Prado William, Azevedo Valmir, de Lucca Sérgio Roberto, Bandini Marcia
Departamento de Saúde Coletiva, Área de Saúde do Trabalhador, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Rev Bras Med Trab. 2023 Feb 13;20(4):555-562. doi: 10.47626/1679-4435-2022-789. eCollection 2022 Oct-Dec.
Shoulder pain is ranked as the third most common musculoskeletal complaint in clinical practice. It is estimated that 65 to 70% of these occurrences are due to rotator cuff injuries. A significant number of rotator cuff syndrome cases are work related.
To evaluate the success or failure of therapeutic and administrative procedures for workers treated at an occupational medicine outpatient clinic.
This study analyzed the medical reports of 142 workers treated for shoulder pain between January 2015 and December 2019. To homogenize the information, medical record review was necessary in some cases.
Rotator cuff syndrome was diagnosed in 84% of the cases after imaging exams. Conservative treatment was recommended for 88% of these patients and 58% required subsequent surgical treatment. Regarding rehabilitation, 51% of the patients were able to return to work and 49% returned to the same job function.
Diagnosing rotator cuff syndrome requires clinical and occupational history assessment, as well as imaging examinations, and the sensitivity and specificity of ultrasound were similar to magnetic resonance imaging. Removal from work and its risks must be an integral part of treatment. Upon returning to work, the rehabilitation and reintegration process should involve activities that will not worsen the injury.
肩痛是临床实践中第三常见的肌肉骨骼疾病。据估计，这些病例中有65%至70%是由肩袖损伤引起的。相当数量的肩袖综合征病例与工作有关。
评估在职业医学门诊接受治疗的工人的治疗和管理程序的成败。
本研究分析了2015年1月至2019年12月期间因肩痛接受治疗的142名工人的医疗报告。为使信息同质化，在某些情况下有必要进行病历审查。
经影像学检查后，84%的病例被诊断为肩袖综合征。这些患者中有88%被建议进行保守治疗，58%的患者随后需要手术治疗。在康复方面，51%的患者能够重返工作岗位，49%的患者恢复了相同的工作职能。
诊断肩袖综合征需要进行临床和职业病史评估以及影像学检查，超声的敏感性和特异性与磁共振成像相似。停止工作及其风险必须是治疗的一个组成部分。重返工作岗位时，康复和重新融入过程应包括不会加重损伤的活动。
