Diferencias en el espacio acromio-humeral medido ecográficamente en el dolor de hombro del deportista lanzador

Resumo

Objective To observe the involvement of the subacromial space measured by ultrasound and if there are any differences between AGT (Acromio Great Trocanter) and AHD (Acromio Humeral Distance) in the group of patients with and without shoulder pain. Material and method An observational, cross-sectional and comparative study on the relationship of subacromial space and shoulder pain in overhead sportmen was performed. A total of 81 sportmen who used their Upper Limbs in their sport were selected. A shoulder ultrasound that obtained images of AGT distance and distance AHD was performed. The sample was divided into two groups based on pain during sports. Results No statistically significant differences were found in the AHD, AGT, the AHD or a difference between the no pain group (NPG) and the pain group (PG). However, significant differences for age (P=0.010; CI 95% -8.41 -1) and for the AGT (p=0.039; CI 95% 0.068 - 2.654) were obtained. A significant correlation (PG, P=0.013; NPG, P=0.007) was found between AGT and AHD with moderate dependence (NPG r = 0.395; PG r = 0.412). Conclusions The AGT distance is significantly lower in subjects with shoulder pain and AHD distance tends to be decreased in the presence of pain. Age is also a predisposing factor of shoulder pain in sportmen. That is why the study of these values as additional data on the ultrasound assessment of subacromial impingement is recommended.