Associations between shoulder symptoms and structural pathology in patients with traumatic rotator cuff injuries

Birgitte Hougs Kjær*

*Corresponding author for this work

Research output: Contribution to conference without publisher/journalConference abstract for conferenceResearchpeer-review

Abstract

Introduction
The clinical presentation of patients with Rotator Cuff (RC) tears is highly variable and often
numerous concomitant injuries/pathologies are present. The association between concomitant
pathologies and preoperative pain and function has been sparsely evaluated, but could potentially
explain the variable clinical presentation of the patients. The purpose of this study was therefore to
explore the associations between pre-operative shoulder pain and function in patients, clinically and
para-clinically diagnosed with traumatic RC tears and the extent of structural pathology identified
during surgery.
Materials and Methods
Patient reported (PR) function was assessed using the "physical symptoms" domain of the Western
Ontario Rotator Cuff Index (WORC) and shoulder pain was assessed with a 0-10 Numeric Pain
Rating Scale (NPRS) (worst pain last 24 hours). Surgeons recorded the presence of prespecified
structural pathologies including full or partial tears of the rotator cuff, hooked acromion, AC-joint
osteoarthritis, biceps tendon pathology, labral tear, and bone bruise.
Results
Eighty-seven patients were included of which 60% were males and the average age was 60 years
(range 39-79). Seventy-nine percent of the patients had a full-thickness supraspinatus tear, 21% had
a partial-thickness tear. Seventy-nine patients (91%) had concomitant structural pathology. No
association was found between number of structural shoulder pathologies and preoperative PR pain
and function and no particular pathology was associated with worse PR pain or function.
Conclusion
In patients with RC tears, we found no associations between number and type of concomitant
pathologies and PR pain and function.
Original languageEnglish
Publication date31. Jan 2019
Publication statusPublished - 31. Jan 2019
EventScandinavian Congress of Medicine & Science in Sports - Radisson Blu Scandinavia Hotel, Copenhagen, Denmark
Duration: 31. Jan 20192. Feb 2019

Conference

ConferenceScandinavian Congress of Medicine & Science in Sports
LocationRadisson Blu Scandinavia Hotel
CountryDenmark
CityCopenhagen
Period31/01/201902/02/2019

Cite this

Kjær, B. H. (2019). Associations between shoulder symptoms and structural pathology in patients with traumatic rotator cuff injuries. Abstract from Scandinavian Congress of Medicine & Science in Sports, Copenhagen, Denmark.
Kjær, Birgitte Hougs. / Associations between shoulder symptoms and structural pathology in patients with traumatic rotator cuff injuries. Abstract from Scandinavian Congress of Medicine & Science in Sports, Copenhagen, Denmark.
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abstract = "IntroductionThe clinical presentation of patients with Rotator Cuff (RC) tears is highly variable and oftennumerous concomitant injuries/pathologies are present. The association between concomitantpathologies and preoperative pain and function has been sparsely evaluated, but could potentiallyexplain the variable clinical presentation of the patients. The purpose of this study was therefore toexplore the associations between pre-operative shoulder pain and function in patients, clinically andpara-clinically diagnosed with traumatic RC tears and the extent of structural pathology identifiedduring surgery.Materials and MethodsPatient reported (PR) function was assessed using the {"}physical symptoms{"} domain of the WesternOntario Rotator Cuff Index (WORC) and shoulder pain was assessed with a 0-10 Numeric PainRating Scale (NPRS) (worst pain last 24 hours). Surgeons recorded the presence of prespecifiedstructural pathologies including full or partial tears of the rotator cuff, hooked acromion, AC-jointosteoarthritis, biceps tendon pathology, labral tear, and bone bruise.ResultsEighty-seven patients were included of which 60{\%} were males and the average age was 60 years(range 39-79). Seventy-nine percent of the patients had a full-thickness supraspinatus tear, 21{\%} hada partial-thickness tear. Seventy-nine patients (91{\%}) had concomitant structural pathology. Noassociation was found between number of structural shoulder pathologies and preoperative PR painand function and no particular pathology was associated with worse PR pain or function.ConclusionIn patients with RC tears, we found no associations between number and type of concomitantpathologies and PR pain and function.",
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Associations between shoulder symptoms and structural pathology in patients with traumatic rotator cuff injuries. / Kjær, Birgitte Hougs.

