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.
Similar content being viewed by others
References
Mease PJ, Clauw DJ, Arnold LM et al (2005) Fibromyalgia syndrome. J Rheumatol 32:2270–2277
Bigatti SM, Hernandez AM, Cronan TA et al (2008) Sleep disturbances in fibromyalgia syndrome: relationship to pain and depression. Arthritis Rheum 59:961–967
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 48:2916–2922
Mease P (2005) Fibromyalgia syndrome: review of clinical presentation, pathogenesis, outcome measures, and treatment. J Rheumatol Suppl 75:6–21
Clauw DJ (2009) Fibromyalgia: an overview. Am J Med 122:S3–S13
Marcus DA (2009) Fibromyalgia: diagnosis and treatment options. Gend Med 6(Suppl 2):139–151
Clauw DJ, Katz P (1995) The overlap between fibromyalgia and inflammatory rheumatic disease: when and why does it occur? J Clin Rheumatol 1:335–342
Clauw DJ, Chrousos GP (1997) Chronic pain and fatigue syndromes: overlapping clinical and neuroendocrine features and potential pathogenic mechanisms. NeuroImmunoModulation 4:134–153
Buskila D, Sarzi-Puttini P (2008) Fibromyalgia and autoimmune diseases: the pain behind autoimmunity. Isr Med Assoc J 10:77–78
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
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 33:160–172
Dawson J, Rogers K, Fitzpatrick R et al (2009) The Oxford shoulder score revisited. Arch Orthop Trauma Surg 129:119–123
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 34:220–233
Blonna D, Lee GC, O’Driscoll SW (2010) Arthroscopic restoration of terminal elbow extension in high-level athletes. Am J Sports Med 38:2509–2515
Hand C, Clipsham K, Rees JL et al (2008) Long-term outcome of frozen shoulder. J Shoulder Elbow Surg 17:231–236
Lindell L, Bergman S, Petersson IF et al (2000) Prevalence of fibromyalgia and chronic widespread pain. Scand J Prim Health Care 18:149–153
Forseth KO, Gran JT (1992) The prevalence of fibromyalgia among women aged 20–49 years in Arendal, Norway. Scand J Rheumatol 21:74–78
Bennett RM (2002) The rational management of fibromyalgia patients. Rheum Dis Clin North Am 28:181–199
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 56:268–271
Harden RN, Revivo G, Song S et al (2007) A critical analysis of the tender points in fibromyalgia. Pain Med 8:147–156
Crofford LJ, Clauw DJ (2002) Fibromyalgia: where are we a decade after the American college of rheumatology classification criteria were developed? Arthritis Rheum 46:1136–1138
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) 62:600–610
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 38:1113–1122
Wolfe F, Häuser W (2011) Fibromyalgia diagnosis and diagnostic criteria. Ann Med 43:495–502
Dopirak R, Ryu RK (2010) Management of the failed arthroscopic subacromial decompression: causation and treatment. Sports Med Arthrosc 18:207–212
Acknowledgments
This study was supported by the University of Turin Medical School (Torino, Italy).
Conflict of interest
The authors, their immediate family, and any research foundation with which they are affiliated did not receive any financial payments or other benefits from any commercial entity related to the subject of this article.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Blonna, D., Bellato, E., Marini, E. et al. Is fibromyalgia a cause of failure in the treatment of a painful shoulder?. Musculoskelet Surg 97 (Suppl 1), 15–22 (2013). https://doi.org/10.1007/s12306-013-0255-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12306-013-0255-2