肥胖患者的肩部疼痛、超声变化及功能表现
SHOULDER PAIN, ULTRASOUND CHANGES, AND FUNCTIONAL PERFORMANCE IN OBESE PATIENTS.
作者信息
Menegassi Fabiana Alves Costa, Martins Glaucus Cajaty, Menegassi Zartur José Barcelos, de Souza Sérgio Augusto Lopes, Gutfilen Bianca, Costa Fábio Ramos
机构信息
Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brazil.
Hospital Federal de Ipanema, Rio de Janeiro, RJ, Brazil.
出版信息
Acta Ortop Bras. 2025 Jan 10;32(6):e282000. doi: 10.1590/1413-785220243206e282000. eCollection 2024.
OBJECTIVE
To evaluate the prevalence of shoulder pain, level of functional performance, and morphological involvement of the rotator cuff on ultrasound in morbidly obese patients.
METHODS
The study included 54 morbidly obese patients receiving follow-up care in a bariatric surgery outpatient clinic, which were compared with a control group consisting of 49 participants. Presence of shoulder pain, shoulder functional performance, ultrasound of the rotator cuff and blood tests were the parameters evaluated.
RESULTS
The obese group showed a greater incidence of shoulder pain (p < 0.0001; OR: 17.5), lower functional performance according to UCLA (p < 0.0001; OR: 7.5) and DASH scales (p < 0.0001) and a greater incidence of pathological ultrasound and c-reactive protein test changes (p < 0.0001).
CONCLUSIONS
These findings suggest that being overweight is an important exacerbating factor for shoulder pain, lower shoulder functional performance and pathological changes of the rotator cuff and c-reactive protein test.
目的
评估病态肥胖患者肩部疼痛的患病率、功能表现水平以及超声检查下肩袖的形态学受累情况。
方法
该研究纳入了54名在减肥手术门诊接受随访护理的病态肥胖患者，并与由49名参与者组成的对照组进行比较。评估的参数包括肩部疼痛的存在情况、肩部功能表现、肩袖超声检查和血液检查。
结果
肥胖组肩部疼痛的发生率更高（p < 0.0001；比值比：17.5），根据加州大学洛杉矶分校（UCLA）量表（p < 0.0001；比值比：7.5）和上肢功能障碍量表（DASH）评分，其功能表现更低（p < 0.0001），且病理超声检查和C反应蛋白检测变化的发生率更高（p < 0.0001）。
结论
这些发现表明，超重是导致肩部疼痛、肩部功能表现降低以及肩袖和C反应蛋白检测病理变化的重要加重因素。
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