계명대학교 의학도서관 Repository

Comparison of Shoulder Ultrasonographic Assessments between Polymyalgia Rheumatica and Frozen Shoulder in Patients with Bilateral Shoulder Pain: A Comparative Retrospective Study

Metadata Downloads
Author(s)
Eun-Woo ParkJang-Hyuk ChoChul-Hyun ChoDuk-Hyun SungDu-Hwan Kim
Keimyung Author(s)
Cho, Jang HyukCho, Chul Hyun
Department
Dept. of Rehabilitation Medicine (재활의학)
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
J Pers Med
Issued Date
2021
Volume
11
Issue
5
Keyword
bursitispainful shoulderpolymyalgia rheumaticasynovitistenosynovitisultrasound
Abstract
This study aimed to assess and compare the ultrasonographic (US) pathologic findings in patients with polymyalgia rheumatica (PMR) and bilateral frozen shoulder (FS). We included 19 patients with clinically diagnosed PMR and 19 patients with stage II bilateral FS. The US evaluation included the assessment of subacromial-subdeltoid (SASD) bursitis, long head of biceps (LHB) tenosynovitis, and posterior and inferior glenohumeral (GH) synovitis. Unilateral SASD bursitis was noted significantly more frequently in PMR patients than in bilateral FS patients (p = 0.001). There were no significant differences in the incidence of unilateral LHB tenosynovitis and posterior GH synovitis between PMR and bilateral FS patients (p = 0.108 and p = 0.304, respectively). Unilateral inferior GH synovitis was more common among bilateral FS patients than among PMR patients (p < 0.001). Bilateral SASD bursitis and LHB tenosynovitis were noted significantly more frequently in PMR patients than in bilateral FS patients (p < 0.001 and 0.049, respectively). Significant differences were not observed in the incidence of bilateral posterior GH synovitis between PMR and bilateral FS patients (p = 0.426). Bilateral inferior GH synovitis was more common among bilateral FS patients than among PMR patients (p = 0.044). The US evidence for bilateral inferior GH synovitis without bilateral SASD showed high specificity (94.7%) with sensitivity (78.9%) for the diagnosis of bilateral FS. SASD bursitis, representing periarticular synovial inflammation, was more common among the patients with PMR than among the patients with bilateral FS. Inferior GH synovitis without SASD bursitis suggests FS rather than PMR in patients with bilateral shoulder pain.
Keimyung Author(s)(Kor)
조장혁
조철현
Publisher
School of Medicine (의과대학)
Citation
Eun-Woo Park et al. (2021). Comparison of Shoulder Ultrasonographic Assessments between Polymyalgia Rheumatica and Frozen Shoulder in Patients with Bilateral Shoulder Pain: A Comparative Retrospective Study. J Pers Med, 11(5), 372. doi: 10.3390/jpm11050372
Type
Article
ISSN
2075-4426
Source
https://www.mdpi.com/2075-4426/11/5/372
DOI
10.3390/jpm11050372
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/43819
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.