeffrey M Straub; Jacob New; Chase D Hamilton; Chris Lominska; Yelizaveta Shnayder; Sufi M Thomas Journal: J Cancer Res Clin Oncol Date: 2015-04-25 Impact factor: 4.553
Authors: Jan J Kootstra; Pieter U Dijkstra; Hans Rietman; Jaap de Vries; Peter Baas; Jan H B Geertzen; Harald J Hoekstra; Josette E H M Hoekstra-Weebers Journal: Breast Cancer Res Treat Date: 2013-04-16 Impact factor: 4.872
Authors: Riki Patel; Ivan Urits; John Wolf; Anu Murthy; Elyse M Cornett; Mark R Jones; Anh L Ngo; Laxmaiah Manchikanti; Alan D Kaye; Omar Viswanath Journal: Psychopharmacol Bull Date: 2020-10-15
Authors: Jung Hun Kim; Se Hee Kim; Hae-Rim Kim; Sang-Heon Lee; So Young Yoon; Jung-Hyun Yang; Young Bum Yoo; Kyoung Sik Park; Sang Eun Nam; Semie Hong; Hong Ki Min Journal: Sci Rep Date: 2020-10-08 Impact factor: 4.379
Authors: Joshua M Leonardis; Daniel A Lyons; Kelley M Kidwell; Aviram M Giladi; David B Lipps; Adeyiza O Momoh Journal: Plast Reconstr Surg Date: 2021-01-01 Impact factor: 5.169
Authors: Milos Lesevic; John T Awowale; Thomas E Moran; David R Diduch; Stephen F Brockmeier; Brian C Werner Journal: Orthop J Sports Med Date: 2021-07-13