التفاصيل البيبلوغرافية
| العنوان: |
Symptoms of Pain Do Not Correlate with Rotator Cuff Tear Severity |
| المؤلفون: |
Dunn, Warren R, Kuhn, John E, Sanders, Rosemary, An, Qi, Baumgarten, Keith M, Bishop, Julie Y, Brophy, Robert H, Carey, James L, Holloway, G Brian, Jones, Grant L, Ma, C Benjamin, Marx, Robert G, McCarty, Eric C, Poddar, Sourav K, Smith, Matthew V, Spencer, Edwin E, Vidal, Armando F, Wolf, Brian R, Wright, Rick W |
| المصدر: |
Journal of Bone and Joint Surgery, vol 96, iss 10 |
| بيانات النشر: |
eScholarship, University of California |
| سنة النشر: |
2014 |
| المجموعة: |
University of California: eScholarship |
| مصطلحات موضوعية: |
Clinical Research, Pain Research, Patient Safety, Chronic Pain, Musculoskeletal, Adult, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Injury Severity Score, Magnetic Resonance Imaging, Male, Middle Aged, Pain Measurement, Physical Therapy Modalities, Rotator Cuff Injuries, Rupture, Shoulder Pain, Tendinopathy, Tendon Injuries, Biomedical Engineering, Clinical Sciences, Orthopedics |
| جغرافية الموضوع: |
793 - 800 |
| الوصف: |
BackgroundFor many orthopaedic disorders, symptoms correlate with disease severity. The objective of this study was to determine if pain level is related to the severity of rotator cuff disorders.MethodsA cohort of 393 subjects with an atraumatic symptomatic full-thickness rotator-cuff tear treated with physical therapy was studied. Baseline pretreatment data were used to examine the relationship between the severity of rotator cuff disease and pain. Disease severity was determined by evaluating tear size, retraction, superior humeral head migration, and rotator cuff muscle atrophy. Pain was measured on the 10-point visual analog scale (VAS) in the patient-reported American Shoulder and Elbow Surgeons (ASES) score. A linear multiple regression model was constructed with use of the continuous VAS score as the dependent variable and measures of rotator cuff tear severity and other nonanatomic patient factors as the independent variables. Forty-eight percent of the patients were female, and the median age was sixty-one years. The dominant shoulder was involved in 69% of the patients. The duration of symptoms was less than one month for 8% of the patients, one to three months for 22%, four to six months for 20%, seven to twelve months for 15%, and more than a year for 36%. The tear involved only the supraspinatus in 72% of the patients; the supraspinatus and infraspinatus, with or without the teres minor, in 21%; and only the subscapularis in 7%. Humeral head migration was noted in 16%. Tendon retraction was minimal in 48%, midhumeral in 34%, glenohumeral in 13%, and to the glenoid in 5%. The median baseline VAS pain score was 4.4.ResultsMultivariable modeling, controlling for other baseline factors, identified increased comorbidities (p = 0.002), lower education level (p = 0.004), and race (p = 0.041) as the only significant factors associated with pain on presentation. No measure of rotator cuff tear severity correlated with pain (p > 0.25).ConclusionsAnatomic features defining the severity of atraumatic ... |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
unknown |
| العلاقة: |
qt17w9r8xk; https://escholarship.org/uc/item/17w9r8xkTest |
| الإتاحة: |
https://escholarship.org/uc/item/17w9r8xkTest |
| حقوق: |
public |
| رقم الانضمام: |
edsbas.6A8BDE43 |
| قاعدة البيانات: |
BASE |
