Ultrasound Findings in Adult Patients with Chronic Shoulder Pain Having No History of Trauma | [Journal of Liaquat University of Medical and Health Sciences • 2023]

Author(s):

1. Madiha Imtiaz: Department of Radiology, CMH Malir, Karachi, Sindh-Pakistan.

2. Khawaja Muhammad Baqir Hassan: Department of Radiology, CMH Malir, Karachi, Sindh-Pakistan.

3. Shakil Sarwar: Department of Radiology, CMH Malir, Karachi, Sindh-Pakistan.

4. Ahmed Mushtaq: Department of Surgery, KIMS Malir, Karachi, Sindh-Pakistan.

5. Talat Yasmeen: Department of Anatomy, Liaquat College of Medicine & Dentistry, Karachi, Sindh-Pakistan.

6. Sumera Tabassum: Department of Radiology, JPMC Karachi, Sindh-Pakistan.

Abstract:

OBJECTIVE: To evaluate the frequency of non-traumatic chronic shoulder pain sonographically in the local population. METHODOLOGY: This cross-sectional study was conducted at the Department of Radiology, Combined Military Hospital Malir, from March to October 2020. A history of shoulder pain of more than one-month duration was included. Patients with a History of shoulder dislocation, neurological, renal, hepatic and cardiac diseases were excluded. The sample size was 196. A non-probability consecutive sampling technique was employed. SPSS version 23 was used for statistical analysis. RESULTS: 196 patients (69.9% males and 30.1% females) with non-traumatic shoulder pain (56.4 % right side and 43.4% left) were scanned. The mean age was 42.80±11.20 years. Out of 196, 118(60.2%) were having complaints in dominant limbs (right 51.0% and left 9.2%); 78(39.8%) were having pain in non-dominant limbs (right 6.6% and left 33.2%). Significant findings were supraspinatus partial tear (46.9%), sub-acromial sub-deltoid bursitis(8.2%), and biceps tenosynovitis(6.1%), adhesive capsulitis, a complete tear of supraspinatus tendon, impingement syndrome, joint effusion, subscapularis tendon tear and tenosynovitis. 44(22.4%) patients had two pathologies, and 31 (15.8%) patients had three pathologies, respectively. Significant co-existent findings were biceps tenosynovitis (13.8%), Impingement syndrome (9.2%), bursitis (8.2%) and joint effusion (7.1%). Age and number of pathological were moderately positively correlated, r (194) = 0.46, p < 0.01 and keeping CI = 95%. CONCLUSION: Partial tears of the supraspinatus tendon were the most common pathology in non-traumatic shoulder myalgia, diagnosed on ultrasound, followed by sub-acromial sub-deltoid bursitis and biceps tenosynovitis, having moderate linear relation with age.

Page(s): 295-299

DOI: 10.22442/jlumhs.2023.01035

Published: Journal: Journal of Liaquat University of Medical and Health Sciences, Volume: 22, Issue: 04, Year: 2023

Keywords:

Shoulder pain , Rotator cuff tears , Impingement syndrome , Tenosynovitis , Ultrasound shoulder

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