Abstract
ObjectiveTo study the shoulder of this group of patients using magnetic resonance imaging to detect clinical and subclinical disorders and establish a rehabilitation program.MethodsNine patients with spinal cord injury followed in the Laboratory of Biomechanics and Rehabilitation of the Locomotive System at HC/UNICAMP were divided into two groups according to the presence of paraplegia and tetraplegia and were clinically assessed for correlation with the imaging exams.ResultsNormal results were found in 41% of the shoulders. Most common injuries were tendinopathy of the supraspinatus and acromioclavicular joint degeneration. Eighty percent of injured shoulders had combined lesions.ConclusionA great variety of causes of shoulder pain was identified in paraplegic and tetraplegic subjects. Routine clinical assessment and imaging studies of the shoulder may contribute to the evolution of rehabilitation and reduction of pain and musculoskeletal disorders. Level of Evidence II, Development of Diagnostic Criteria on Consecutive Patients, With Universally Applied Reference "Gold" Standard.
Highlights
The increasing number of automobile accidents and the spread of violence in the urban areas of metropolitan areas has brought about a rise in the incidence of trauma in the general population.[1]
Shoulder pain was present in 77.7% of all the patients, appearing in 50% of group A and 100% of group B. (Table 2) Of the paraplegics, 25% presented bilateral pain while 40% of the tetraplegics had the same complaint
One patient belonged to the group of the paraplegics and presented a scar in the anterolateral region of the left upper limb relating to an automobile accident, while the other belonged to the tetraplegics group and presented dry, scaly skin in the thoracic region
Summary
The increasing number of automobile accidents and the spread of violence in the urban areas of metropolitan areas has brought about a rise in the incidence of trauma in the general population.[1]. Whether musculoarticular or neuropathic, as one the most prevalent complaints in spinal cord injured subjects and, separately, this condition shows strong correlation with the limitation of patient productivity and independence.[10]
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