Servikal Disk Herniasyonları ile Omuz kompleks kuşağı patolojileri arasında ki ilişkinin incelenmesi

Year 2024, , 96 - 101, 14.03.2024

Cengiz Tuncer , Rabia Tuğba Kılıç , Güven Kılıç , Zekeriya Okan Karaduman , Mehmet Arıcan , Pouriya Akbari , Veysel Uludağ

https://doi.org/10.18521/ktd.1391992

Abstract

Amaç: Çalışmamızın amacı,omuz kompleks kuşağı patolojileri ile servikal disk herniasyonları arasında bir ilişki olup olmadığını araştırmaktır.
Gereç ve Yöntem: Bu çalışma retrospektif olarak 01.08.2009-01.08.2023 tarihleri arasında Düzce Üniversitesi Tıp Fakültesi bilgi işlem biriminden alınan hem dominant ekstremite omuz hem de boyun manyetik rezonans incelemesi bulunan 524 hasta dahil edilmiştir. Sonuçlar Statistical Package for Social Sciences (SPSS) te karşılaştırıldı.
Bulgular: Çalışmaya yaş ortalaması 51.17±13.70 (dağılım, 13-93) yıl olan 153 (%29.2) erkek ve 371 (%70.8) kadın olmak üzere toplam 524 hasta dahil edildi. Çalışmamızın istatistiksel analizine göre, katılımcıların 410'unda supraspinatus patolojisi, 234'ünde infraspinatus patolojisi, 243'ünde subskapularis patolojisi ve 11'inde teres minör patolojisi vardı. Ayrıca, diğer omuz patolojileri ile C4-C5 ve C5-C6 disk seviyesindeki herniasyonlar arasında istatistiksel olarak anlamlı bir ilişki bulunmuştur (p<0,05).
Sonuç: Sonuç olarak,servikal disk herniasyonları ile omuz patolojileri arasında anlamlı bir ilişki olsa dahi tedavi algoritmaları ve ağrı yönetimi konusunda daha farklı yöntemler geliştirilmelidir. Omuz patolojileri olan hasta gruplarında servikal bölge değerlendirilmesi ihmal edilmemelidir.

Keywords

Supraspinatus, Disk Herniasyonları, Omuz Kompleks Kuşağı, Servikal Ağrı

Investigation of the relationship between cervical disc herniations and shoulder complex pathologies

Abstract

Objective: The aim of our study was to investigate whether there is a relationship between shoulder complex pathologies and cervical disc herniations.
Methods: This study retrospectively included 524 patients with both dominant extremity shoulder and neck magnetic resonance examinations obtained from the information processing unit of Düzce University Faculty of Medicine between 01.08.2009-01.08.2023. The results were compared in Statistical Package for Social Sciences (SPSS).
Results: A total of 524 patients, 153 (29.2%) males and 371 (70.8%) females, with a mean age of 51.17±13.70 (range, 13-93) years, were included in the study.According to the statistical analysis of our study, 410 of the participants had supraspinatus pathology, 234 had infraspinatus pathology, 243 had subscapularis pathology and 11 had teres minor pathology. In addition, a statistically significant relationship was found between other shoulder pathologies and herniations at the C4-C5 and C5-C6 disc level (p<0.05).
Conclusion: In conclusion, even if there is a significant relationship between cervical disc herniations and shoulder pathologies, different methods should be developed for treatment algorithms and pain management. Evaluation of the cervical region should not be neglected in patient groups with shoulder pathologies.

