Rotator cuff tendonitis in lymphedema: A retrospective case series
Identifieur interne : 008D04 ( Main/Exploration ); précédent : 008D03; suivant : 008D05Rotator cuff tendonitis in lymphedema: A retrospective case series
Auteurs : Joseph E. Herrera [États-Unis] ; Michael D. Stubblefield [États-Unis]Source :
- Archives of physical medicine and rehabilitation [ 0003-9993 ] ; 2004.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Anti-inflammatoires non stéroïdiens (usage thérapeutique), Association thérapeutique, Coiffe des rotateurs (physiopathologie), Femelle, Humains, Lymphoedème (), Lymphoedème (physiopathologie), Mesure de la douleur, Résultat thérapeutique, Scapulalgie (), Scapulalgie (physiopathologie), Sujet âgé, Sujet âgé de 80 ans ou plus, Techniques de physiothérapie, Tendinopathie (), Tendinopathie (diagnostic), Tendinopathie (physiopathologie), Tumeurs du sein (), Études rétrospectives.
- MESH :
- diagnostic : Tendinopathie.
- physiopathologie : Coiffe des rotateurs, Lymphoedème, Scapulalgie, Tendinopathie.
- usage thérapeutique : Anti-inflammatoires non stéroïdiens.
- Pascal (Inist)
- Adulte d'âge moyen, Association thérapeutique, Femelle, Humains, Lymphoedème, Mesure de la douleur, Résultat thérapeutique, Scapulalgie, Sujet âgé, Sujet âgé de 80 ans ou plus, Techniques de physiothérapie, Tendinopathie, Tumeur maligne, Déchirure, Tendinite, Coiffe rotateur, Lymphoedème, Compte rendu, Complication, Etiologie, Traitement, Conception, Etude longitudinale, Tumeurs du sein, Université, Hôpital, Ambulatoire, Glande mammaire, Homme, Historique, Homolatéral, Cancer du sein, Impaction, Score, Études rétrospectives.
- Wicri :
- topic : Université, Homme, Historique.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Ambulatory, Anti-Inflammatory Agents, Non-Steroidal (therapeutic use), Break, Breast Neoplasms (complications), Breast cancer, Case history, Combined Modality Therapy, Complication, Design, Etiology, Female, Follow up study, Hospital, Human, Humans, Impingement, Ipsilateral, Lymphedema, Lymphedema (complications), Lymphedema (physiopathology), Malignant tumor, Mammary gland, Middle Aged, Pain Measurement, Physical Therapy Modalities, Report, Retrospective Studies, Rotator Cuff (physiopathology), Rotator cuff, Score, Shoulder Pain (complications), Shoulder Pain (physiopathology), Tendinitis, Tendinopathy (diagnosis), Tendinopathy (physiopathology), Tendinopathy (therapy), Treatment, Treatment Outcome, University.
- MESH :
- chemical , therapeutic use : Anti-Inflammatory Agents, Non-Steroidal.
- complications : Breast Neoplasms, Lymphedema, Shoulder Pain.
- diagnosis : Tendinopathy.
- physiopathology : Lymphedema, Rotator Cuff, Shoulder Pain, Tendinopathy.
- therapy : Tendinopathy.
- Aged, Aged, 80 and over, Combined Modality Therapy, Female, Humans, Middle Aged, Pain Measurement, Physical Therapy Modalities, Retrospective Studies, Treatment Outcome.
Abstract
Objectives: To report rotator cuff tendonitis as a complication of lymphedema and to discuss the possible etiology and treatment options. Design: Retrospective review of 8 cases. Setting: University hospital outpatient clinic. Participants: A total of 8 breast cancer patients with a history of lymphedema and ipsilateral shoulder pain. Intervention: Patients with lymphedema and ipsilateral shoulder pain were diagnosed with rotator cuff tendonitis if all of the following 3 tests were positive: supraspinatus test, Neer's impingement test, and Hawkin's impingement test. Patients diagnosed with rotator cuff tendonitis were prescribed a nonsteriodal anti-inflammatory drug (NSAID) and physical therapy (PT). Main Outcome Measures: Improvement in symptoms of shoulder pain at a 4- to 6-week follow-up, as measured by visual analog scale (VAS). Results: Seven of 8 patients reported a subjective decrease in their symptoms of shoulder pain at a 4- to 6-week follow-up. The average improvement in shoulder pain as measured by VAS was a 4.5-point decrease from the original pain score given. One of 8 patients had a full-thickness supraspinatus tendon tear and required additional decongestive therapy and PT to obtain relief of symptoms. Conclusions: Rotator cuff tendonitis is a complication of lymphedema caused by internal derangement of tendon fibers, which may be subject to impingement, functional overload, and intrinsic tendinopathy. Conservative treatment with NSAIDs and PT is a safe and effective treatment.
