Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Sports Medicine - Spine
Abstract number: 23829
C5, C6 RADICULOPATHY 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: Myofascial Trigger Points (MTP) are hyperirritable spots in
skeletal muscle that are associated with a hypersensitive palpable nodule in a taut
band. The area is painful to compression, causing characteristic refereed pain and
hypersensitivity, motor dysfunction and autonomic phenomena. 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 20 federated non professional swimmers who presented deep
pain within the joint, projecting down the anterolateral aspect of the arm to the
fingers. We used diagnostic clinical criteria proposed by Travell and Simons,
exploratory tests (Hand-to-shoulder Blade Test, stretching by passive medial rotation,
loading by active lateral rotation), AP/AXIAL X rays and EMG. RESULTS: All
swimmers (11 men 17-30 years old, 7 in right side (63.63%) and 4 in left side
(36.37%), and 9 women 19-23 years old, 3 in right side (33.33%) and 6 in left side
(66.67%) presented the essential diagnostic criteria but LTR was impossible to
elecit.The Mouth Wrap-around Test was restricted in all of them. X rays examination
did not show pathology. EMG did not show radiculopathyTheir activation was made
during flying phase (lateral rotation and abduction). CONCLUSION: Infraspinatus
MTPs refer pain in the distribution of the C5, C6 spinal nerves which may cause
diagnostic confusion with radiculopathy due to intervertebral disc disease. The
inability to medially rotate and to adduct simultaneously is a revealing signof
infraspinatus MTP but not specific.
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