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Rotator cuff tendonitis in lymphedema: a retrospective case series.

Identifieur interne : 003A41 ( PubMed/Checkpoint ); précédent : 003A40; suivant : 003A42

Rotator cuff tendonitis in lymphedema: a retrospective case series.

Auteurs : Joseph E. Herrera [États-Unis] ; Michael D. Stubblefield

Source :

RBID : pubmed:15605330

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English descriptors

Abstract

To report rotator cuff tendonitis as a complication of lymphedema and to discuss the possible etiology and treatment options.

PubMed: 15605330


Affiliations:


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pubmed:15605330

Le document en format XML

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<title xml:lang="en">Rotator cuff tendonitis in lymphedema: a retrospective case series.</title>
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<name sortKey="Herrera, Joseph E" sort="Herrera, Joseph E" uniqKey="Herrera J" first="Joseph E" last="Herrera">Joseph E. Herrera</name>
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<nlm:affiliation>New York-Presbyterian Hospital and Hospitals of Columbia and Cornell, New York, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
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<name sortKey="Stubblefield, Michael D" sort="Stubblefield, Michael D" uniqKey="Stubblefield M" first="Michael D" last="Stubblefield">Michael D. Stubblefield</name>
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<term>Combined Modality Therapy</term>
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<term>Anti-Inflammatory Agents, Non-Steroidal</term>
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<term>Breast Neoplasms</term>
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<term>Shoulder Pain</term>
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<term>Tendinopathy</term>
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<term>Coiffe des rotateurs</term>
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<term>Lymphedema</term>
<term>Rotator Cuff</term>
<term>Shoulder Pain</term>
<term>Tendinopathy</term>
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<div type="abstract" xml:lang="en">To report rotator cuff tendonitis as a complication of lymphedema and to discuss the possible etiology and treatment options.</div>
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<Month>01</Month>
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<Day>18</Day>
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<Title>Archives of physical medicine and rehabilitation</Title>
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<ArticleTitle>Rotator cuff tendonitis in lymphedema: a retrospective case series.</ArticleTitle>
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<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To report rotator cuff tendonitis as a complication of lymphedema and to discuss the possible etiology and treatment options.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Retrospective review of 8 cases.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">University hospital outpatient clinic.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">A total of 8 breast cancer patients with a history of lymphedema and ipsilateral shoulder pain.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">Patients with lymphedema and ipsilateral shoulder pain were diagnosed with rotator cuff tendonitis if all of the following 3 tests were positive: supraspinatus test, Neers impingement test, and Hawkins impingement test. Patients diagnosed with rotator cuff tendonitis were prescribed a nonsteroidal anti-inflammatory drug (NSAID) and physical therapy (PT).</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Improvement in symptoms of shoulder pain at a 4- to 6-week follow-up, as measured by visual analog scale (VAS).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="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.</AbstractText>
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