Tender point examination with palpation in different shoulder pathologies: A retrospective study

• Published in: Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 2022-03, Vol.27 (2), p.366-371
• Main Authors: Uysal, Özgün, Demirci, Serdar, Kara, Dilara, Yıldız, Taha İbrahim, Sevinç, Ceyda, Eraslan, Leyla Sümeyye, Turgut, Elif, Huri, Gazi, Turhan, Egemen, Atay, Özgür Ahmet, Düzgün, İrem
• Format: Article
• Language: English
• Subjects: Arthroscopy; Humans; Palpation; Retrospective Studies; Rotator Cuff Injuries - complications; Rotator Cuff Injuries - diagnosis; Shoulder; Shoulder Pain - diagnosis; Shoulder Pain - etiology
• ISSN: 0949-2658; 1436-2023
• DOI: 10.1016/j.jos.2020.12.015

Shoulder pain is a common symptom for non-traumatic shoulder pathologies and affects 4.7–66.7% of entire population. Even with the latest technological advantages, palpation still is a cost and time efficient tool to evaluate the shoulder pathologies. Our aim was to investigate and compare palpation findings in different shoulder pathologies. We used first assessments of impingement syndrome (IS) (n = 205), rotator cuff tear (RCT) (n = 185) and frozen shoulder (FS) (n = 210) patients who received treatment between 2010 and 2019 years. Two experienced physiotherapists palpated predefined points: long head of biceps brachii, pectoralis minor, lateral intermuscular septum, proximal tendons of extensor group. These points categorized into “proximal”, “mid-proximal”, “mid-distal”, “distal”, “irregular”. We also grouped patients by their BMIs. We found RCT patients had higher BMI than IS and FS patients (p