Characteristic MRI findings of shoulder, elbow, and wrist joints in wheelchair user.
Extremity
MRI
Overuse
Wheelchair user
Journal
Skeletal radiology
ISSN: 1432-2161
Titre abrégé: Skeletal Radiol
Pays: Germany
ID NLM: 7701953
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
11
05
2020
accepted:
09
07
2020
revised:
08
07
2020
pubmed:
24
7
2020
medline:
25
6
2021
entrez:
24
7
2020
Statut:
ppublish
Résumé
Wheelchair users frequently utilize their upper extremities for moving around in their daily life. Therefore, it is likely they may develop conditions of overuse in their joints, which could affect their activity and daily life. The purpose of this study is to clarify the actual conditions of the joints of wheelchair users using MRI. Twenty-five wheelchair users and twenty able-bodied control volunteers participated in this study. We scanned MRI images of their right and left shoulders, elbows, and wrists. Two radiologists interpreted the images and made diagnoses for each of the joints. The number of diseases for each joint was compared between wheelchair users and able-bodied volunteers. The number of supraspinatus tendon tears was higher in wheelchair users than controls in the right (Rt.) (P < 0.05), left (Lt.) (P < 0.05), and bilateral (Bil.) (P < 0.05) shoulders. The number of elbow LP lesions (Rt. (P < 0.01), Lt. (P < 0.01), and Bil. (P < 0.05)) and the number of elbow lateral epicondylitis cases (Rt. [P < 0.05] and Lt. [P < 0.05]) were also higher in wheelchair users than that of control volunteers. Additionally, the number of wrist TFCC injuries in wheelchair users (Rt. [P < 0.01], Lt. [P < 0.01], and Bil. [P < 0.01]) was more than that of control volunteers. Our results suggest that there are several types of overuse injury in each joint. However, we hypothesize that these are not induced by driving wheelchairs, but instead by the "push up" movement characteristic for wheelchair users, according to the situations caused by each injury.
Identifiants
pubmed: 32699953
doi: 10.1007/s00256-020-03545-2
pii: 10.1007/s00256-020-03545-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
171-178Commentaires et corrections
Type : ErratumIn
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