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Is shoulder impingement syndrome a problem in otolaryngologists?
1Department of Otorhinolaryngology/Head and Neck Surgery, Southmead Hospital, Bristol, UK.
Clinical Otolaryngology and Allied Sciences
|March 21, 2002
Summary
Otolaryngologists experience higher rates of shoulder impingement syndrome than endocrinologists. This occupational shoulder problem may stem from specific surgical and examination postures common in otolaryngology.
Area of Science:
- Occupational Medicine
- Orthopedics
- Otolaryngology
Background:
- Shoulder problems are recognized occupational illnesses with increasing incidence.
- The specific occupational risks for otolaryngologists regarding shoulder impingement syndrome are not well-defined.
Purpose of the Study:
- To investigate if otolaryngologists have a higher susceptibility to shoulder impingement syndrome compared to a control group.
- To identify potential occupational factors contributing to shoulder impingement syndrome in otolaryngologists.
Main Methods:
- A postal questionnaire survey was administered to otolaryngologists and endocrinologists (control group).
- Response rates were 64.6% for otolaryngologists (367/556) and 65.7% for endocrinologists (138/210).
- Prevalence of impingement syndrome and history of injury/overuse were compared between groups.
Main Results:
- A significantly higher proportion of otolaryngologists (24.0%) reported suffering from impingement syndrome compared to endocrinologists (10.9%).
- Endocrinologists with impingement syndrome were more likely to report a history of injury or overuse.
- This suggests an occupational factor beyond direct injury or overuse contributes to impingement in otolaryngologists.
Conclusions:
- Otolaryngologists exhibit a significantly higher incidence of shoulder impingement syndrome.
- Continuous shoulder flexion and abduction during patient examination and surgery are potential contributing factors.
- Further research into ergonomic interventions for otolaryngologists is warranted to mitigate occupational shoulder risks.