Investigation of C5–C6 radiculopathy and shoulder rotator cuff lesions coexistence frequency
INTRODUCTION[|]The aim of this study was to evaluate the coexistence of C5 and/or C6 root compression with rotator cuff pathologies and its effect on pain and disability.[¤]METHODS[|]A total of 65 patients with pain radiating from neck to shoulder were retrospectively evaluated on the basis of demog...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
KARE Publishing
2019-09-01
|
| Series: | İstanbul Kuzey Klinikleri |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-04796 |
| _version_ | 1797907171472572416 |
|---|---|
| author | Çiğdem Arifoğlu Karaman Bengi Oz Aylin Sari |
| author_facet | Çiğdem Arifoğlu Karaman Bengi Oz Aylin Sari |
| author_sort | Çiğdem Arifoğlu Karaman |
| collection | DOAJ |
| description | INTRODUCTION[|]The aim of this study was to evaluate the coexistence of C5 and/or C6 root compression with rotator cuff pathologies and its effect on pain and disability.[¤]METHODS[|]A total of 65 patients with pain radiating from neck to shoulder were retrospectively evaluated on the basis of demographic data, duration of symptoms, overhead activities, and physical examination. The visual numerical scale (VNS), Quick DASH (Disabilities of the Arm, Shoulder, and Hand), and Shoulder Pain and Disability Index (SPADI) were also used. Cervical magnetic resonance imaging (MRI) was used to evaluate C5–C6 root compression, which was separated into two groups as patients with or without upper trunk root compression (UTRC). These groups were compared according to the MRI findings of patients with rotator cuff pathologies.[¤]RESULTS[|]According to our results, C5 root compression (12.3%), C6 root compression (41.5%), UTRC (44.6%) were detected. There was no difference between the groups regarding the Hawkins and Neer tests. The Yergason and Jobe tests were statistically higher in patients without UTRC. In the shoulder MRIs, the rate of subscapular muscle tear was significantly higher in patients with UTRC. Other shoulder MRI findings were not different between the groups. VNS-neck and SPADI-pain scores were significantly higher in patients without UTRC. There was no difference between the groups in the scores of VNS-shoulder, Quick DASH, SPADI-disability, and SPADI-total.[¤]DISCUSSION AND CONCLUSION[|]Radiating pain from neck to shoulder that is caused by C5–C6 root compression does not create a predisposition for clinical, radiologic, and functional pathologies in shoulder joint. It seems difficult to diagnose the exact origin of pain in patients who present with neck pain radiating to shoulder based on the findings of cervical or shoulder MRI alone.[¤] |
| first_indexed | 2024-04-10T10:33:23Z |
| format | Article |
| id | doaj.art-999a2d98ec784bc4b67cf0fa72a1fa81 |
| institution | Directory Open Access Journal |
| issn | 2148-4902 |
| language | English |
| last_indexed | 2024-04-10T10:33:23Z |
| publishDate | 2019-09-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | İstanbul Kuzey Klinikleri |
| spelling | doaj.art-999a2d98ec784bc4b67cf0fa72a1fa812023-02-15T16:21:02ZengKARE Publishingİstanbul Kuzey Klinikleri2148-49022019-09-016326026610.14744/nci.2018.04796NCI-04796Investigation of C5–C6 radiculopathy and shoulder rotator cuff lesions coexistence frequencyÇiğdem Arifoğlu Karaman0Bengi Oz1Aylin Sari2Department of Physical Medicine and Rehabilitation, Erenkoy Physical Therapy and Rehabilitation Hospital, Istanbul, TurkeyDepartment of Physical Medicine and Rehabilitation, Katip Celebi University Ataturk Training and Research Hospital, Izmir, TurkeyDepartment of Physical Medicine and Rehabilitation, Erenkoy Physical Therapy and Rehabilitation Hospital, Istanbul, TurkeyINTRODUCTION[|]The aim of this study was to evaluate the coexistence of C5 and/or C6 root compression with rotator cuff pathologies and its effect on pain and disability.[¤]METHODS[|]A total of 65 patients with pain radiating from neck to shoulder were retrospectively evaluated on the basis of demographic data, duration of symptoms, overhead activities, and physical examination. The visual numerical scale (VNS), Quick DASH (Disabilities of the Arm, Shoulder, and Hand), and Shoulder Pain and Disability Index (SPADI) were also used. Cervical magnetic resonance imaging (MRI) was used to evaluate C5–C6 root compression, which was separated into two groups as patients with or without upper trunk root compression (UTRC). These groups were compared according to the MRI findings of patients with rotator cuff pathologies.[¤]RESULTS[|]According to our results, C5 root compression (12.3%), C6 root compression (41.5%), UTRC (44.6%) were detected. There was no difference between the groups regarding the Hawkins and Neer tests. The Yergason and Jobe tests were statistically higher in patients without UTRC. In the shoulder MRIs, the rate of subscapular muscle tear was significantly higher in patients with UTRC. Other shoulder MRI findings were not different between the groups. VNS-neck and SPADI-pain scores were significantly higher in patients without UTRC. There was no difference between the groups in the scores of VNS-shoulder, Quick DASH, SPADI-disability, and SPADI-total.[¤]DISCUSSION AND CONCLUSION[|]Radiating pain from neck to shoulder that is caused by C5–C6 root compression does not create a predisposition for clinical, radiologic, and functional pathologies in shoulder joint. It seems difficult to diagnose the exact origin of pain in patients who present with neck pain radiating to shoulder based on the findings of cervical or shoulder MRI alone.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-04796cervical radiculopathyc5 root compression; c6 root compression; impingement syndrome; rotator cuff lesion. |
| spellingShingle | Çiğdem Arifoğlu Karaman Bengi Oz Aylin Sari Investigation of C5–C6 radiculopathy and shoulder rotator cuff lesions coexistence frequency İstanbul Kuzey Klinikleri cervical radiculopathy c5 root compression; c6 root compression; impingement syndrome; rotator cuff lesion. |
| title | Investigation of C5–C6 radiculopathy and shoulder rotator cuff lesions coexistence frequency |
| title_full | Investigation of C5–C6 radiculopathy and shoulder rotator cuff lesions coexistence frequency |
| title_fullStr | Investigation of C5–C6 radiculopathy and shoulder rotator cuff lesions coexistence frequency |
| title_full_unstemmed | Investigation of C5–C6 radiculopathy and shoulder rotator cuff lesions coexistence frequency |
| title_short | Investigation of C5–C6 radiculopathy and shoulder rotator cuff lesions coexistence frequency |
| title_sort | investigation of c5 c6 radiculopathy and shoulder rotator cuff lesions coexistence frequency |
| topic | cervical radiculopathy c5 root compression; c6 root compression; impingement syndrome; rotator cuff lesion. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=nci&un=NCI-04796 |
| work_keys_str_mv | AT cigdemarifoglukaraman investigationofc5c6radiculopathyandshoulderrotatorcufflesionscoexistencefrequency AT bengioz investigationofc5c6radiculopathyandshoulderrotatorcufflesionscoexistencefrequency AT aylinsari investigationofc5c6radiculopathyandshoulderrotatorcufflesionscoexistencefrequency |