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

Year 2024, Volume: 16 Issue: 1, 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

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