Keywords

Supraspinatus, Disc Herniations, Shoulder Complex, Neck Pain

References

• 1. Abi-Aad KR, Derian A. Cervical Traction. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright © 2023, StatPearls Publishing LLC.; 2023.
• 2. Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJM, et al. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord. 2022;23(1):26.
• 3. Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc. 2015;90(2):284-99.
• 4. Anwer S, Alghadir A. Incidence, Prevalence, and Risk Factors of Hemiplegic Shoulder Pain: A Systematic Review. Int J Environ Res Public Health. 2020;17(14).
• 5. Roe Y, Soberg HL, Bautz-Holter E, Ostensjo S. A systematic review of measures of shoulder pain and functioning using the International classification of functioning, disability and health (ICF). BMC Musculoskelet Disord. 2013;14:73.
• 6. Tunwattanapong P, Kongkasuwan R, Kuptniratsaikul V. The effectiveness of a neck and shoulder stretching exercise program among office workers with neck pain: a randomized controlled trial. Clin Rehabil. 2016;30(1):64-72.
• 7. Woods BI, Hilibrand AS. Cervical radiculopathy: epidemiology, etiology, diagnosis, and treatment. J Spinal Disord Tech. 2015;28(5):E251-9.
• 8. Raj PP. Intervertebral disc: anatomy-physiology-pathophysiology-treatment. Pain Pract. 2008;8(1):18-44.
• 9. Barreto TW, Svec JH. Chronic Neck Pain: Nonpharmacologic Treatment. Am Fam Physician. 2019;100(3):180-2.
• 10. Pfirrmann CW, Metzdorf A, Zanetti M, Hodler J, Boos N. Magnetic resonance classification of lumbar intervertebral disc degeneration. Spine (Phila Pa 1976). 2001;26(17):1873-8.
• 11. Huegel J, Williams AA, Soslowsky LJ. Rotator cuff biology and biomechanics: a review of normal and pathological conditions. Curr Rheumatol Rep. 2015;17(1):476.
• 12. Barcia AM, Makovicka JL, Spenciner DB, Chamberlain AM, Jacofsky MC, Gabriel SM, et al. Scapular motion in the presence of rotator cuff tears: a systematic review. J Shoulder Elbow Surg. 2021;30(7):1679-92.
• 13. Greenspoon JA, Petri M, Warth RJ, Millett PJ. Massive rotator cuff tears: pathomechanics, current treatment options, and clinical outcomes. J Shoulder Elbow Surg. 2015;24(9):1493-505.
• 14. Longo UG, Berton A, Papapietro N, Maffulli N, Denaro V. Biomechanics of the rotator cuff: European perspective. Med Sport Sci. 2012;57:10-7.
• 15. Bakhsh W, Nicandri G. Anatomy and Physical Examination of the Shoulder. Sports Med Arthrosc Rev. 2018;26(3):e10-e22.
• 16. Yang S, Kim TU, Kim DH, Chang MC. Understanding the physical examination of the shoulder: a narrative review. Ann Palliat Med. 2021;10(2):2293-303.
• 17. Culham E, Peat M. Functional anatomy of the shoulder complex. J Orthop Sports Phys Ther. 1993;18(1):342-50. 18. Yanny S, Toms AP. MR patterns of denervation around the shoulder. AJR Am J Roentgenol. 2010;195(2):W157-63. 19. Marks D, Comans T, Bisset L, Thomas M, Scuffham PA. Shoulder pain cost-of-illness in patients referred for public orthopaedic care in Australia. Aust Health Rev. 2019;43(5):540-8.
• 20. Onda A, Onozato K, Kimura M. Clinical features of neck and shoulder pain (Katakori) in Japanese hospital workers. Fukushima J Med Sci. 2022;68(2):79-87.
• 21. Treede RD, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, et al. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain. 2019;160(1):19-27.
• 22. Woolf CJ. What is this thing called pain? J Clin Invest. 2010;120(11):3742-4.
• 23. Sembrano JN, Yson SC, Kanu OC, Braman JP, Santos ER, Harrison AK, et al. Neck-shoulder crossover: how often do neck and shoulder pathology masquerade as each other? Am J Orthop (Belle Mead NJ). 2013;42(9):E76-80.
• 24. Corey DL, Comeau D. Cervical radiculopathy. Med Clin North Am. 2014;98(4):791-9, xii.
• 25. Takahashi R, Kajita Y, Harada Y, Iwahori Y, Deie M. Clinical results of shoulder manipulation under ultrasound-guided cervical nerve root block for frozen shoulder in patients with diabetes. J Orthop. 2020;21:297-301.
• 26. Childress MA, Becker BA. Nonoperative Management of Cervical Radiculopathy. Am Fam Physician. 2016;93(9):746-54.
• 27. Peterson SL, Rayan GM. Shoulder and upper arm muscle architecture. J Hand Surg Am. 2011;36(5):881-9. 28. Dang A, Davies M. Rotator Cuff Disease: Treatment Options and Considerations. Sports Med Arthrosc Rev. 2018;26(3):129-33. 29. Oh JH, Park MS, Rhee SM. Treatment Strategy for Irreparable Rotator Cuff Tears. Clin Orthop Surg. 2018;10(2):119-34.