IMAGING FINDINGS OF COMMON MUSCULOSKELETAL DISORDERS: EXCERPT FROM A PAKISTANI TERTIARY CARE HOSPITAL
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Keywords
De Quervain's tenosynovitis, lateral epicondylitis, plantar fasciitis, imaging
Abstract
Background: Musculoskeletal disorders prevail commonly and affect a large number of people globally. They are major contributors to global disability and out-of-office workdays. The most common sites that undergo repeated stress and experience musculoskeletal problems are the wrist, elbow, and heel.
Objective: To determine the frequency of common musculoskeletal disorders like De Quervain's tenosynovitis, lateral epicondylitis, and plantar fasciitis.
Methods: This observational, cross-sectional study was conducted at a tertiary care hospital in Karachi, Pakistan. Patients of any gender, aged between 20 to 60 years, who presented to the orthopedic or radiology department and were diagnosed with either De Quervain's tenosynovitis, lateral epicondylitis, or plantar fasciitis were enrolled in the study. Clinically relevant diagnostic tests, such as the Cozen's test or the Finkelstein test, were performed. Findings from imaging tests, including X-ray, ultrasound, and MRI, were also recorded. Data collection was conducted using a study proforma.
Results: A total of 42 patients were enrolled in our study, with an equal distribution of male and female participants and a mean age of 43 ± 8.5 years. Among the 42 participants, 18 (42%) were diagnosed with De Quervain’s tenosynovitis, 14 (33%) had lateral epicondylitis, and 10(23%) were diagnosed with plantar fasciitis. De Quervain’s tenosynovitis predominantly affected females, while lateral epicondylitis was more common among males. The prevalence of these diagnoses was higher among patients aged 40 and above.
Conclusion: Musculoskeletal disorders like De Quervain’s tenosynovitis, plantar fasciitis, and lateral epicondylitis are common conditions presented with varying imaging findings. Prompt and early diagnosis of these diseases can lead to improved recovery, a reduced number of days missed from work, and preventing unnecessary burden on the healthcare system.
References
2. Sheon RP, Moskowitz RW, Goldberg VM. Soft tissue rheumatic pain: recognition, management, prevention. Soft tissue rheumatic pain: recognition, management, prevention1987. p. 332-.
3. Hubbard MJ, Hildebrand BA, Battafarano MM, Battafarano DF. Common Soft Tissue Musculoskeletal Pain Disorders. Prim Care. 2018;45(2):289-303.
4. Walker-Bone KE, Palmer KT, Reading I, Cooper C. Soft-tissue rheumatic disorders of the neck and upper limb: prevalence and risk factors. InSeminars in arthritis and rheumatism 2003 Dec 1 (Vol. 33, No. 3, pp. 185-203).
5. Thomas MJ, Roddy E, Zhang W, Menz HB, Hannan MT, Peat GM. The population prevalence of foot and ankle pain in middle and old age: a systematic review. Pain. 2011;152(12):2870-80.
6. Papa JA. Conservative management of De Quervain’s stenosing tenosynovitis: a case report. The Journal of the Canadian Chiropractic Association. 2012 Jun;56(2):112.
7. Chien AJ, Jacobson JA, Martel W, Kabeto MU, Marcantonio DR. Focal radial styloid abnormality as a manifestation of de Quervain tenosynovitis. AJR Am J Roentgenol. 2001;177(6):1383-6.
8. Hetaimish B, Bossei A, Turkstani G, Al-Jezani K, Al-Motairi K. Prevalence of De-Quervain’s Tenosynovitis Among Medical Professionals. Middle East Journal of Family Medicine. 2020;7(10):125.
9. Ahmed N, Iftikhar HY, Javed R, Warda T, Samad S. Occurrence of De Quervain’s Tenosynovitis and its association with Short Message Service Texting Habit: A cross-sectional Study in the General Population of Karachi, Pakistan. Int Arch BioMed Clin Res. 2019;5(1):07-11.
