Assessment of shoulder joint derangements with magnetic resonance imaging in adult Nigerians.

Autor: Idowu BM; Department of Radiology, Union Diagnostics and Clinical Services Plc, Yaba, Lagos State, Nigeria., Onigbinde SO; Department of Anatomical Sciences, School of Medicine, St George's University, Grenada., Afolabi BI; Department of Radiology, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State, Nigeria., Ogholoh OD; Department of Radiology, Delta State University Teaching Hospital, Oghara, Delta State, Nigeria., Nwafor NN; Department of Radiology, Faculty of Clinical Sciences, College of Health Sciences, University of Uyo, Uyo, Akwa Ibom State, Nigeria., Okedere TA; Department of Radiology, Clinix HealthCare, Festac Town, Lagos State, Nigeria.
Jazyk: angličtina
Zdroj: Journal of the West African College of Surgeons [J West Afr Coll Surg] 2024 Jul-Sep; Vol. 14 (3), pp. 307-313. Date of Electronic Publication: 2024 May 24.
DOI: 10.4103/jwas.jwas_144_23
Abstrakt: Objectives: Shoulder pain secondary to various aetiologies is a common musculoskeletal complaint worldwide, and Magnetic Resonance Imaging (MRI) is the most accurate imaging method for evaluating shoulder pain in all age groups. While the patterns of shoulder MRI abnormalities in various demographics have been reported, data on sub-Sahara African populations are still sparse. This study aims to describe the imaging features and spectrum of shoulder joint pathologies on MRI in adult Nigerians.
Materials and Methods: This was a retrospective review of the shoulder MRI of 100 adult Nigerians (with and without trauma) from September 2020 to December 2021. Their clinical data and shoulder MRI findings were extracted and analysed. Statistical significance was set at P ≤ 0.05.
Results: There were 64 males and 36 females aged 18-82 years. Right shoulder MRI was done in 53 subjects (53%), while the left shoulder was studied in 47 (47%). Supraspinatus tendinopathy (73%), acromioclavicular joint arthropathy (68%), and subacromial-subdeltoid (SASD) bursitis (64%) were the most frequently detected pathologies. Other demonstrated derangements include glenohumeral joint effusion (24%), long head of biceps tendon sheath effusion (18%), labral abnormalities (16%), subcoracoid bursitis (4%), Hill Sach's deformity (3%), anterior glenohumeral dislocation (2%), fatty degeneration of the supraspinatus/infraspinatus muscles (2%), adhesive capsulitis (1%), and other bony abnormalities (contusion, erosion, subchondral cysts). There was no significant difference in the frequency of shoulder abnormalities between the male and female subjects.
Conclusion: Acromioclavicular joint arthropathy, SASD bursitis, and rotator cuff disorders were the dominant pathologies in the participants' shoulders.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2024 Journal of the west African college of surgeons.)
Databáze: MEDLINE