Ultrasound-diagnosed disorders in shoulder patients in daily general practice: a retrospective observational study

R.P.G. Ottenheijm, I.G.M. van't Klooster, L.M.M. Starmans, K. Vanderdood, R.A. de Bie, G.J. Dinant, J.W.L. Cals

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Abstract

Background: Ultrasound imaging (US) is considered an accurate and widely available method to diagnose subacromial disorders. Yet, the frequency of the specific US-diagnosed shoulder disorders of patients with shoulder pain referred from general practice is unknown. We set out to determine the frequency of specific US-diagnosed shoulder disorders in daily practice in these patients and to investigate if the disorders detected differ between specific subgroups based on age and duration of pain. Methods: A predefined selection of 240 ultrasound reports of patients with shoulder pain (20 reports for each month in 2011) from a general hospital (Orbis Medical Centre Sittard-Geleen, The Netherlands) were descriptively analysed. Inclusion criteria were: (i) referral from general practice, (ii) age >= 18 years, and (iii) unilateral shoulder examination. Subgroups were created for age (< 65 years and >= 65 years) and duration of pain (acute or subacute (< 12 weeks) and chronic (>= 12 weeks)). The occurrence of each specific disorder is expressed as absolute and relative frequencies. Results: With 29%, calcific tendonitis was the most frequently diagnosed disorder, followed by subacromial-subdeltoid bursitis (12%), tendinopathy (11%), partial-thickness tears (11%), full-thickness tears (8%) and AC-osteoarthritis (0.4%). For 40% of patients, no disorders were found on US. Significantly more full thickness-tears were found in the >= 65 years group. 'No disorders' was reported significantly more often in the < 65 years group. The supraspinatus tendon was the most frequently affected tendon (72%). Conclusions: Calcific tendonitis is the most common US-diagnosed disorder affecting patients in general practice, followed by subacromial-subdeltoid bursitis, tendinopathy, partial-and full-thickness tears and AC-osteoarthritis. Full-thickness tears were diagnosed significantly more frequently in patients >= 65 years, while ` no disorders' was more frequently reported in patients < 65 years. Our findings imply that patients can be stratified into diagnostic subgroups, allowing more tailored treatment than currently applied.
Original languageEnglish
Article number115
JournalBMC Family Practice
Volume15
DOIs
Publication statusPublished - 1 Jan 2014

Cite this

@article{f00cf3e36c694c80b3ff4ebd887b1055,
title = "Ultrasound-diagnosed disorders in shoulder patients in daily general practice: a retrospective observational study",
abstract = "Background: Ultrasound imaging (US) is considered an accurate and widely available method to diagnose subacromial disorders. Yet, the frequency of the specific US-diagnosed shoulder disorders of patients with shoulder pain referred from general practice is unknown. We set out to determine the frequency of specific US-diagnosed shoulder disorders in daily practice in these patients and to investigate if the disorders detected differ between specific subgroups based on age and duration of pain. Methods: A predefined selection of 240 ultrasound reports of patients with shoulder pain (20 reports for each month in 2011) from a general hospital (Orbis Medical Centre Sittard-Geleen, The Netherlands) were descriptively analysed. Inclusion criteria were: (i) referral from general practice, (ii) age >= 18 years, and (iii) unilateral shoulder examination. Subgroups were created for age (< 65 years and >= 65 years) and duration of pain (acute or subacute (< 12 weeks) and chronic (>= 12 weeks)). The occurrence of each specific disorder is expressed as absolute and relative frequencies. Results: With 29{\%}, calcific tendonitis was the most frequently diagnosed disorder, followed by subacromial-subdeltoid bursitis (12{\%}), tendinopathy (11{\%}), partial-thickness tears (11{\%}), full-thickness tears (8{\%}) and AC-osteoarthritis (0.4{\%}). For 40{\%} of patients, no disorders were found on US. Significantly more full thickness-tears were found in the >= 65 years group. 'No disorders' was reported significantly more often in the < 65 years group. The supraspinatus tendon was the most frequently affected tendon (72{\%}). Conclusions: Calcific tendonitis is the most common US-diagnosed disorder affecting patients in general practice, followed by subacromial-subdeltoid bursitis, tendinopathy, partial-and full-thickness tears and AC-osteoarthritis. Full-thickness tears were diagnosed significantly more frequently in patients >= 65 years, while ` no disorders' was more frequently reported in patients < 65 years. Our findings imply that patients can be stratified into diagnostic subgroups, allowing more tailored treatment than currently applied.",
author = "R.P.G. Ottenheijm and {van't Klooster}, I.G.M. and L.M.M. Starmans and K. Vanderdood and {de Bie}, R.A. and G.J. Dinant and J.W.L. Cals",
year = "2014",
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doi = "10.1186/1471-2296-15-115",
language = "English",
volume = "15",
journal = "BMC Family Practice",
issn = "1471-2296",
publisher = "BioMed Central Ltd",

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Ultrasound-diagnosed disorders in shoulder patients in daily general practice: a retrospective observational study. / Ottenheijm, R.P.G.; van't Klooster, I.G.M.; Starmans, L.M.M.; Vanderdood, K.; de Bie, R.A.; Dinant, G.J.; Cals, J.W.L.

