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Volume 24, Issue 104, July - August, 2020

Clinical presentations and imaging features of shoulder periarthritis: An observation in a Vietnamese traditional medicine hospital

Pham Hong Van1, Nguyen Tien Chung2, Huynh Quang Huy3♦, Hoang Huyen Cham2, Dau Xuan Canh2

1Introduce National Hospital of Acupuncture, Hanoi, Vietnam.
2Vietnam University Of Traditional Medicine, Ha Noi, Vietnam.
3Radiology department, Pham Ngoc Thach University of Medicine, Ho Chi Minh city, Vietnam

♦Corresponding author
Radiology department, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam; Email: huyhq@pnt.edu.vn

ABSTRACT

Objectives: This study aims to explore the clinical presentation, X-ray features, and ultrasound characteristics of shoulder periarthritis. Methods: We prospectively analyzed 60 patients in Tue Tinh hospital who were diagnosed periarthritis of the shoulder according to the Boissier 1992 criteria during October 2017 and June 2018. This is a cross-sectional study. The variables include age, sex, time of onset, inflammation position, X-ray finding (shoulder osteoarthritis), ultrasound features (joint effusion/calcification/ inflammation). All patients were performed ultrasound and X-ray at the shoulder. Results: Periarthritis was more common in females than males. The sex ratio was female: the male was 2/1. Most of the cases have occurred in patients more than 50 years old. Neer and Hawkins test was positive in most of the cases, while Gerber and Patte test was in the low rate of positive. Ultrasound detects the periarthritis of the shoulder more sensitively than X-ray does. Regardless of the location of inflammation: tibial tendons accounted for the highest proportion, followed by the patient having pain points under the shoulders. Conclusion: Clinical presentation of periarthritis is not specificity for diagnosis. Ultrasound and X-ray play an important role in detecting and follow-up disease progress.

Keywords: clinics, imaging, diagnosis, periarthritis, shoulder

Medical Science, 2020, 24(104), 1936-1941
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