Klarić-Kukuz Ivana, Aljinović Jure, Barun Blaž, Roki Marko, Benzon Benjamin, Budimir Mršić Danijela, Marinović Guić Maja, Poljičanin Ana
Department of Physiotherapy, University Department of Health Studies, University of Split, 21000 Split, Croatia.
University Postgraduate Doctoral Study Program, School of Medicine, University of Split, 21000 Split, Croatia.
Diagnostics (Basel). 2024 Dec 30;15(1):70. doi: 10.3390/diagnostics15010070.
: Shoulder pain is a common treatment outcome in breast cancer survivors. While various risk factors and mechanisms for shoulder pain have been proposed, evidence is inconsistent. Increased risk of subacromial pain syndrome exists, which can lead to disability and reduced quality of life if untreated. Ultrasound is a valuable tool for detecting rotator cuff changes aiding in timely diagnosis of subacromial pain syndrome. This study aimed to assess the prevalence of rotator cuff changes to better understand chronic shoulder pain in breast cancer survivors. : This cross-sectional study included 74 breast cancer survivors from the University Hospital Split. Data were collected via questionnaires and clinical interviews. Bilateral shoulder ultrasounds were performed by two blinded investigators. Categorical variables were analyzed using Chi-squared tests, and continuous variables were analyzed with T-tests or Mann-Whitney tests. : Pathological findings were similarly prevalent on the operated and non-operated sides ( = 0.3 and = 0.6). Among participants with shoulder pain, ultrasound-detected pathology was present in 91% of right shoulders and 96% of left shoulders ( < 0.005). Non-painful shoulders exhibited pathology in 59% of right and 57% of left shoulders. Ipsilateral pain to the site of breast surgery was reported by 57.7% of participants, with supraspinatus pathology in 56%, acromioclavicular joint pathology in 39%, and subacromial-subdeltoid bursitis in 41%. : Similar pathology distribution on operated and non-operated sides and frequent asymptomatic findings highlight unresolved causes of shoulder pain in breast cancer survivors. Ultrasound is valuable but requires integration with clinics for accurate diagnosis of the underlying causes of shoulder pain.
肩部疼痛是乳腺癌幸存者常见的治疗后症状。虽然已经提出了各种肩部疼痛的风险因素和机制，但证据并不一致。肩峰下疼痛综合征的风险增加，如果不治疗，可能导致残疾和生活质量下降。超声是检测肩袖变化的重要工具，有助于及时诊断肩峰下疼痛综合征。本研究旨在评估肩袖变化的患病率，以更好地了解乳腺癌幸存者的慢性肩部疼痛。：这项横断面研究纳入了来自斯普利特大学医院的74名乳腺癌幸存者。通过问卷调查和临床访谈收集数据。由两名盲法研究者进行双侧肩部超声检查。分类变量采用卡方检验进行分析，连续变量采用t检验或曼-惠特尼检验进行分析。：病理结果在手术侧和非手术侧同样普遍（=0.3，=0.6）。在肩部疼痛的参与者中，超声检测到的病理情况在91%的右肩和96%的左肩中存在（<0.005）。无痛肩部在59%的右肩和57%的左肩中出现病理情况。57.7%的参与者报告了与乳房手术部位同侧的疼痛，其中56%有冈上肌病理情况，39%有肩锁关节病理情况，41%有肩峰下-三角肌下滑囊炎。：手术侧和非手术侧相似的病理分布以及频繁的无症状发现突出了乳腺癌幸存者肩部疼痛未解决的原因。超声很有价值，但需要与临床相结合以准确诊断肩部疼痛的潜在原因。