In: BMC Family Practice, Vol. 15, 115, 01.01.2014.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Ultrasound-diagnosed disorders in shoulder patients in daily general practice: a retrospective observational study

AU - Ottenheijm, R.P.G.

AU - van't Klooster, I.G.M.

AU - Starmans, L.M.M.

AU - Vanderdood, K.

AU - de Bie, R.A.

AU - Dinant, G.J.

AU - Cals, J.W.L.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Background: Ultrasound imaging (US) is considered an accurate and widely available method to diagnose subacromial disorders. Yet, the frequency of the specific US-diagnosed shoulder disorders of patients with shoulder pain referred from general practice is unknown. We set out to determine the frequency of specific US-diagnosed shoulder disorders in daily practice in these patients and to investigate if the disorders detected differ between specific subgroups based on age and duration of pain. Methods: A predefined selection of 240 ultrasound reports of patients with shoulder pain (20 reports for each month in 2011) from a general hospital (Orbis Medical Centre Sittard-Geleen, The Netherlands) were descriptively analysed. Inclusion criteria were: (i) referral from general practice, (ii) age >= 18 years, and (iii) unilateral shoulder examination. Subgroups were created for age (< 65 years and >= 65 years) and duration of pain (acute or subacute (< 12 weeks) and chronic (>= 12 weeks)). The occurrence of each specific disorder is expressed as absolute and relative frequencies. Results: With 29%, calcific tendonitis was the most frequently diagnosed disorder, followed by subacromial-subdeltoid bursitis (12%), tendinopathy (11%), partial-thickness tears (11%), full-thickness tears (8%) and AC-osteoarthritis (0.4%). For 40% of patients, no disorders were found on US. Significantly more full thickness-tears were found in the >= 65 years group. 'No disorders' was reported significantly more often in the < 65 years group. The supraspinatus tendon was the most frequently affected tendon (72%). Conclusions: Calcific tendonitis is the most common US-diagnosed disorder affecting patients in general practice, followed by subacromial-subdeltoid bursitis, tendinopathy, partial-and full-thickness tears and AC-osteoarthritis. Full-thickness tears were diagnosed significantly more frequently in patients >= 65 years, while ` no disorders' was more frequently reported in patients < 65 years. Our findings imply that patients can be stratified into diagnostic subgroups, allowing more tailored treatment than currently applied.

AB - Background: Ultrasound imaging (US) is considered an accurate and widely available method to diagnose subacromial disorders. Yet, the frequency of the specific US-diagnosed shoulder disorders of patients with shoulder pain referred from general practice is unknown. We set out to determine the frequency of specific US-diagnosed shoulder disorders in daily practice in these patients and to investigate if the disorders detected differ between specific subgroups based on age and duration of pain. Methods: A predefined selection of 240 ultrasound reports of patients with shoulder pain (20 reports for each month in 2011) from a general hospital (Orbis Medical Centre Sittard-Geleen, The Netherlands) were descriptively analysed. Inclusion criteria were: (i) referral from general practice, (ii) age >= 18 years, and (iii) unilateral shoulder examination. Subgroups were created for age (< 65 years and >= 65 years) and duration of pain (acute or subacute (< 12 weeks) and chronic (>= 12 weeks)). The occurrence of each specific disorder is expressed as absolute and relative frequencies. Results: With 29%, calcific tendonitis was the most frequently diagnosed disorder, followed by subacromial-subdeltoid bursitis (12%), tendinopathy (11%), partial-thickness tears (11%), full-thickness tears (8%) and AC-osteoarthritis (0.4%). For 40% of patients, no disorders were found on US. Significantly more full thickness-tears were found in the >= 65 years group. 'No disorders' was reported significantly more often in the < 65 years group. The supraspinatus tendon was the most frequently affected tendon (72%). Conclusions: Calcific tendonitis is the most common US-diagnosed disorder affecting patients in general practice, followed by subacromial-subdeltoid bursitis, tendinopathy, partial-and full-thickness tears and AC-osteoarthritis. Full-thickness tears were diagnosed significantly more frequently in patients >= 65 years, while ` no disorders' was more frequently reported in patients < 65 years. Our findings imply that patients can be stratified into diagnostic subgroups, allowing more tailored treatment than currently applied.

U2 - 10.1186/1471-2296-15-115

DO - 10.1186/1471-2296-15-115

M3 - Article

VL - 15

JO - BMC Family Practice

JF - BMC Family Practice

SN - 1471-2296

M1 - 115

ER -