Article

Objective:To compare the prevalence, severity and risk of acromioclavicular (AC)
joint arthrosis in persons presenting with shoulder pain between a spinal cord
injury (SCI) and able-bodied population. In the SCI population, prevalence and
severity of AC joint arthrosis were examined with respect to age, gender and
lesion characteristics.Methods:Retrospective analysis of medical records and
magnetic resonance images (MRI) collected in an outpatient orthopaedics
clinic.Results:Sixty-eight persons with SCI and 105 able-bodied persons were
included in the study. The overall MRI prevalence of AC joint arthrosis was 98%
and 92%, respectively. In both groups AC joint arthrosis was frequently
accompanied by MRI diagnosis of rotator cuff tears and biceps tendon ruptures.
Sensitivity of clinical testing was found to be low in SCI (0.31) and in
able-bodied persons (0.24). The odds of increasingly severe arthrosis were nearly
four times higher in persons with SCI as compared with able-bodied persons
(P<0.0001), about 72% lower in females as compared with males (P=0.0001), and 10%
higher per additional year of age (P<0.0001). Arthrosis severity in the SCI-group
was weakly associated with time since injury, not with neurological
classification of SCI or level of injury (paraplegia vs
tetraplegia).Conclusion:SCI patients presenting with shoulder pain showed similar
prevalence, yet more advanced, AC joint arthrosis than able-bodied patients. As
early diagnosis of arthrosis is a prerequisite for the initiation of successful
conservative interventions of shoulder deterioration, we recommend routine
assessment of shoulder status including diagnostic imaging during check-ups.

Langue : ANGLAIS