Original articleDeficits in shoulder function and general health associated with sixteen common shoulder diagnoses: A study of 2674 patients
Section snippets
Study population
In January 1991 the senior author established a registry of all new shoulder patients seen in his office. All patients had a history, a physical examination, and radiographs. Shoulders suspected of having cuff pathology were imaged by either magnetic resonance imaging or ultrasound performed by specially trained shoulder sonographers. Because in our center the accuracy of the two techniques is essentially the same, the choice was made largely on the basis of patient convenience. Each patient
Results
Table II shows the 16 diagnoses, the number of patients with each diagnosis, the mean and SD values for patient age, and the gender distribution. The data in this table suggest that those patients with instability characteristically present to specialists around age 20 to 35 years. Patients with full-thickness cuff tears present 15 years later than those with partial cuff lesions; those with cuff tear arthropathy present 13 years later than those with full-thickness cuff tears. Interestingly,
Discussion
This is the most extensive reported investigation of the self-assessed functional and health status deficits of patients with disorders of the shoulder. It clearly demonstrates the profound deficits in substantial numbers of patients having 1 of 16 common shoulder diagnoses. The combination of the SST, a shoulder-specific functional inventory, and the SF-36, a general health status assessment, provide both local and systemic evaluations of the patient, as is recommended by Beaton and Richards3
References (39)
- et al.
The effect of total shoulder arthroplasty on self-assessed health status is comparable to that of total hip arthroplasty and coronary artery bypass grafting
J Shoulder Elbow Surg
(2003) - et al.
Shoulder impingement syndromepreoperative health status
J Shoulder Elbow Surg
(2000) - et al.
Self-assessment questionnaires document substantial variability in the clinical expression of rotator cuff tears
J Shoulder Elbow Surg
(1999) - et al.
Self-assessment of general health status in patients with five common shoulder conditions
J Shoulder Elbow Surg
(1998) - et al.
The magnitude and durability of functional improvement after total shoulder arthroplasty for degenerative joint disease
J Shoulder Elbow Surg
(2001) - et al.
Characteristics of unsatisfactory shoulder arthroplasties
J Shoulder Elbow Surg
(2002) - et al.
Coping with long-term musculoskeletal pain and its consequencesis gender a factor?
Pain
(1994) - et al.
Patient self-assessment of health status and function in glenohumeral degenerative joint disease
J Shoulder Elbow Surg
(1995) - et al.
American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, patient self-report sectionreliability, validity, and responsiveness
J Shoulder Elbow Surg
(2002) Arthroscopic capsular release for stiff shoulderseffect of etiology on outcomes
Arthroscopy
(2003)
A prospective, multipractice study of shoulder function and health status in patients with documented rotator cuff tears
J Shoulder Elbow Surg
Evaluation of the construct validity of the DASH questionnaire by correlation to the SF-36
J Hand Surg [Am]
Do shoulder patients insured by workers’ compensation present with worse self-assessed function and health status?
J Shoulder Elbow Surg
Neck and shoulder pain in 70- to 79-year-old men and womenfindings from the Health, Aging and Body Composition Study
Spine J
Outcome of rotator cuff repair
J Shoulder Elbow Surg
Capsulolabral augmentation for the management of posteroinferior instability of the shoulder
J Bone Joint Surg Am
Primary care patients with musculoskeletal pain. Value of health-status and sense-of-coherence measures in predicting long-term work disability
Scand J Rheumatol
Measuring function of the shoulder. A cross-sectional comparison of five questionnaires
J Bone Joint Surg Am
A survey on pain complaints and health care utilization in a German population sample
Eur J Anaesthesiol
Cited by (76)
A scoping review and best evidence synthesis for treatment of partial-thickness rotator cuff tears
2024, Journal of Shoulder and Elbow SurgeryCervical sensitivity, range of motion and strength in individuals with shoulder pain: A cross-sectional case control study
2023, Musculoskeletal Science and PracticeReproducibility of Exercise Interventions in Randomized Controlled Trials for the Treatment of Rotator Cuff-Related Shoulder Pain: A Systematic Review
2023, Archives of Physical Medicine and RehabilitationEarlier Return to Light Duty Is Associated With Successful Return to Full Duty of Workers’ Compensation Patients Treated With Shoulder Arthroscopic Surgery
2022, Arthroscopy, Sports Medicine, and RehabilitationShoulder Surgery as an Effective Treatment for Shoulder-Related Sleep Disturbance: A Systematic Review
2022, Arthroscopy - Journal of Arthroscopic and Related Surgery
This work was supported by the Douglas T. Harryman JI/DePuy Endowed Chair for Shoulder Research at the University of Washington.