Restriction of Passive Glenohumeral Abduction Combined With Normal Passive External Rotation Is a Diagnostic Feature of Calcific Tendinitis
| Autor: | Thorsten Jentzsch, Christian Gerber, Simon Roner, Dominik C. Meyer, Glenn Boyce, Anna Jungwirth-Weinberger |
|---|---|
| Přispěvatelé: | University of Zurich, Jungwirth-Weinberger, Anna |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
shoulder pathologies 610 Medicine & health glenohumeral abduction 03 medical and health sciences 2732 Orthopedics and Sports Medicine 0302 clinical medicine Physical medicine and rehabilitation glenohumeral motion glenohumeral external rotation medicine Orthopedics and Sports Medicine frozen shoulder adhesive capsulitis 030222 orthopedics business.industry Calcific tendinitis Frozen shoulder calcific tendinitis 030229 sport sciences medicine.disease External rotation Feature (computer vision) 10046 Balgrist University Hospital Swiss Spinal Cord Injury Center Range of motion business |
| Zdroj: | Orthopaedic Journal of Sports Medicine |
| ISSN: | 2325-9671 |
| Popis: | Background: Passive glenohumeral range of motion may be characteristically limited to specific shoulder pathologies. While pain associated with loss of range of passive external glenohumeral rotation is recognized as a salient feature in adhesive capsulitis, restriction of glenohumeral range of motion in calcific tendinitis of the supraspinatus tendon has never been studied. Hypothesis: On the basis of clinical observation, we hypothesized that calcific tendinitis of the supraspinatus tendon is associated with loss of passive glenohumeral abduction without loss of external rotation. Study Design: Cohort study; Level of evidence, 3. Methods: Ranges of passive glenohumeral rotation and abduction, which are measured with a standardized protocol in our institution, were retrospectively reviewed and compared for patients diagnosed with either adhesive capsulitis or calcific tendinitis of the supraspinatus tendon. A total of 57 patients met the inclusion criteria for the calcific tendinitis, and 77 met the inclusion criteria for the adhesive capsulitis group. Results: When compared with the contralateral, unaffected shoulder, glenohumeral abduction in the calcific tendinitis group was restricted by a median of 10° (interquartile range [IQR], –20° to –5°) as opposed to glenohumeral external rotation, which was not restricted at all (median, 0°; IQR, 0° to 0°). The adhesive capsulitis group showed a median restriction of glenohumeral abduction of 40° (IQR, –50° to –30°) and a median restriction of passive glenohumeral external rotation of 40° (IQR, –60° to –30°). Conclusion: Calcific tendinitis of the supraspinatus does not typically cause loss of external rotation but is frequently associated with mild isolated restriction of abduction. This finding can be used to clinically differentiate adhesive capsulitis from calcific tendinitis. |
| Databáze: | OpenAIRE |
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