, Volume 97, Issue 1 Supplement, pp 15-22
Date: 16 Apr 2013

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

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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.