10. Sanders TL, Jr., Maradit Kremers H, Bryan AJ, Ransom JE, Smith J, Morrey BF. The epidemiology and health care burden of tennis elbow: a population-based study. Am J Sports Med. 2015;43(5):1066-71.
11. Descatha A, Albo F, Leclerc A, Carton M, Godeau D, Roquelaure Y, et al. Lateral Epicondylitis and Physical Exposure at Work? A Review of Prospective Studies and Meta-Analysis. Arthritis Care Res (Hoboken). 2016;68(11):1681-7.
12. Keijsers R, de Vos RJ, Kuijer PPF, van den Bekerom MP, van der Woude HJ, Eygendaal D. Tennis elbow. Shoulder Elbow. 2019;11(5):384-92.
13. Speers CJ, Bhogal GS, Collins R. Lateral elbow tendinosis: a review of diagnosis and management in general practice. British Journal of General Practice. 2018;68(676):548-9.
14. Riddle DL, Pulisic M, Pidcoe P, Johnson RE. Risk factors for Plantar fasciitis: a matched case-control study. J Bone Joint Surg Am. 2003;85(5):872-7.
15. David JA, Sankarapandian V, Christopher PR, Chatterjee A, Macaden AS. Injected corticosteroids for treating plantar heel pain in adults. Cochrane Database of Systematic Reviews. 2017(6);1-160 .
16. Thompson JV, Saini SS, Reb CW, Daniel JN. Diagnosis and management of plantar fasciitis. J Am Osteopath Assoc. 2014;114(12):900-6.
17. Uden H, Boesch E, Kumar S. Plantar fasciitis–to jab or to support? A systematic review of the current best evidence. Journal of multidisciplinary healthcare. 2011;4:155.
18. Van Leeuwen K, Rogers J, Winzenberg T, van Middelkoop M. Higher body mass index is associated with plantar fasciopathy/‘plantar fasciitis’: systematic review and meta-analysis of various clinical and imaging risk factors. British journal of sports medicine. 2016;50(16):972-81.
19. Luan HD, Hai NT, Xanh PT, Giang HT, Van Thuc P, Hong NM, et al. Musculoskeletal Disorders: Prevalence and Associated Factors among District Hospital Nurses in Haiphong, Vietnam. BioMed Research International. 2018;2018:3162564.
20. Anderson SP, Oakman J. Allied Health Professionals and Work-Related Musculoskeletal Disorders: A Systematic Review. Safety and Health at Work. 2016;7(4):259-67.
21. Campbell LC. Musculoskeletal Disorders. North Carolina Medical Journal. 2017;78(5):315.
22. Widanarko B, Legg S, Stevenson M, Devereux J, Eng A, Mannetje At, et al. Prevalence of musculoskeletal symptoms in relation to gender, age, and occupational/industrial group. International Journal of Industrial Ergonomics. 2011;41(5):561-72.
23. Cohen-Rosenblum AR, Varady NH, Leonovicz O, Chen AF. Repetitive musculoskeletal injuries: a survey of female adult reconstruction surgeons. The Journal of Arthroplasty. 2022 Aug 1;37(8):1474-7.
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Nazia Azeem
Assistant Professor, Department of Radiology, Sir Syed College of Medical Sciences for Girls, Karachi Pakistan
Shakeel Ahmed Memon
Assistant Professor, Department of Orthopaedic surgery, LUMHS/ Jamshoro
Ashfaque Husain Mir Jat
Senior Registrar of Orthopaedic surgery, Suleman Roshan Medical College Tando Adam
Farkhanda Jabeen
Radiologist, Federal govt. Poly Clinic Hospital Islamabad
Zaheer Hussain Memon
Associate Professor of Medicine Suleman Roshan Medical College Tando Adam
Nadeem Memon
Associate Professor of Medicine, MMC Mirpur Khas