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Published in: MUSCULOSKELETAL SURGERY 1/2013

01-06-2013 | Original Article

Is fibromyalgia a cause of failure in the treatment of a painful shoulder?

Authors: D. Blonna, E. Bellato, E. Marini, N. Barbasetti, L. Mattei, F. Fissore, C. Arrigoni, F. Castoldi

Published in: MUSCULOSKELETAL SURGERY | Special Issue 1/2013

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Abstract

Purpose

This study aims to review the incidence of fibromyalgia in a cohort of patients who were treated for shoulder pain and address whether a concomitant fibromyalgia could have had detrimental effect on outcomes.

Methods

The treatment of 286 consecutive patients for shoulder pain was reviewed.

Results

Eighteen patients (6.3 %) were diagnosed as having fibromyalgia, but in 13 of them (72 %), the diagnosis was initially missed. Five patients received a total of 11 surgeries for treatment of the shoulder. At an average follow-up of 15 months (range 12–27), the average new Oxford shoulder score (OS score) was 49 % (range 6–87 %). The average physical component of the Short-Form-12 Healthy Survey (SF-12) was 36 (range 21–55), and the mental component 30 (range 15–46). The Summary Outcome Determination score (SOD score) was 1.3 (range–3 to 6).

Conclusions

Fibromyalgia occurs relatively frequently in patients who complain of shoulder pain and it can be a cause of failure in the treatment of concomitant painful shoulder conditions.
Literature
1.
go back to reference Mease PJ, Clauw DJ, Arnold LM et al (2005) Fibromyalgia syndrome. J Rheumatol 32:2270–2277PubMed Mease PJ, Clauw DJ, Arnold LM et al (2005) Fibromyalgia syndrome. J Rheumatol 32:2270–2277PubMed
2.
go back to reference Bigatti SM, Hernandez AM, Cronan TA et al (2008) Sleep disturbances in fibromyalgia syndrome: relationship to pain and depression. Arthritis Rheum 59:961–967PubMedCrossRef Bigatti SM, Hernandez AM, Cronan TA et al (2008) Sleep disturbances in fibromyalgia syndrome: relationship to pain and depression. Arthritis Rheum 59:961–967PubMedCrossRef
3.
go back to reference Giesecke T, Williams DA, Harris RE et al (2003) Subgrouping of fibromyalgia patients on the basis of pressure-pain thresholds and psychological factors. Arthritis Rheum 48:2916–2922PubMedCrossRef Giesecke T, Williams DA, Harris RE et al (2003) Subgrouping of fibromyalgia patients on the basis of pressure-pain thresholds and psychological factors. Arthritis Rheum 48:2916–2922PubMedCrossRef
4.
go back to reference Mease P (2005) Fibromyalgia syndrome: review of clinical presentation, pathogenesis, outcome measures, and treatment. J Rheumatol Suppl 75:6–21PubMed Mease P (2005) Fibromyalgia syndrome: review of clinical presentation, pathogenesis, outcome measures, and treatment. J Rheumatol Suppl 75:6–21PubMed
6.
7.
go back to reference Clauw DJ, Katz P (1995) The overlap between fibromyalgia and inflammatory rheumatic disease: when and why does it occur? J Clin Rheumatol 1:335–342PubMedCrossRef Clauw DJ, Katz P (1995) The overlap between fibromyalgia and inflammatory rheumatic disease: when and why does it occur? J Clin Rheumatol 1:335–342PubMedCrossRef
8.
go back to reference Clauw DJ, Chrousos GP (1997) Chronic pain and fatigue syndromes: overlapping clinical and neuroendocrine features and potential pathogenic mechanisms. NeuroImmunoModulation 4:134–153PubMed Clauw DJ, Chrousos GP (1997) Chronic pain and fatigue syndromes: overlapping clinical and neuroendocrine features and potential pathogenic mechanisms. NeuroImmunoModulation 4:134–153PubMed
9.
go back to reference Buskila D, Sarzi-Puttini P (2008) Fibromyalgia and autoimmune diseases: the pain behind autoimmunity. Isr Med Assoc J 10:77–78PubMed Buskila D, Sarzi-Puttini P (2008) Fibromyalgia and autoimmune diseases: the pain behind autoimmunity. Isr Med Assoc J 10:77–78PubMed
10.
go back to reference Yanmaz MN, Mert M, Korkmaz M (2012) The prevalence of fibromyalgia syndrome in a group of patients with diabetes mellitus. Rheumatol Int 32(4):871–874 Yanmaz MN, Mert M, Korkmaz M (2012) The prevalence of fibromyalgia syndrome in a group of patients with diabetes mellitus. Rheumatol Int 32(4):871–874
11.
go back to reference Wolfe F, Smythe HA, Yunus MB et al (1990) The American college of rheumatology 1990 criteria for the classification of fibromyalgia. Report of the multicenter criteria committee. Arthritis Rheum 33:160–172PubMedCrossRef Wolfe F, Smythe HA, Yunus MB et al (1990) The American college of rheumatology 1990 criteria for the classification of fibromyalgia. Report of the multicenter criteria committee. Arthritis Rheum 33:160–172PubMedCrossRef
12.
