SHOULDER PAIN, ULTRASOUND CHANGES, AND FUNCTIONAL PERFORMANCE IN OBESE PATIENTS.

IF 0.6 4区医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2025-01-10 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243206e282000

Fabiana Alves Costa Menegassi, Glaucus Cajaty Martins, Zartur José Barcelos Menegassi, Sérgio Augusto Lopes de Souza, Bianca Gutfilen, Fábio Ramos Costa

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Abstract

Objective: To evaluate the prevalence of shoulder pain, level of functional performance, and morphological involvement of the rotator cuff on ultrasound in morbidly obese patients.

Methods: The study included 54 morbidly obese patients receiving follow-up care in a bariatric surgery outpatient clinic, which were compared with a control group consisting of 49 participants. Presence of shoulder pain, shoulder functional performance, ultrasound of the rotator cuff and blood tests were the parameters evaluated.

Results: The obese group showed a greater incidence of shoulder pain (p < 0.0001; OR: 17.5), lower functional performance according to UCLA (p < 0.0001; OR: 7.5) and DASH scales (p < 0.0001) and a greater incidence of pathological ultrasound and c-reactive protein test changes (p < 0.0001).

Conclusions: These findings suggest that being overweight is an important exacerbating factor for shoulder pain, lower shoulder functional performance and pathological changes of the rotator cuff and c-reactive protein test. Level of Evidence II, Cross-sectional study.

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肥胖患者肩痛、超声改变和功能表现。

目的评估病态肥胖患者肩部疼痛的发生率、功能表现水平以及超声检查中肩袖形态受累情况：研究对象包括在减肥手术门诊接受后续治疗的 54 名病态肥胖患者，并与由 49 名参与者组成的对照组进行比较。评估参数包括肩部疼痛、肩部功能表现、肩袖超声波检查和血液化验：结果：肥胖组肩部疼痛的发生率更高（P < 0.0001；OR：17.5），根据 UCLA（P < 0.0001；OR：7.5）和 DASH 量表（P < 0.0001）得出的功能表现更低；病理超声波和 c 反应蛋白检测变化的发生率更高（P < 0.0001）：这些研究结果表明，超重是加重肩部疼痛、降低肩部功能表现以及肩袖病理变化和c反应蛋白检测的重要因素。证据等级II，横断面研究。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.