Rotator cuff tendonitis in lymphedema: a retrospective case series.

Abstract:

OBJECTIVES:To report rotator cuff tendonitis as a complication of lymphedema and to discuss the possible etiology and treatment options. DESIGN:Retrospective review of 8 cases. SETTING:University hospital outpatient clinic. PARTICIPANTS:A total of 8 breast cancer patients with a history of lymphedema and ipsilateral shoulder pain. INTERVENTION:Patients with lymphedema and ipsilateral shoulder pain were diagnosed with rotator cuff tendonitis if all of the following 3 tests were positive: supraspinatus test, Neers impingement test, and Hawkins impingement test. Patients diagnosed with rotator cuff tendonitis were prescribed a nonsteroidal anti-inflammatory drug (NSAID) and physical therapy (PT). MAIN OUTCOME MEASURES:Improvement in symptoms of shoulder pain at a 4- to 6-week follow-up, as measured by visual analog scale (VAS). RESULTS:Seven of 8 patients reported a subjective decrease in their symptoms of shoulder pain at a 4- to 6-week follow-up. The average improvement in shoulder pain as measured by VAS was a 4.5-point decrease from the original pain score given. One of 8 patients had a full-thickness supraspinatus tendon tear and required additional decongestive therapy and PT to obtain relief of symptoms. CONCLUSIONS:Rotator cuff tendonitis is a complication of lymphedema caused by internal derangement of tendon fibers, which may be subject to impingement, functional overload, and intrinsic tendinopathy. Conservative treatment with NSAIDs and PT is a safe and effective treatment.

journal_name

Arch Phys Med Rehabil

authors

Herrera JE,Stubblefield MD

doi

10.1016/j.apmr.2004.06.065

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

1939-42

issue

12

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(04)01165-7

journal_volume

85

pub_type

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