Prevalence of shoulder disorders in tertiary care centre

Sudhir Singh, Sumit Gill, Farid Mohammad, Satyendra Kumar, Dharmendra Kumar, Sanjiv Kumar

Abstract


Background: Shoulder pain is the third most common musculoskeletal condition has a lifetime prevalence of up to 70% and this seems to be increasing in incidence. The diagnosis of these disorders is based primarily upon results of clinical tests. The prevalence of shoulder pain in India has not been reported. The aim of present study is to study and report the prevalence of various disorders causing shoulder pain in patients reporting to a tertiary care hospital in North India.

Methods: This is a prospective hospital based cross-sectional study carried in a tertiary care hospital and 130 patients satisfying inclusion criteria over a period of two year were included.

Results: Age of patients ranged between 23-69 years (51.36 ± 11.86 years). A predominance of females was observed (Male-Female ratio: 0.81:1). The commonest cause of pain was periarthritis shoulder (43.1%), subacromial (SA) impingement (13.8%), acute rotator cuff injury (13.1%), GH arthritis (10.0%) and AC Arthritis (8.5%). The major risk factors were diabetes mellitus, excessive overhead lifting and trauma.

Conclusion: Periarthritis and subacromial pain syndrome are two most common diagnoses reporting to a tertiary care centre. Periarthritis is the commonest diagnosis in both genders. AC arthritis is more common in females (P <0.001) and rotator cuff injury is more in males (P <0.001). Periarthritis, GH arthritis and AC arthritis is much more common in fifth and sixth decades and rotator cuff injury is seen in young adults.

 


Keywords


Prevalence, Shoulder pain, Periarthritis, Glenohumeral arthritis, Rotator cuff injury

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References


Van der Windt DAWM, Koes BW, De Jong BA, Bouter LM. Shoulder disorders in general practice: Incidence, patient characteristics, and management. Ann Rheum Dis. 1995;54(12):959-64.

Luime JJ, Koes BW, Hendriksen IJM, Burdorf A, Verhagen AP, Miedema HS, et al. Prevalence and incidence of shoulder pain in the general population: a systematic review. Scand J Rheumatol. 2004;33(2):73-81.

Hasvold T, Johnsen R. Headache and neck or shoulder pain frequent and disabling complaints in the general population. Scand J Prim Health Care. 1993;11:219-24.

Nygren A, Berglund A, Von Koch M. Neck and shoulder pain, an increasing problem. Strategies for using insurance material to follow trends. Scand J Rehab Med. 1995;32:107-12.

Mitchell C, Adebajo A, Hay E, Carr A. Shoulder pain: diagnosis and management in primary care. Br Med J. 2005;331:1124-8.

Chakravarty KK, Webley M. Disorders of the shoulder: an often unrecognised cause of disability in elderly people. Br Med J. 1990;300:848-9.

Chard MD, Hazelman R, Hazelman BL, King RH, Reiss BB. Shoulder disorders in the elderly: a community survey. Arthritis Rheum. 1991;34(6):766-9.

Bot SDM, van der Waal JM, Terwee CB, Van der Windt DAWM, Schellevis FG, Bouter LM. Incidence and prevalence of complaints of the neck and upper extremity in general practice. Ann Rheum Dis. 2005;64(1):118-23.

Feleus A, Bierma-Zeinstra SM, Miedema HS, Bernsen RM, Berhaar JA, Koes BW. Incidence of non-traumatic complaints of arm, neck and shoulder in general practice. Man Ther. 2008;13:426-33.

Kumar VK, Kumar SP, Baliga MR. Prevalence of work-related musculoskeletal complaints among dentists in India: a national cross-sectional survey. Indian J Dent Res. 2013;24(4):428-38.

Sankar SG, Reddy PV, Reddy BR, Vanaja KKE. The prevalence of work-related musculoskeletal disorders among Indian orthodontists. J Indian Orthop Soc. 2012;46(4):264-8.

Vijay SA. Work-related musculoskeletal health disorders among the information technology professionals in India: a prevalence study. Int J Mgmt Res Bus Strat. 2013;2(2):118-28.

Chopra A, Saluja M, Patil J, Tandale HS. Pain and disability, perceptions and beliefs of a rural Indian population: a WHO-ILAR COPCORD study. WHO-International League of Associations for Rheumatology. Community Oriented Program for Control of Rheumatic Diseases. J Rheumatol. 2002 Mar;29(3):614-21.

Joshi VL, Chopra A. Is There an Urban-Rural Divide? Population surveys of rheumatic musculoskeletal disorders in the Pune region of India using the COPCORD Bhigwan model. J Rheumatol. 2009;36(3):614-22.

Singh Ajit, Devi YS, John S. Epidemiology of musculoskeletal pain in Indian nursing students. Int J Nurs Educ. 2010;2(2):6-8.

Ostör AJ, Richards CA, Prevost AT, Speed CA, Hazleman BL. Diagnosis and relation to general health of shoulder disorders presenting to primary care. Rheumatology (Oxford). 2005 Jun;44(6):800-5.

Walker-Bone K, Palmer KT, Reading I, Coggon D, Cooper C. Prevalence and impact of musculoskeletal disorders of the upper limb in the general population. Arthritis Rheum. 2004;51:642-51.

Juel NG, Natvig B. Shoulder diagnoses in secondary care, a one year cohort. BMC Musculoskel Disord. 2014;15:89.

Virta L, Joranger P, Brox JI, Eriksson R. Costs of shoulder pain and resource use in primary health care: a cost-of-illness study in Sweden. BMC Musculoskel Disord. 2012;13:17.

Rauoof MA, Lone NA, Bhat BA, Habib S. Etiological factors and clinical profile of adhesive capsulitis in patients seen at the Rheumatology clinic of a tertiary care hospital in India. Saudi Med J. 2004;25(3):359-62.

Lannotti JP, Kwon YW. Management of persistent shoulder pain. a treatment algorithm. Am J Orthop. 2005;34(12 Suppl):16-23.