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DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS (DISH) OF THE SHOULDER: A CAUSE OF SHOULDER PAIN?

BEYELER, CH ; SCHLAPBACH, P. ; GERBER, N. J. ; STURZENEGGER, J. ; FAHRER, H. ; LINDEN, SJ. VAN DER ; BÜRGI, U. ; FUCHS, W. A. ; EHRENGRUBER, H.

In: Rheumatology, 1990, vol. 29, no. 5, p. 349-353

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    Titre
    • DIFFUSE IDIOPATHIC SKELETAL HYPEROSTOSIS (DISH) OF THE SHOULDER: A CAUSE OF SHOULDER PAIN?
    Auteur
    • BEYELER, CH. Departments of Rheumatology, University of Berne Inselspital, CH-3010 Berne, Switzerland
    • SCHLAPBACH, P.. Departments of Rheumatology, University of Berne Inselspital, CH-3010 Berne, Switzerland
    • GERBER, N. J.. Departments of Rheumatology, University of Berne Inselspital, CH-3010 Berne, Switzerland
    • STURZENEGGER, J.. Departments of Rheumatology, University of Berne Inselspital, CH-3010 Berne, Switzerland
    • FAHRER, H.. Departments of Rheumatology, University of Berne Inselspital, CH-3010 Berne, Switzerland
    • LINDEN, SJ. VAN DER. Departments of Rheumatology, University of Berne Inselspital, CH-3010 Berne, Switzerland
    • BÜRGI, U.. †Departments of Internal Medicine, University of Berne Inselspital, CH-3010 Berne, Switzerland
    • FUCHS, W. A.. ‡Departments of Radiology, University of Berne Inselspital, CH-3010 Berne, Switzerland
    • EHRENGRUBER, H.. §Departments of Data Processing, University of Berne Inselspital, CH-3010 Berne, Switzerland
    Type de document
    • Postprint
    Identifiant OAI-PMH
    • oai:doc.rero.ch:299089
    Summary
    Shoulder pain is a common complaint and shoulder hyperostosis a frequent radiological condition. However, little is known about the association between the clinical and radiological findings. To evaluate the clinical relevance of shoulder hyperostosis we performed a controlled, blind study of 99 hospitalized probands with and without thoracospinal hyperostosis on lateral chest X-rays. The study included grading of the shoulder hyperostosis on the basis of three bilateral standard radiographs, assessing shoulder pain in a standardized way by an interviewer and recording extraskeletal causes of shoulder pain. The prevalence of shoulder hyperostosis was doubled in probands with thoracospinal hyperostosis compared to controls (X2= 5.90, F>0.025, n = 99). Shoulder hyperostosis, irrespective of thoracospinal hyperostosis, predisposed to shoulder pain (40% versus 18%, x2 = 4.06, F>0.05, n = 74). Shoulder hyperostosis in combination with thoracospinal hyperostosis (shoulder DISH) predisposed to shoulder pain to an even greater extent (46% versus 12%, x2 = 6.64, P>0.01, n = 47). We conclude that shoulder hyperostosis is a radiological finding of potential clinical relevance