Pairwise association of upper extremity musculoskeletal conditions: large population investigation from PERSIAN cohort study

Abstract Background People with one area of upper extremity musculoskeletal conditions (UEMSCs) may have other. We aim to determine how frequent is the ipsilateral coexistence of common UEMSCs apparent on interview and examination. Methods This is a large population cross-sectional study conducted a...

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Main Authors: Mahla Daliri, Farideh Khosravi, Mohammad-T. Shakeri, Mohammad H Ebrahimzadeh, Ali Moradi
Format: Article
Language:English
Published: BMC 2023-08-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-023-04108-6
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author Mahla Daliri
Farideh Khosravi
Mohammad-T. Shakeri
Mohammad H Ebrahimzadeh
Ali Moradi
author_facet Mahla Daliri
Farideh Khosravi
Mohammad-T. Shakeri
Mohammad H Ebrahimzadeh
Ali Moradi
author_sort Mahla Daliri
collection DOAJ
description Abstract Background People with one area of upper extremity musculoskeletal conditions (UEMSCs) may have other. We aim to determine how frequent is the ipsilateral coexistence of common UEMSCs apparent on interview and examination. Methods This is a large population cross-sectional study conducted as part of the PERSIAN cohort study int Mashhad University of Medical Sciences (MUMS). The study aimed to evaluate individuals for symptoms and signs of the following conditions: carpal tunnel syndrome (CTS), lateral epicondylitis (LE), trapeziometacarpal osteoarthritis (TMC OA), DeQuervain’s tendinopathy, trigger digit (TD), ganglion cyst, and rotator cuff tendinopathy (RCT). The primary outcomes of the study are (1) to determine the side-specific relative risk of each UEMSC coexisting with the second condition, and (2) to identify predictive factors of each UEMSC using side-specific multivariate logistic regression analysis. Results We conducted a study involving 4737 individuals from the staff of MUMS and found significant pairwise associations among UEMSCs on a side-specific basis. Women had more chance of having DeQuervain’s disease (β = 6.3), CTS (β = 3.5), ganglion cyst (β = 2.5), TMC OA (β = 2.3), and RCT (β = 2.0). Each condition (dependent variable) was associated with others (predictors) as follows: CTS: RCT (β = 5.9), TMC OA (β = 4.7), TD (β = 2.9), and LE (β = 2.5). TMC OA: LE (β = 6.4), TD (β = 5.4), RCT (β = 4.3), and CTS (β = 4.1). LE: RCT (β = 8.1), TMC OA (β = 6.4), and CTS (β = 2.5). DeQuervain’s disease: TD (β = 13.6), RCT (β = 4.5), and LE (β = 3.8). TD: CTS (β = 8.8), ganglion cyst (β = 7.6), DeQuervain’s disease (β = 5.7), and TMC OA (β = 4.3). RCT: LE (β = 5.8), TMC OA (β = 5.5), CTS (β = 5.2), and DeQuervain’s disease (β = 4.3). Ganglion cyst: TD (β = 4.8). Conclusion Our study reports significant increased frequency of the UEMSCs among patients who already have one of the diseases, in a large sample size study. Level of Evidence Level II (Differential Diagnosis/Symptom Prevalence Study).
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spelling doaj.art-48c208413bb54c8686c675a804783aac2023-11-26T13:48:03ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-08-011811910.1186/s13018-023-04108-6Pairwise association of upper extremity musculoskeletal conditions: large population investigation from PERSIAN cohort studyMahla Daliri0Farideh Khosravi1Mohammad-T. Shakeri2Mohammad H Ebrahimzadeh3Ali Moradi4Orthopedics Research Center, Ghaem Hospital, Mashhad University of Medical SciencesStudent Research Committee, School of Health, Mashhad University of Medical SciencesDepartment of Biostatistics, Mashhad University of Medical SciencesOrthopedics Research Center, Ghaem Hospital, Mashhad University of Medical SciencesOrthopedics Research Center, Ghaem Hospital, Mashhad University of Medical SciencesAbstract Background People with one area of upper extremity musculoskeletal conditions (UEMSCs) may have other. We aim to determine how frequent is the ipsilateral coexistence of common UEMSCs apparent on interview and examination. Methods This is a large population cross-sectional study conducted as part of the PERSIAN cohort study int Mashhad University of Medical Sciences (MUMS). The study aimed to evaluate individuals for symptoms and signs of the following conditions: carpal tunnel syndrome (CTS), lateral epicondylitis (LE), trapeziometacarpal osteoarthritis (TMC OA), DeQuervain’s tendinopathy, trigger digit (TD), ganglion cyst, and rotator cuff tendinopathy (RCT). The primary outcomes of the study are (1) to determine the side-specific relative risk of each UEMSC coexisting with the second condition, and (2) to identify predictive factors of each UEMSC using side-specific multivariate logistic regression analysis. Results We conducted a study involving 4737 individuals from the staff of MUMS and found significant pairwise associations among UEMSCs on a side-specific basis. Women had more chance of having DeQuervain’s disease (β = 6.3), CTS (β = 3.5), ganglion cyst (β = 2.5), TMC OA (β = 2.3), and RCT (β = 2.0). Each condition (dependent variable) was associated with others (predictors) as follows: CTS: RCT (β = 5.9), TMC OA (β = 4.7), TD (β = 2.9), and LE (β = 2.5). TMC OA: LE (β = 6.4), TD (β = 5.4), RCT (β = 4.3), and CTS (β = 4.1). LE: RCT (β = 8.1), TMC OA (β = 6.4), and CTS (β = 2.5). DeQuervain’s disease: TD (β = 13.6), RCT (β = 4.5), and LE (β = 3.8). TD: CTS (β = 8.8), ganglion cyst (β = 7.6), DeQuervain’s disease (β = 5.7), and TMC OA (β = 4.3). RCT: LE (β = 5.8), TMC OA (β = 5.5), CTS (β = 5.2), and DeQuervain’s disease (β = 4.3). Ganglion cyst: TD (β = 4.8). Conclusion Our study reports significant increased frequency of the UEMSCs among patients who already have one of the diseases, in a large sample size study. Level of Evidence Level II (Differential Diagnosis/Symptom Prevalence Study).https://doi.org/10.1186/s13018-023-04108-6Carpal tunnel syndromeLateral epicondylitisMusculoskeletalPairwise associationUpper extremity
spellingShingle Mahla Daliri
Farideh Khosravi
Mohammad-T. Shakeri
Mohammad H Ebrahimzadeh
Ali Moradi
Pairwise association of upper extremity musculoskeletal conditions: large population investigation from PERSIAN cohort study
Journal of Orthopaedic Surgery and Research
Carpal tunnel syndrome
Lateral epicondylitis
Musculoskeletal
Pairwise association
Upper extremity
title Pairwise association of upper extremity musculoskeletal conditions: large population investigation from PERSIAN cohort study
title_full Pairwise association of upper extremity musculoskeletal conditions: large population investigation from PERSIAN cohort study
title_fullStr Pairwise association of upper extremity musculoskeletal conditions: large population investigation from PERSIAN cohort study
title_full_unstemmed Pairwise association of upper extremity musculoskeletal conditions: large population investigation from PERSIAN cohort study
title_short Pairwise association of upper extremity musculoskeletal conditions: large population investigation from PERSIAN cohort study
title_sort pairwise association of upper extremity musculoskeletal conditions large population investigation from persian cohort study
topic Carpal tunnel syndrome
Lateral epicondylitis
Musculoskeletal
Pairwise association
Upper extremity
url https://doi.org/10.1186/s13018-023-04108-6
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