SHOULDER PAIN, ULTRASOUND CHANGES, AND FUNCTIONAL PERFORMANCE IN OBESE PATIENTS

ABSTRACT Objective: To evaluate the prevalence of shoulder pain, level of functional performance, and morphological involvement of the rotator cuff on ultrasound in morbidly obese patients. Methods: The study included 54 morbidly obese patients receiving follow-up care in a bariatric surgery outpat...

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Main Authors: Fabiana Alves Costa Menegassi, Glaucus Cajaty Martins, Zartur José Barcelos Menegassi, Sérgio Augusto Lopes de Souza, Bianca Gutfilen, Fábio Ramos Costa
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2025-01-01
Series:Acta Ortopédica Brasileira
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522024000601400&lng=en&tlng=en
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Summary:ABSTRACT Objective: To evaluate the prevalence of shoulder pain, level of functional performance, and morphological involvement of the rotator cuff on ultrasound in morbidly obese patients. Methods: The study included 54 morbidly obese patients receiving follow-up care in a bariatric surgery outpatient clinic, which were compared with a control group consisting of 49 participants. Presence of shoulder pain, shoulder functional performance, ultrasound of the rotator cuff and blood tests were the parameters evaluated. Results: The obese group showed a greater incidence of shoulder pain (p < 0.0001; OR: 17.5), lower functional performance according to UCLA (p < 0.0001; OR: 7.5) and DASH scales (p < 0.0001) and a greater incidence of pathological ultrasound and c-reactive protein test changes (p < 0.0001). Conclusions: These findings suggest that being overweight is an important exacerbating factor for shoulder pain, lower shoulder functional performance and pathological changes of the rotator cuff and c-reactive protein test. Level of Evidence II, Cross-sectional study.
ISSN:1413-7852