Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Sports Medicine - Shoulder
Abstract number: 23828
ENTHESOPATHY OF SUPRASPINATUS DIFFERENTIAL DIAGNOSIS IN
SWIMMERS
Luis CARRASCO MARTINEZ, Javier CARRASCO MARTINEZ, ValentIN
ROBLEDANO BELDA, Arnaldo RODRIGUEZ HERNANDEZ
Clinica Perpetuo Socorro, Las Palmas De Gran Canaria (SPAIN)
INTRODUCTION: Supraspinatus attachment inflammation could be confused with
Myofascial Trigger Points (MTP), which 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 33 federated non professional swimmers who presented pain in
the middle deltoid region with some spillover to adjacent areas, and painful abduction
of 90º. We used diagnostic clinical criteria proposed by Travell and Simons,
exploratory test (horizontal adduction, active and passive horizontal abduction and
lateral rotation, flexion with adduction and extension with adduction), both shoulders
AP/AXIAL X rays and Ecography. RESULTS: The 33 swimmers, 20 men (9 right 11
left), 18-23 y o and 13 women (7 right 6 left), 19-25 y o, presented the essential
diagnostic criteria and pain or sensitive alteration when pressing MTP by snapping
palpation with the arm positioned in 30º of abduction, showing a vigorous LTR. The
shoulder passive abduction to 90º is painful with middle deltoid MTPs not with
supraspinatus tendinitis. X rays examination and Ecography showed neither
subacromial pathology, supraspinatus tendinitis not subdeltoid bursitis. The activation
of these MTPs was made by vigorous repetitive movements into abduction (flying
phase). CONCLUSION: These swimmers show a progressive and serious
impairment of strength, and a total inability to reach 90º of abduction, so they are
unable to, not only, their trainings as well their daily activities
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