Pattern of Radiographic and Sonographic Findings of Adult Patients Presented with Shoulder Pain at Tikur Anbessa Hospital, Addis Ababa, Ethiopia.

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Ethiopian Journal of Health Sciences Pub Date : 2023-11-01 DOI:10.4314/ejhs.v33i6.9
Bemnet Taye Gebregiorgis, Moges Zenebe Wegayehu
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Abstract

Background: Shoulder pain is one of the most common presentations in the orthopedic clinic. Multiple factors have been found to cause shoulder pain. Radiographs and ultrasound are widely available, relatively cheap modalities in assessing shoulder pain. The aim of this study is to assess the radiographic and sonographic imaging patterns of shoulder pain.

Methods: A descriptive prospective cross-sectional hospital-based study was conducted at the Department of Radiology of Tikur Anbessa Specialized Hospital among patients with shoulder pain that came for imaging from August 2021-January 2022.

Result: Of the 73 patients with shoulder pain included in the study, 67% were females while 33% males. The mean age was 51.7 years. Radiographs found pathology in 53% of the cases. Acromioclavicular joint osteoarthritis, greater tuberosity degenerative changes, rotator cuff calcification were common radiographic findings. Ultrasound detected pathologies in 87% of the cases. The common pathologies were rotator cuff pathologies, biceps tendon pathologies, acromioclavicular joint degeneration, greater tuberosity degenerative changes, subacromial subdeltoid bursitis, and adhesive capsulitis. There was a significant association between greater tuberocity degenerative changes and supraspinatous pathologies with age, greater tuberocity degenerative changes with supraspinatous pathologies, acromiohumeral distance of <7mm with supraspinatous pathology.

Conclusion: Radiographs and ultrasound are valuable imaging modalities for shoulder pain. Low acromiohumeral interval, greater tuberosity degenerative changes, and acromioclavicular joint osteoarthritis are associated with rotator cuff tears. Rotator cuff pathologies are the most common pathologies observed in ultrasound. We recommend ultrasound to be second step after radiograph due to its low cost and wide availability.

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埃塞俄比亚亚的斯亚贝巴 Tikur Anbessa 医院成人肩痛患者的放射和超声检查结果模式。
背景:肩部疼痛是骨科门诊中最常见的症状之一。导致肩痛的因素有多种。X光片和超声波是评估肩痛的广泛使用且相对便宜的方法。本研究旨在评估肩痛的放射和超声成像模式:方法:2021 年 8 月至 2022 年 1 月期间,蒂库尔安贝萨专科医院放射科对前来接受影像学检查的肩痛患者进行了一项描述性前瞻性横断面医院研究:73名肩部疼痛患者中,67%为女性,33%为男性。平均年龄为 51.7 岁。53%的病例在X光片上发现了病变。肩锁关节骨关节炎、大结节退行性改变、肩袖钙化是常见的影像学发现。超声波检查发现87%的病例存在病变。常见的病变有肩袖病变、肱二头肌肌腱病变、肩锁关节退行性变、大结节退行性变、肩峰下滑囊炎和粘连性关节囊炎。大结节退行性病变和肩胛骨上病变与年龄、大结节退行性病变与肩胛骨上病变、肩峰距离和肱骨距离之间存在明显关联:X光片和超声波是治疗肩痛的重要影像学手段。肩峰肱骨间距过小、大结节退行性改变和肩锁关节骨关节炎与肩袖撕裂有关。肩袖病变是超声检查中最常见的病变。我们建议将超声波检查作为继X光检查之后的第二步检查,因为超声波检查费用低廉且广泛使用。
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来源期刊
Ethiopian Journal of Health Sciences
Ethiopian Journal of Health Sciences HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
8.30%
发文量
137
审稿时长
12 weeks
期刊介绍: Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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