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Type: Artigo de periódico
Title: Clinical and radiographic evaluation of the shoulder of spinal cord injured patients undergoing rehabilitation program
Author: Medina, GIS
Nascimento, FB
Rimkus, CM
Zoppi, A
Cliquet, A
Abstract: Study design: Clinical and radiographic evaluation of the shoulders of tetraplegic and paraplegic patients who attend rehabilitation program. Objectives: The objective of this study is to establish the usefulness of radiography as a trial exam for shoulder pain in spinal cord injured patients. Setting: Hospital das Clinicas-UNICAMP. Campinas, Sao Paulo, Brazil. Methods: Thirty-two shoulders of 16 patients were evaluated by clinical exam and radiography. Patients were divided into two groups: paraplegic and tetraplegic. A control group of 16 normal volunteer subjects was selected. Results: Shoulder pain was reported in 88.89% of tetraplegic and 42.85% of paraplegic. The time of injury ranged from 1.5-22 years (mean 7.88 years); patients had a mean age of 34.68 years (range, 21-57 years). The acromioclavicular joint (ACJ) space ranged from 0.03-0.7 cm on the right side and 0.15-0.7 cm on the left side, with a mean of 0.37 and 0.41 cm, respectively. No correlation was found between shoulder pain and gender, age or time since injury. There was a trend to correlation between shoulder pain and type of injury with tetraplegic having a tendency to pain symptoms. On average, tetraplegic had smaller ACJ. Conclusions: The small number of patients in this study did not allow us to confirm the hypothesis that X-ray finding may indicate risk for shoulder pain in spinal cord injury patients. A work with a greater number of subjects could demonstrate association between shoulder pain and the reduced acromioclavicular distance, making plain radiography a trial exam for spinal cord-injured patients. Spinal Cord (2011) 49, 1055-1061; doi:10.1038/sc.2011.64; published online 5 July 2011
Subject: shoulder
acromioclavicular joint
Country: Inglaterra
Editor: Nature Publishing Group
Rights: fechado
Identifier DOI: 10.1038/sc.2011.64
Date Issue: 2011
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

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