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Investigation of C(5)–C(6) radiculopathy and shoulder rotator cuff lesions coexistence frequency

OBJECTIVE: The aim of this study was to evaluate the coexistence of C(5) and/or C(6) root compression with rotator cuff pathologies and its effect on pain and disability. METHODS: A total of 65 patients with pain radiating from neck to shoulder were retrospectively evaluated on the basis of demograp...

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Autores principales: Karaman, Cigdem Arifoglu, Oz, Bengi, Sari, Aylin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kare Publishing 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6790919/
https://www.ncbi.nlm.nih.gov/pubmed/31650113
http://dx.doi.org/10.14744/nci.2018.04796
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author Karaman, Cigdem Arifoglu
Oz, Bengi
Sari, Aylin
author_facet Karaman, Cigdem Arifoglu
Oz, Bengi
Sari, Aylin
author_sort Karaman, Cigdem Arifoglu
collection PubMed
description OBJECTIVE: The aim of this study was to evaluate the coexistence of C(5) and/or C(6) root compression with rotator cuff pathologies and its effect on pain and disability. METHODS: A total of 65 patients with pain radiating from neck to shoulder were retrospectively evaluated on the basis of demographic data, duration of symptoms, overhead activities, and physical examination. The visual numerical scale (VNS), Quick DASH (Disabilities of the Arm, Shoulder, and Hand), and Shoulder Pain and Disability Index (SPADI) were also used. Cervical magnetic resonance imaging (MRI) was used to evaluate C(5)–C(6) root compression, which was separated into two groups as patients with or without upper trunk root compression (UTRC). These groups were compared according to the MRI findings of patients with rotator cuff pathologies. RESULTS: According to our results, C(5) root compression (12.3%), C(6) root compression (41.5%), UTRC (44.6%) were detected. There was no difference between the groups regarding the Hawkins and Neer tests. The Yergason and Jobe tests were statistically higher in patients without UTRC. In the shoulder MRIs, the rate of subscapular muscle tear was significantly higher in patients with UTRC. Other shoulder MRI findings were not different between the groups. VNS-neck and SPADI-pain scores were significantly higher in patients without UTRC. There was no difference between the groups in the scores of VNS-shoulder, Quick DASH, SPADI-disability, and SPADI-total. CONCLUSION: Radiating pain from neck to shoulder that is caused by C(5)–C(6) root compression does not create a predisposition for clinical, radiologic, and functional pathologies in shoulder joint. It seems difficult to diagnose the exact origin of pain in patients who present with neck pain radiating to shoulder based on the findings of cervical or shoulder MRI alone.
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spelling pubmed-67909192019-10-24 Investigation of C(5)–C(6) radiculopathy and shoulder rotator cuff lesions coexistence frequency Karaman, Cigdem Arifoglu Oz, Bengi Sari, Aylin North Clin Istanb Original Article OBJECTIVE: The aim of this study was to evaluate the coexistence of C(5) and/or C(6) root compression with rotator cuff pathologies and its effect on pain and disability. METHODS: A total of 65 patients with pain radiating from neck to shoulder were retrospectively evaluated on the basis of demographic data, duration of symptoms, overhead activities, and physical examination. The visual numerical scale (VNS), Quick DASH (Disabilities of the Arm, Shoulder, and Hand), and Shoulder Pain and Disability Index (SPADI) were also used. Cervical magnetic resonance imaging (MRI) was used to evaluate C(5)–C(6) root compression, which was separated into two groups as patients with or without upper trunk root compression (UTRC). These groups were compared according to the MRI findings of patients with rotator cuff pathologies. RESULTS: According to our results, C(5) root compression (12.3%), C(6) root compression (41.5%), UTRC (44.6%) were detected. There was no difference between the groups regarding the Hawkins and Neer tests. The Yergason and Jobe tests were statistically higher in patients without UTRC. In the shoulder MRIs, the rate of subscapular muscle tear was significantly higher in patients with UTRC. Other shoulder MRI findings were not different between the groups. VNS-neck and SPADI-pain scores were significantly higher in patients without UTRC. There was no difference between the groups in the scores of VNS-shoulder, Quick DASH, SPADI-disability, and SPADI-total. CONCLUSION: Radiating pain from neck to shoulder that is caused by C(5)–C(6) root compression does not create a predisposition for clinical, radiologic, and functional pathologies in shoulder joint. It seems difficult to diagnose the exact origin of pain in patients who present with neck pain radiating to shoulder based on the findings of cervical or shoulder MRI alone. Kare Publishing 2018-11-16 /pmc/articles/PMC6790919/ /pubmed/31650113 http://dx.doi.org/10.14744/nci.2018.04796 Text en Copyright: © 2019 by Istanbul Northern Anatolian Association of Public Hospitals http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
spellingShingle Original Article
Karaman, Cigdem Arifoglu
Oz, Bengi
Sari, Aylin
Investigation of C(5)–C(6) radiculopathy and shoulder rotator cuff lesions coexistence frequency
title Investigation of C(5)–C(6) radiculopathy and shoulder rotator cuff lesions coexistence frequency
title_full Investigation of C(5)–C(6) radiculopathy and shoulder rotator cuff lesions coexistence frequency
title_fullStr Investigation of C(5)–C(6) radiculopathy and shoulder rotator cuff lesions coexistence frequency
title_full_unstemmed Investigation of C(5)–C(6) radiculopathy and shoulder rotator cuff lesions coexistence frequency
title_short Investigation of C(5)–C(6) radiculopathy and shoulder rotator cuff lesions coexistence frequency
title_sort investigation of c(5)–c(6) radiculopathy and shoulder rotator cuff lesions coexistence frequency
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6790919/
https://www.ncbi.nlm.nih.gov/pubmed/31650113
http://dx.doi.org/10.14744/nci.2018.04796
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