Document Detail

Peripheral paresthesia in patients with subacromial impingement syndrome.
MedLine Citation:
PMID:  17653559     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Some patients presenting with subacromial impingement syndrome complain of tingling and numbness radiating to hand. In the current literature, there is no description of such paresthesia being a part of the clinical picture of impingement syndrome. OBJECTIVE: This observational study aimed at looking whether these symptoms resolve with successful arthroscopic decompression of the impingement. MATERIAL AND METHODS: One hundred consecutive patients undergoing arthroscopic surgery were enlisted for the study. RESULTS: Fifty-four percent reported paresthesia during the course of the shoulder problem (63% of them had radial sided symptoms, 29.6% ulnar-sided symptoms and 7.4% involving all fingers). Significant association was observed between the occurrence of paresthesia and worst pain levels (P = 0.0053), age of the patient (P = 0.0104) and the acromial impingement grade (P = 0.0377). Nerve conduction studies done in seven patients (with paresthesia) selected by systematic random sampling did not show any significant attributable entrapment neuropathy. Up to 12 months follow-up, 48 of 54 (88%) had complete relief of pain and paresthesia and 50 (92.5%) were satisfied. CONCLUSION: Some patients with subacromial impingement syndrome report associated peripheral paresthesia radiating to hand, which is strongly associated with the age, pain level and the grade of impingement. In most (88%) of such cases, these symptoms are relieved after treatment of the impingment lesion. The incidence and aetiology of such paresthesia is the subject of further studies.
Manoj Sivan; Balachandran Venkateswaran; Hannan Mullett; Tirtza Even; Saleem Khan; Steven Copeland; Ofer Levy
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Publication Detail:
Type:  Journal Article     Date:  2007-07-25
Journal Detail:
Title:  Archives of orthopaedic and trauma surgery     Volume:  127     ISSN:  0936-8051     ISO Abbreviation:  Arch Orthop Trauma Surg     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-06     Completed Date:  2008-02-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011043     Medline TA:  Arch Orthop Trauma Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  609-12     Citation Subset:  IM    
Reading Shoulder Unit (RSU), Royal Berkshire Hospital, Reading, UK.
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MeSH Terms
Acromion / surgery*
Age Factors
Aged, 80 and over
Arthroscopy / statistics & numerical data
Middle Aged
Pain, Postoperative
Paresthesia / etiology,  surgery*
Prospective Studies
Shoulder Impingement Syndrome / complications,  surgery*

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