Bilateral magnetic resonance imaging findings in individuals with unilateral shoulder pain

Barreto, Rodrigo Py Gonçalves; Braman, Jonathan P.; Ludewig, Paula M.; Ribeiro, Luis Roberto de Camargo; Camargo, Paula R.

doi:10.1016/j.jse.2019.04.001

Cited by 67 publications

(42 citation statements)

References 50 publications

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“…Our results did not identify any significant associations between pain and the prevalence of shoulder pathologies. While this lack of association may differ in a cohort of individuals with higher levels of pain, a similar relationship between shoulder pain and MRI findings has been reported previously in an able-bodied cohort (29).…”

Section: Discussionsupporting

confidence: 81%

Shoulder MRI Findings in Manual Wheelchair Users with Spinal Cord Injury

Jahanian

Straaten

Goodwin

et al. 2020

Preprint

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Objective: To investigate the prevalence of rotator cuff and long head of the biceps pathologies in manual wheelchair (MWC) users with spinal cord injury (SCI). Design: Cross-sectional study. Setting: Academic medical center. Participants: MWC users with SCI. Outcome Measures: Participants demographic and anthropometric information, presence of shoulder pain, wheelchair users pain Index (WUSPI) scores, and MRI findings of shoulder pathologies including tendinopathy, tendon tears, and muscle atrophy. Results: Forty-four adult MWC users with SCI participated in the study. Fifty-nine percent of the participants reported some shoulder pain. The prevalence of any tendinopathy across the rotator cuff and the long head of biceps tendon was 98%. The prevalence of tendinopathy in the supraspinatus was 86%, infraspinatus was 91%, subscapularis was 75%, and biceps was 57%. The majority of tendinopathies had mild or moderate severity. The prevalence of any tears was 68%. The prevalence of tendon tears in the supraspinatus was 48%, infraspinatus was 36%, subscapularis was 43%, and biceps was 12%. The majority of the tears were partial-thickness tears. Participants without tendon tears were significantly younger (p < 0.001) and had been dependent on wheelchair for significantly shorter time (p = 0.005) than those with tendon tears. Conclusion: Mild and moderate shoulder tendinopathy and partial-thickness tendon tears were highly prevalent in MWC users with SCI. Additionally, the findings of this study suggest that strategies for monitoring shoulder pathologies in this population should not be overly reliant on patient-reported pain, but perhaps more concerned with years of wheelchair use and age.

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Section: Discussionsupporting

confidence: 81%

Shoulder MRI Findings in Manual Wheelchair Users with Spinal Cord Injury

Jahanian

Straaten

Goodwin

et al. 2020

Preprint

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“…Given that intrinsic and extrinsic factors may contribute to the tissue healing process, pain can be associated with actual or potential tissue damage [118]. Findings of bilateral alterations in the rotator cuff and acromioclavicular joint in individuals with atraumatic unilateral shoulder pain support the mismatch between tissue damage and shoulder pain [119]. Moreover, other findings show that neuroplastic changes with abnormal brain chemistry and neuronal loss or dysfunction is related to persistent pain for longer than six months [120].…”

Section: Limitations Of the Studymentioning

confidence: 98%

Biopsychosocial Aspects in Individuals with Acute and Chronic Rotator Cuff Related Shoulder Pain: Classification Based on a Decision Tree Analysis

et al. 2020

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Biopsychosocial aspects seem to influence the clinical condition of rotator cuff related shoulder pain (RCRSP). However, traditional bivariate and linear analyses may not be sufficiently robust to capture the complex relationships among these aspects. This study determined which biopsychosocial aspects would better classify individuals with acute and chronic RCRSP and described how these aspects interact to create biopsychosocial phenotypes in individuals with acute and chronic RCRSP. Individuals with acute (<six months of pain, n = 15) and chronic (≥six months of pain, n = 38) RCRSP were included. Sociodemographic data, biological data related to general clinical health status, to shoulder clinical condition and to sensory function, and psychosocial data were collected. Outcomes were compared between groups and a decision tree was used to classify the individuals with acute and chronic RCRSP into different phenotypes hierarchically organized in nodes. Only conditioned pain modulation was different between the groups. However, the tree combined six biopsychosocial aspects to identify seven distinct phenotypes in individuals with RCRSP: three phenotypes of individuals with acute, and four with chronic RCRSP. While the majority of the individuals with chronic RCRSP have no other previous painful complaint besides the shoulder pain and low efficiency of endogenous pain modulation with no signs of biomechanical related pain, individuals with acute RCRSP are more likely to have preserved endogenous pain modulation and unilateral pain with signs of kinesiophobia.

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“…Imaging studies provide important additional information in the diagnostic process. One must be aware, however, that radiological findings may be incidental (64,65). As the severity of joint degeneration seen on imaging studies has been shown to poorly correlate with pain, one should avoid attaching a disease label to a patient on imaging findings alone (66) (see Fig.…”

Section: Medical History and Clinical Examinationmentioning

confidence: 99%

Glenohumeral osteoarthritis: an overview of etiology and diagnostics

et al. 2020

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Background and Aims: Osteoarthritis (OA) is the world’s most common joint disease and there is currently no cure. Glenohumeral osteoarthritis (GHOA) accounts for an estimated 5% -17% of patients with shoulder complaints. The etiology of GHOA is multifactorial, and we review the various non-specific and specific risk factors and further sub-classify them into local and systemic factors. Materials and Methods: Data for this review article were identified by searches of MEDLINE, PubMed, and references from relevant articles using search terms such as “glenohumeral,” “osteoarthritis,” “epidemiology,” “etiology,” “imaging,” and “pathophysiology.” Only articles published in English, German, and Finnish between 1957 and 2017 were included. Results: The prevalence of radiological shoulder OA has been estimated to be as high as 16% -20% in the middle-aged and elderly population, but the concordance between structural findings and symptoms seems to be weak, as many of these individuals are asymptomatic. The vast majority of GHOA is related to non-specific factors, namely advancing age, while specific risk factors are commonly found in young patients. Diagnosis of GHOA is made when typical clinical features and defined radiological findings overlap in an individual. Conclusion: Ultimately the determinants of shoulder pain in GHOA remain incompletely understood. Improved understanding of the etiology and diagnosis of GHOA will enable clinicians to better determine which patients will benefit from different treatment modalities, as well as provide new avenues to potential treatments.

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Bilateral magnetic resonance imaging findings in individuals with unilateral shoulder pain

Cited by 67 publications

References 50 publications

Shoulder MRI Findings in Manual Wheelchair Users with Spinal Cord Injury

Shoulder MRI Findings in Manual Wheelchair Users with Spinal Cord Injury

Biopsychosocial Aspects in Individuals with Acute and Chronic Rotator Cuff Related Shoulder Pain: Classification Based on a Decision Tree Analysis

Glenohumeral osteoarthritis: an overview of etiology and diagnostics

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