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SHOULDER PAIN, ULTRASOUND CHANGES, AND FUNCTIONAL PERFORMANCE IN OBESE PATIENTS
Fabiana Alves Costa Menegassi1, Glaucus Cajaty Martins2, Zartur José Barcelos Menegassi3
1Instituto Nacional de Traumatologia e Ortopedia, Rio de Janeiro, RJ, Brazil.
Objective:
To evaluate the prevalence of shoulder pain, level of functional performance, and morphological involvement of the rotator cuff on ultrasound in morbidly obese patients.
Methods:
The study included 54 morbidly obese patients receiving follow-up care in a bariatric surgery outpatient clinic, which were compared with a control group consisting of 49 participants. Presence of shoulder pain, shoulder functional performance, ultrasound of the rotator cuff and blood tests were the parameters evaluated.
Results:
The obese group showed a greater incidence of shoulder pain (p < 0.0001; OR: 17.5), lower functional performance according to UCLA (p < 0.0001; OR: 7.5) and DASH scales (p < 0.0001) and a greater incidence of pathological ultrasound and c-reactive protein test changes (p < 0.0001).
Conclusions:
These findings suggest that being overweight is an important exacerbating factor for shoulder pain, lower shoulder functional performance and pathological changes of the rotator cuff and c-reactive protein test. Level of Evidence II, Cross-sectional study.
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