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
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This work was supported by the Douglas T. Harryman JI/DePuy Endowed Chair for Shoulder Research at the University of Washington.