Etiological profile of musculoskeletal disorders of upper extremities among patients attending Physical Medicine and Rehabilitation department
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 4
Abstract
Upper extremity musculoskeletal disorders are one of the most common rheumatological conditions seeking medical advice. The diagnosis of these disorders is based primarily upon results of specific clinical tests. There are not many studies regarding its etiological profile. The aim of this study is to assess the etiological profile of various musculoskeletal disorders of upper extremities in patients reporting to the Physical Medicine and Rehabilitation (PMR) Department of a tertiary care hospital in Kerala. Methods This study was carried out in the Department of PMR, Government TD Medical College, Alappuzha, during a period of one year from July 2016- June 2017 to assess the etiological profile of various musculoskeletal disorders of upper extremities. This was a descriptive study conducted by evaluating the final diagnosis from the OP records of patients who were fully evaluated in the musculoskeletal pain clinic which is functioning in the department. Results Age of patients ranged between 8 to 85 years (mean age 46 years). A predominance of females was observed (Male-Female ratio: 1:1.93). The commonest etiology of upper limb musculoskeletal problem was myofascial pain around shoulder (20.5%) followed by carpal tunnel syndrome (CTS) (17.1%), rotator cuff disease (16.3%). Other main causes were adhesive capsulitis (9.8%), complex regional pain syndrome (CRPS) (8%), lateral epicondylosis (tennis elbow) (3.6%), de Quervain’s tenosynovitis (2.5%) and trigger finger (2.3%). One case of malignancy (Multiple myeloma) was also diagnosed. Myofascial pain and CTS were more prevalent among younger age group. 95.7% with Myofascial pain and 76% of CTS were in the below 50 years of age category. Rotator cuff disease and adhesive capsulitis were more common in the middle and older age group. 65% of patients with rotator cuff disease and 75% with adhesive capsulitis were in the above 50 years category. Conclusions Myofascial pain around shoulder, CTS, rotator cuff disease and adhesive capsulitis were the most common diagnoses reporting to a tertiary care centre with upper limb musculoskeletal problem. Myofascial pain and CTS were more common in females (P <0.001) and rotator cuff injury is more in males (P <0.001). The prevalence of adhesive capsulitis was almost similar in both; with a slight male predominance.
Authors and Affiliations
Dr. Roy Rama Chandran
Keywords
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