Affiliations:
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Le document en format XML
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Ambulatory</term>
<term>Anti-Inflammatory Agents, Non-Steroidal (therapeutic use)</term>
<term>Break</term>
<term>Breast Neoplasms (complications)</term>
<term>Breast cancer</term>
<term>Case history</term>
<term>Combined Modality Therapy</term>
<term>Complication</term>
<term>Design</term>
<term>Etiology</term>
<term>Female</term>
<term>Follow up study</term>
<term>Hospital</term>
<term>Human</term>
<term>Humans</term>
<term>Impingement</term>
<term>Ipsilateral</term>
<term>Lymphedema</term>
<term>Lymphedema (complications)</term>
<term>Lymphedema (physiopathology)</term>
<term>Malignant tumor</term>
<term>Mammary gland</term>
<term>Middle Aged</term>
<term>Pain Measurement</term>
<term>Physical Therapy Modalities</term>
<term>Report</term>
<term>Retrospective Studies</term>
<term>Rotator Cuff (physiopathology)</term>
<term>Rotator cuff</term>
<term>Score</term>
<term>Shoulder Pain (complications)</term>
<term>Shoulder Pain (physiopathology)</term>
<term>Tendinitis</term>
<term>Tendinopathy (diagnosis)</term>
<term>Tendinopathy (physiopathology)</term>
<term>Tendinopathy (therapy)</term>
<term>Treatment</term>
<term>Treatment Outcome</term>
<term>University</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Anti-inflammatoires non stéroïdiens (usage thérapeutique)</term>
<term>Association thérapeutique</term>
<term>Coiffe des rotateurs (physiopathologie)</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème ()</term>
<term>Lymphoedème (physiopathologie)</term>
<term>Mesure de la douleur</term>
<term>Résultat thérapeutique</term>
<term>Scapulalgie ()</term>
<term>Scapulalgie (physiopathologie)</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Techniques de physiothérapie</term>
<term>Tendinopathie ()</term>
<term>Tendinopathie (diagnostic)</term>
<term>Tendinopathie (physiopathologie)</term>
<term>Tumeurs du sein ()</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Inflammatory Agents, Non-Steroidal</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Breast Neoplasms</term>
<term>Lymphedema</term>
<term>Shoulder Pain</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Tendinopathy</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Tendinopathie</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Coiffe des rotateurs</term>
<term>Lymphoedème</term>
<term>Scapulalgie</term>
<term>Tendinopathie</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Lymphedema</term>
<term>Rotator Cuff</term>
<term>Shoulder Pain</term>
<term>Tendinopathy</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Tendinopathy</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Anti-inflammatoires non stéroïdiens</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Combined Modality Therapy</term>
<term>Female</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Pain Measurement</term>
<term>Physical Therapy Modalities</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Association thérapeutique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lymphoedème</term>
<term>Mesure de la douleur</term>
<term>Résultat thérapeutique</term>
<term>Scapulalgie</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Techniques de physiothérapie</term>
<term>Tendinopathie</term>
<term>Tumeur maligne</term>
<term>Déchirure</term>
<term>Tendinite</term>
<term>Coiffe rotateur</term>
<term>Lymphoedème</term>
<term>Compte rendu</term>
<term>Complication</term>
<term>Etiologie</term>
<term>Traitement</term>
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<term>Etude longitudinale</term>
<term>Tumeurs du sein</term>
<term>Université</term>
<term>Hôpital</term>
<term>Ambulatoire</term>
<term>Glande mammaire</term>
<term>Homme</term>
<term>Historique</term>
<term>Homolatéral</term>
<term>Cancer du sein</term>
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<front><div type="abstract" xml:lang="en">Objectives: To report rotator cuff tendonitis as a complication of lymphedema and to discuss the possible etiology and treatment options. Design: Retrospective review of 8 cases. Setting: University hospital outpatient clinic. Participants: A total of 8 breast cancer patients with a history of lymphedema and ipsilateral shoulder pain. Intervention: Patients with lymphedema and ipsilateral shoulder pain were diagnosed with rotator cuff tendonitis if all of the following 3 tests were positive: supraspinatus test, Neer's impingement test, and Hawkin's impingement test. Patients diagnosed with rotator cuff tendonitis were prescribed a nonsteriodal anti-inflammatory drug (NSAID) and physical therapy (PT). Main Outcome Measures: Improvement in symptoms of shoulder pain at a 4- to 6-week follow-up, as measured by visual analog scale (VAS). Results: Seven of 8 patients reported a subjective decrease in their symptoms of shoulder pain at a 4- to 6-week follow-up. The average improvement in shoulder pain as measured by VAS was a 4.5-point decrease from the original pain score given. One of 8 patients had a full-thickness supraspinatus tendon tear and required additional decongestive therapy and PT to obtain relief of symptoms. Conclusions: Rotator cuff tendonitis is a complication of lymphedema caused by internal derangement of tendon fibers, which may be subject to impingement, functional overload, and intrinsic tendinopathy. Conservative treatment with NSAIDs and PT is a safe and effective treatment.</div>
</front>
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