Shoulder pain is the third most common musculoskeletal pain complaint in the world with an incidence of 7-30%. Subacromial impingement syndrome (SIS) is the most common cause of shoulder pain. Imaging in impingement syndrome is usually based on different imaging modalities. X-ray, magnetic resonance imaging (MRI) and ultrasound are the most commonly used, and MRI is considered by many authors to be the most reliable imaging modality for evaluation of the rotator cuff because it allows evaluation of soft tissues as well as bony abnormalities such as subacromial osteophytes and acromioclavicular joint capsular hypertrophy. MRI allows the diagnosis of rotator cuff tears with greater interobserver reliability than ultrasound in assessing tear size, retraction and atrophy. Few studies have investigated the impact of pathologic findings on MRI on the degree of symptoms and functional impairment seen in these patients. The aim of this study was to investigate the relationship between shoulder pain and function and MRI findings in patients with subacromial impingement syndrome.
To be between the ages of 18-65
Shoulder pain for at least six weeks
Presence of a rheumatologic disease,
Presence of neurological disease
Pregnancy
Symptomatic osteoarthritis of the shoulder, shoulder instability, pathologies of the tendon of the long head of the biceps, glenoid injuries and partial tears greater than 3 mm and full-thickness tears of the rotator cuff
Patients with subacromial impingement syndrome.
Case-only
Cross-sectional
Not listed
Pain
Pain Assessment: The visual analog scale is a one-dimensional measure of pain intensity and is widely used in adult populations, including rheumatologic patients. It can be used horizontally or vertically. The patient marks their pain on a 10 cm ruler with no pain at one end and the most severe pain at the other. Patients are asked to rank their pain intensity on a 10-point scale, where 0 = no pain, 5 = moderate pain and 10 = unbearable pain. In this method, the patient is told that there are two extremes and that they are free to mark any point in between. A higher value indicates more severe pain.
Function
Functional assessment: All groups will be assessed for shoulder function using the Shoulder Pain and Disability Index. The Shoulder Pain and Disability Index includes two dimensions, one for pain and one for functional activities. Patients are asked to describe the extent of their shoulder problems by marking a number on a scale from zero (no pain or disability) to ten (maximum pain and disability) for each item. The results from each subscale are then summed and converted into a score out of 100. A minimum score of 0 and a maximum score of 100 can be obtained. The higher the final score, the greater the shoulder pain, impairment or disability.
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