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Shoulder pain syndrome among Nigerians
O O Adelowo1, S Oguntona, O Ojo
1Department of Medicine, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria.
East African Medical Journal
|January 21, 2010
Summary
Shoulder pain syndrome is prevalent in Nigeria, with adhesive capsulitis being the most frequent cause. Management relies on clinical assessment due to diagnostic limitations and cost of advanced imaging.
Area of Science:
- Rheumatology
- Orthopedics
- Epidemiology
Background:
- Shoulder pain syndrome presents a significant clinical challenge in rheumatology.
- Identifying etiological causes and therapeutic strategies is crucial for patient outcomes.
Purpose of the Study:
- To determine the causes of shoulder pain syndrome in Nigerian patients.
- To outline available therapeutic options for shoulder pain.
Main Methods:
- Retrospective study conducted at a private rheumatology clinic in Lagos, Nigeria (2002-2006).
- Involved 66 adult patients (40 female, 26 male) aged 24-79 years.
- Assessed patient-reported outcomes including pain relief and mobility.
Main Results:
- Adhesive capsulitis was the most common diagnosis (66 subjects).
- Septic arthritis and avascular necrosis were the least diagnosed conditions.
- 22.7% of subjects could not be categorized, indicating diagnostic challenges.
Conclusions:
- Shoulder pain syndrome is common in the Nigerian population.
- Clinical presentation is key for diagnosis, given limitations of plain radiographs and high MRI costs.
- Standard treatment protocols are generally applied for diagnosed conditions.
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