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Correlation between the Rotator Cuff Disease Type and the Adhesive Capsulitis Development Time

  • Journal of Korean Medicine Rehabilitation
  • Abbr : JKMR
  • 2014, 24(1), pp.77-82
  • Publisher : The Korean Academy Of Oriental Rehabilitation Medicine
  • Research Area : Medicine and Pharmacy > Korean Medicine

허광호 1 Chang-Hyung Lee ORD ID 2 민지홍 3 김수연 3 박예진 3 구본일 3 김상훈 3 신용일 3 Hwang Eui-hyoung 2

1부산대학교 한의학전문대학원
2부산대학교
3부산대학교 의학전문대학원 재활의학교실

Accredited

ABSTRACT

Objectives Adhesive capsulitis (AC) is a restricted shoulder range of motion. Rotator cuff disease (RCD) has been believed to be a major etiologic factor of AC, however, how soon is the development time from RCD to AC (DTRA) has not been elucidated. The purpose of our study was to evaluate the correlation between the ultrasonographic characteristics of RCD and the DTRA. Methods Total 40 patients who were diagnosed as AC were recruited. The clinical characteristics of RCD were diagnosed by ultrasonography and classified with the Southern California Orthopedic Institute for Rotator Cuff Classification. The correlation was analyzed with Mann-Whitney U test and one-way analysis of variance. Results 60% of full thickness tear and 40% of partial thickness tear patients (10 male and 30 female, mean age of 54.0±8.4 years) and 38% of bursitis and 21% of neovascularization were observed. The mean value of DTRA was 74.8±131.3 days. There were no correlation between DTRA and gender (p=0.63), location of the partial tear (p=0.63), the severity of the partial thickness tear (p=0.63), full thickness tear (p=0.66) and completeness of the tear (p=0.16). The presence of bursitis or neovascularization was not associated with DTRA (p=0.60, p=0.61). Conclusions Although RCD is a major etiologic factor of AC, the severity, the type of RCD and the presence of bursitis and neovascularization were not statistically correlated with the DTRA in our study. Comprehensive consideration about etiologic factor analysis of AC will be needed with prospective study design for future study.

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