2019. Abstract from Scandinavian Congress of Medicine & Science in Sports, Copenhagen, Denmark.

Research output: Contribution to conference without publisher/journalConference abstract for conferenceResearchpeer-review

TY - ABST

T1 - Associations between shoulder symptoms and structural pathology in patients with traumatic rotator cuff injuries

AU - Kjær, Birgitte Hougs

PY - 2019/1/31

Y1 - 2019/1/31

N2 - IntroductionThe clinical presentation of patients with Rotator Cuff (RC) tears is highly variable and oftennumerous concomitant injuries/pathologies are present. The association between concomitantpathologies and preoperative pain and function has been sparsely evaluated, but could potentiallyexplain the variable clinical presentation of the patients. The purpose of this study was therefore toexplore the associations between pre-operative shoulder pain and function in patients, clinically andpara-clinically diagnosed with traumatic RC tears and the extent of structural pathology identifiedduring surgery.Materials and MethodsPatient reported (PR) function was assessed using the "physical symptoms" domain of the WesternOntario Rotator Cuff Index (WORC) and shoulder pain was assessed with a 0-10 Numeric PainRating Scale (NPRS) (worst pain last 24 hours). Surgeons recorded the presence of prespecifiedstructural pathologies including full or partial tears of the rotator cuff, hooked acromion, AC-jointosteoarthritis, biceps tendon pathology, labral tear, and bone bruise.ResultsEighty-seven patients were included of which 60% were males and the average age was 60 years(range 39-79). Seventy-nine percent of the patients had a full-thickness supraspinatus tear, 21% hada partial-thickness tear. Seventy-nine patients (91%) had concomitant structural pathology. Noassociation was found between number of structural shoulder pathologies and preoperative PR painand function and no particular pathology was associated with worse PR pain or function.ConclusionIn patients with RC tears, we found no associations between number and type of concomitantpathologies and PR pain and function.

AB - IntroductionThe clinical presentation of patients with Rotator Cuff (RC) tears is highly variable and oftennumerous concomitant injuries/pathologies are present. The association between concomitantpathologies and preoperative pain and function has been sparsely evaluated, but could potentiallyexplain the variable clinical presentation of the patients. The purpose of this study was therefore toexplore the associations between pre-operative shoulder pain and function in patients, clinically andpara-clinically diagnosed with traumatic RC tears and the extent of structural pathology identifiedduring surgery.Materials and MethodsPatient reported (PR) function was assessed using the "physical symptoms" domain of the WesternOntario Rotator Cuff Index (WORC) and shoulder pain was assessed with a 0-10 Numeric PainRating Scale (NPRS) (worst pain last 24 hours). Surgeons recorded the presence of prespecifiedstructural pathologies including full or partial tears of the rotator cuff, hooked acromion, AC-jointosteoarthritis, biceps tendon pathology, labral tear, and bone bruise.ResultsEighty-seven patients were included of which 60% were males and the average age was 60 years(range 39-79). Seventy-nine percent of the patients had a full-thickness supraspinatus tear, 21% hada partial-thickness tear. Seventy-nine patients (91%) had concomitant structural pathology. Noassociation was found between number of structural shoulder pathologies and preoperative PR painand function and no particular pathology was associated with worse PR pain or function.ConclusionIn patients with RC tears, we found no associations between number and type of concomitantpathologies and PR pain and function.

M3 - Conference abstract for conference

ER -

Kjær BH. Associations between shoulder symptoms and structural pathology in patients with traumatic rotator cuff injuries. 2019. Abstract from Scandinavian Congress of Medicine & Science in Sports, Copenhagen, Denmark.