Annals of Clinical and Laboratory Research

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The Relationship between Cervical and Lumbar Pathologies with Rotator Cuff Dysfunction

Abdurrahman Çetin

Aim: The purpose of this study is to determine the relation of shoulder pain with lower back and neck pain and to highlight that rotator cuff muscle group (RTC) dysfunction must also be taken into consideration in addition to cervical pathologies in patients admitting with arm pain.

Materials and methods: Two-hundred twelve patients with shoulder pain between June 2018 and September 2018 were retrospectively analysed. Among the patients who applied to the polyclinic with shoulder pain, those diagnosed with RTC pathologic pathology were considered as Group 1 and the patients without pathologic pathology in the shoulder were considered as Group 2. Student T, Chi-square and Pearson Correlation tests were used for variables. p<0.05 was considered as significance level for statistical analyses.

Results: The mean age of the patients with shoulder pain was 44.08 ± 11.86. Shoulder pathology was detected in 167 patients (78.8%) and there was no pathology in 45 patients (21.2%). Pathology in RTC muscle groups was most common in the supraspinatus muscle (81%). The most common pathology type in RTC muscle groups was tendinitis (79.2%). Among 212 patients, 179 of them female and 33 were male. Shoulder pathology was also detected in 55.7% of the patients with cervical pathology (p<0.001).

Conclusion: Pathology in RTC muscle groups was most prevalent in supraspinatus and the most common pathology was tendinitis. The mean age of the patients with pathology was greater than the patients without pathology. Shoulder pathology were associated with cervical pathology, however, there was no relation with lumbar pathology.