go back to reference Dawson J, Rogers K, Fitzpatrick R et al (2009) The Oxford shoulder score revisited. Arch Orthop Trauma Surg 129:119–123PubMedCrossRef Dawson J, Rogers K, Fitzpatrick R et al (2009) The Oxford shoulder score revisited. Arch Orthop Trauma Surg 129:119–123PubMedCrossRef
13.
go back to reference Ware J, Kosinski M, Keller SD (1996) A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233PubMedCrossRef Ware J, Kosinski M, Keller SD (1996) A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233PubMedCrossRef
14.
go back to reference Blonna D, Lee GC, O’Driscoll SW (2010) Arthroscopic restoration of terminal elbow extension in high-level athletes. Am J Sports Med 38:2509–2515PubMedCrossRef Blonna D, Lee GC, O’Driscoll SW (2010) Arthroscopic restoration of terminal elbow extension in high-level athletes. Am J Sports Med 38:2509–2515PubMedCrossRef
15.
go back to reference Hand C, Clipsham K, Rees JL et al (2008) Long-term outcome of frozen shoulder. J Shoulder Elbow Surg 17:231–236PubMedCrossRef Hand C, Clipsham K, Rees JL et al (2008) Long-term outcome of frozen shoulder. J Shoulder Elbow Surg 17:231–236PubMedCrossRef
16.
go back to reference Lindell L, Bergman S, Petersson IF et al (2000) Prevalence of fibromyalgia and chronic widespread pain. Scand J Prim Health Care 18:149–153PubMedCrossRef Lindell L, Bergman S, Petersson IF et al (2000) Prevalence of fibromyalgia and chronic widespread pain. Scand J Prim Health Care 18:149–153PubMedCrossRef
17.
go back to reference Forseth KO, Gran JT (1992) The prevalence of fibromyalgia among women aged 20–49 years in Arendal, Norway. Scand J Rheumatol 21:74–78PubMedCrossRef Forseth KO, Gran JT (1992) The prevalence of fibromyalgia among women aged 20–49 years in Arendal, Norway. Scand J Rheumatol 21:74–78PubMedCrossRef
18.
go back to reference Bennett RM (2002) The rational management of fibromyalgia patients. Rheum Dis Clin North Am 28:181–199PubMedCrossRef Bennett RM (2002) The rational management of fibromyalgia patients. Rheum Dis Clin North Am 28:181–199PubMedCrossRef
19.
go back to reference Wolfe F (1997) The relation between tender points and fibromyalgia symptom variables: evidence that fibromyalgia is not a discrete disorder in the clinic. Ann Rheum Dis 56:268–271PubMedCrossRef Wolfe F (1997) The relation between tender points and fibromyalgia symptom variables: evidence that fibromyalgia is not a discrete disorder in the clinic. Ann Rheum Dis 56:268–271PubMedCrossRef
20.
go back to reference Harden RN, Revivo G, Song S et al (2007) A critical analysis of the tender points in fibromyalgia. Pain Med 8:147–156PubMedCrossRef Harden RN, Revivo G, Song S et al (2007) A critical analysis of the tender points in fibromyalgia. Pain Med 8:147–156PubMedCrossRef
21.
go back to reference Crofford LJ, Clauw DJ (2002) Fibromyalgia: where are we a decade after the American college of rheumatology classification criteria were developed? Arthritis Rheum 46:1136–1138PubMedCrossRef Crofford LJ, Clauw DJ (2002) Fibromyalgia: where are we a decade after the American college of rheumatology classification criteria were developed? Arthritis Rheum 46:1136–1138PubMedCrossRef
22.
go back to reference Wolfe F, Clauw DJ, Fitzcharles MA et al (2010) The American college of rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken) 62:600–610CrossRef Wolfe F, Clauw DJ, Fitzcharles MA et al (2010) The American college of rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken) 62:600–610CrossRef
23.
go back to reference Wolfe F, Clauw DJ, Fitzcharles MA et al (2011) Fibromyalgia criteria and severity scales for clinical and epidemiological studies: a modification of the ACR preliminary diagnostic criteria for fibromyalgia. J Rheumatol 38:1113–1122PubMedCrossRef Wolfe F, Clauw DJ, Fitzcharles MA et al (2011) Fibromyalgia criteria and severity scales for clinical and epidemiological studies: a modification of the ACR preliminary diagnostic criteria for fibromyalgia. J Rheumatol 38:1113–1122PubMedCrossRef
24.
25.
go back to reference Dopirak R, Ryu RK (2010) Management of the failed arthroscopic subacromial decompression: causation and treatment. Sports Med Arthrosc 18:207–212PubMedCrossRef Dopirak R, Ryu RK (2010) Management of the failed arthroscopic subacromial decompression: causation and treatment. Sports Med Arthrosc 18:207–212PubMedCrossRef
Metadata
Title
Is fibromyalgia a cause of failure in the treatment of a painful shoulder?
Authors
D. Blonna
E. Bellato
E. Marini
N. Barbasetti
L. Mattei
F. Fissore
C. Arrigoni
F. Castoldi
Publication date
01-06-2013
Publisher
Springer Milan
Published in
MUSCULOSKELETAL SURGERY / Issue Special Issue 1/2013
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI
https://doi.org/10.1007/s12306-013-0255-2

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