Article Figures & Data
Tables
- Table 1
Frequencies of Ultrasound-Diagnosed Rotator Cuff Disorders and Predictive Factors (N = 129 Patients)
Variable n/n (%) Univariate Analysis OR (95% CI) P Value No disorder 24/129 (18.6) Rotator cuff disease present 105/129 (81.4) Age ≥40 y 96/106 (90.6) 14.93 (5.17–43.14) <.001 Sex, female 56/129 (43.4) 0.89 (0.36–2.16) .79 Occupational risk 40/129 (31.0) 0.88 (0.34–2.26) .79 Specific disorder Calcific tendonitis 65/129 (50.4) With other rotator cuff disorder 39/65 (60.0) Age ≥40 y 63/106 (59.4) 15.38 (3.43–69.04) <.001b Tendinopathy 37/129 (28.7) With other rotator cuff disorder 28/37 (75.7) Age ≥40 y 33/106 (31.1) 2.15 (0.68–6.81) .19b SASD bursitis 26/129 (20.2) With other rotator cuff disorder 23/26 (88.5) Age ≥40 y 26/106 (24.5) …a .004b Partial-thickness tear 25/129 (19.4) With other rotator cuff disorder 16/25 (64.0) Age ≥40 y 22/106 (20.8) 1.75 (0.48–6.41) .56b ACJ-osteoarthritis 16/129 (12.4) With other rotator cuff disorder 11/16 (68.8) Age ≥40 y 16/106 (15.1) …a .07b Full-thickness tear 4/129 (3.1) With other rotator cuff disorder 4/4 (100) Age ≥40 y 4/106 (3.8) …a >.99b Impingement 21/129 (16.3) Age ≥40 y 20/106 (18.9) 5.12 (0.65–40.23) .12b - Table 2
Frequencies of Multiple Ultrasound-Diagnosed Disorders in Patients With Rotator Cuff Disease (n = 105)
No. and Combination of Disorders No. (%) 2 Disorders 36 (34.3) Calcific tendonitis and tendinopathy 13 (12.4) Calcific tendonitis and bursitis 8 (7.6) Tendinopathy and bursitis 3 (2.9) Tendinopathy and ACJ-osteoarthritis 2 (1.9) Partial-thickness tear and calcific tendonitis 2 (1.9) Partial-thickness tear and bursitis 2 (1.9) Calcific tendonitis and ACJ-osteoarthritis 2 (1.9) Full-thickness tear and calcific tendonitis 1 (0.9) Full-thickness tear and bursitis 1 (0.9) Full-thickness tear and ACJ-osteoarthritis 1 (0.9) Bursitis and ACJ-osteoarthritis 1 (0.9) 3 Disorders 14 (13.3) Partial-thickness tear, tendinopathy, and calcific tendonitis 6 (5.7) Partial-thickness tear, bursitis, and calcific tendonitis 2 (1.9) Partial-thickness tear, bursitis, and tendinopathy 2 (1.9) Calcific tendonitis, bursitis, and ACJ-osteoarthritis 2 (1.9) Partial-thickness tear, bursitis, and ACJ-osteoarthritis 1 (0.9) Full-thickness tear, calcific tendonitis, and ACJ-osteoarthritis 1 (0.9) 4 Disorders 2 (1.9) Calcific tendonitis, tendinopathy, bursitis, and partial-thickness tear 1 (0.9) Calcific tendonitis, tendinopathy, bursitis, and ACJ-osteoarthritis 1 (0.9) -
ACJ = acromioclavicular joint.
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Additional Files
The Article in Brief
Ultrasound Imaging for Tailored Treatment of Patients With Acute Shoulder Pain
Ramon P. G. Ottenheijm , and colleagues
Background Although most patients with acute shoulder pain are managed in family medicine, physical examinations used to evaluate the extensive spectrum of rotator cuff disease (RCD) are often inadequate. Ultrasound imaging of the shoulder has become an accepted method for evaluating RCD and potentially allows for more tailored treatment. This study set out to determine the frequencies of RCD disorders in family medicine patients with shoulder pain as diagnosed with ultrasound and to identify possible predictors of shoulder pain.
What This Study Found Ultrasound imaging appears to be useful in diagnosing acute shoulder pain and providing tailored treatment. Eighty-one percent of patients had rotator cuff disorders and 50 percent had multiple disorders. Age of 40 years and older was a strong predictor of RCD in patients complaining of acute should pain. Full thickness tears were found in only 3 percent of patients.
Implications
- Ultrasound imaging can help guide treatment, especially in patients who are 40 years and older, for acute shoulder pain.
