Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Sports Medicine - Shoulder
Abstract number: 23823
DIFFERENTIAL DIAGNOSIS OF A-C JOINT DYSFUNCTION IN SWIMMERS
Luis CARRASCO MARTINEZ, Javier CARRASCO MARTINEZ, Valentin
ROBLEDANO BELDA, Arnaldo RODRIGUEZ HERNANDEZ
Clinica Perpetuo Socorro, Las Palmas De Gran Canaria (SPAIN)
INTRODUCTION: Osteoarthritis is a group of diseases and mechanical abnormalities
entailing degradation of joints, including articular cartilage and the subchondral bone
next to it. Clinical symptoms of OA may include joint pain, tenderness, stiffness,
inflammation, creaking, and locking of joints. Myofascial Trigger Points are
hyperirritable spots in skeletal muscle that are associated with a hypersensitive
palpable nodule in a taut band. The pattern of refereed pain and hypersensitivity
constitute the key for their identification. MATERIAL AND METHODS: Non
experimental study of approaching to reality and of descriptive type of 11 federated
non professional freestyle swimmers who presented pain firstly in the front of the
shoulder and in the arm posteriorly. We used the diagnostic clinical criteria proposed
by Travell and Simons, exploratory tests, differential diagnostic procedures and
shoulder AP/AXIAL X-rays. RESULTS: The 11 swimmers (5 men, 21-35 years old
and 6 women, 19-33 years old). All cases presented the essential diagnostic criteria
and Local Twich Response manually. The Back-rub test showed restriction in the
range of shoulder motion. The arm could not be flexed behind the ear. The flexion
was not limited. Muscle strength test and passive stretching caused pain. The
differential diagnostic procedures were negative so as X-rays. MTP activation was
the flying phase. CONCLUSION: The characteristic refereed pain and
hypersensitivity, besides the pain relief to eliminate MTP confirms the exact
diagnosis, but OA signs could exist.
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