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ISSN 2073-8137

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Polymorphism of manifestations of the cervical-shoulder syndrome in patients with results of injuries of the shoulder joint and shoulder girdle. Сlinical and statistical substantiation

Evgeny Borisovich Kalinsky; Leonid Yuryevich Slinyakov; Anatoly Vasilievich Chernyaev; Julia Romanovna Goncharuk; Alexey Vladimirovich Lychagin;

The purpose of the study: to establish and statistically substantiate the relationship of shoulder and shoulder girdle injuries to the development of cervicobrachial pain syndrome. The prevalence of cervicobrachial syndrome in patients who suffered injuries to the shoulder girdle was assessed (66.9 % in the group of 1402 patients). A protocol for clinical examination has been developed, and the sensitivity and specificity of the applied clinical tests have been determined. According to the results of the questionnaire (VAS, ODI, SF-36, UCLA, SPADI, DASH scales), a tendency was identified to increase pain, a progressive decrease in the function of the upper limb and, as a result, a decrease in the quality of life in patients who suffered an injury to the shoulder girdle. Based on the data obtained, types of cervicobrachial syndrome (articular, vertebrogenic, mixed) are identified that correlate with the anatomical localization of injuries.


1. Hoy D. G., Protani M., De R., Buchbinder R. The epidemiology of neck pain. Best. Pract. Res. Clin. Rheumatol. 2010;24(6):783-792. https://doi.org/10.1016/j.berh. 2011.01.019
2. Croft P. R., Lewis M., Papageorgiou A. C., Croft P. R., Lewis M. [et al.]. Risk factors for neck pain: a longitudinal study in the general population. Pain. 2001;93(3):317-325. https://doi.org/10.1016/S0304-3959(01)00334-7
3. Cohen S. P. Epidemiology, Diagnosis, and Treatment of Neck Pain. Mayo Clin. Proc. 2015;90(2):284-299. https://doi.org/10.1016/j.mayocp.2014.09.008
4. Tabeeva G. Cervicalgia, cervicocranialgia, and cervicogenic head ache. Nevrologiya, nejropsihiatriya, psihosomatika. – Neurology, Neuropsychiatry, Psychosomatics. 2014;6(2):90-96. (In Russ.). https://doi.org/10.14412/2074-2711-2014-2-90-96
5. Levin O. S., Makotrova T. A. Vertebrogennaya shejnaya radikulopatiya. RMZh. – RMJ. 2012;12:621. Available at: https://www.rmj.ru/articles/nevrologiya/Vertebrogennaya_sheynaya_radikulopatiya/. Accessed January 28, 2019. (In Russ.).
6. Firsov A. A., Kusajkin A. Yu., Nikonov A. A. Vertebrogennaya cervikal’naya radikulopatiya: klinicheskie aspekty diagnostiki i lecheniya. Arhiv» vnutrennej mediciny. – Archive of Internal Medicine. 2012;5(7):34-39. Available at: https://cyberleninka.ru/article/v/vertebrogennaya-tservikalnaya-radikulopatiya-klinicheskie-aspekty-diagnostiki-i-lecheniya. AccessedJanuary 28, 2019. (In Russ.).
7. Gordon McMorland, Esther Suter. Chiropractic Management of Neck and Low-Back Pain. J. Manipulat. Physiol. Ther. 2000;23(5):307-311. https://doi.org/10.1067/mmt.2000.106871
8. Kalinskij E. B., Kalinskij B. M., Yakimov L. A., Artemov A. Yu., Kashcheev A. A., Kashcheev G. A. Hirurgicheskoe lechenie pacientov s zastarelymi vyvihami akromial’nogo konca klyuchicy. Moskovskij hirurgicheskij zhurnal. – Moscow Surgical Journal. 2014;38(4):16-19. Available at: http://www.mossj.ru/journal/MOSSJ_2014/MXG_2014_04.pdf. Accessed January 28, 2019. (In Russ.).
9. Molchanovskij V. V., Trinitatskij Yu. V., Hodarev S. V. Vertebronevrologiya IV (1). Etiologiya, pato- i sanogenez nespecificheskoj vertebronevrologicheskoj patologii. Rostov-na-Donu: Izd-vo SNKC VShYuFU, 2015. (In Russ.).
10.Shostak N. A., Pravdyuk N. G. Bol’ v shee: differencial’nyj diagnoz i osnovnye podhody k le cheniyu. Lechebnoe delo. – Medical business. 2009;2:54-59. Available at: https://cyberleninka.ru/article/v/bol-v-shee-differentsialnyy-diagnoz-i-osnovnye-podhody-k-lecheniyu. Accessed January 28, 2019. (In Russ.).
11. Shmyryov V. I., Firsov A. A. Bol’ vspine. Arhiv» vnutrennej mediciny. –Archive of Internal Medicine. 2014;5(19):4-9. (In Russ.). https://doi.org/10.20514/2226-6704-2014-0-5-4-9
12. Sitte I., Klosterhuber M., Lindtner R. A., Freund M. C., Neururer S. B. [et al.]. Morphological changes in the human cervical intervertebral disc post trauma: response to fracture-type and degeneration grade over time. Europ. Spine J. 2015;25(1):80-95. https://doi.org/10.1007/s00586-015-4089-5
13. Leonard J. C. Cervical Spine Injury. Pediatric Clin. North Am. 2013;60(5):1123-1137. https://doi.org/10.1016/j.pcl.2013.06.015
14. Umana E., Khan K., Baig M., Binchy J. Epidemiology and Characteristics of Cervical Spine Injury in Patients Presenting to a Regional Emergency Department. Cureus. 2018;10(2):e2179. https://doi.org/10.7759/cureus.2179
15. Meron A., McMullen C., Laker S. R., Currie D., Comstock R. D. Epidemiology of Cervical Spine Injuries in High School Athletes Over a Ten-Year Period. PM&R. 2018;10(4): 365-372. https://doi.org/10.1016/j.pmrj.2017.09.003
16. Kalinsky E. B., Chernyaev A. V., Slinyakov L. Yu., Lychagin A. V., Kalinsky B. M., Goncharuk Yu. R. Clinical and radiographic characteristics of patients with cervicalgia after previous injury to the pectoral girdle. Bulletin of Russian State Medical University. 2018;2:68-72. https://doi.org/10.24075/brsmu.2018.017
17. Dubousset J., Challier V., Farcy J. P., Schwab F. J., Lafage V. Spinal alignment versus spinal balance. Global Spinal Alignment: Principles, Pathologies, and Procedures. St. Louis, MO: Quality Medical Publishing, 2014. Available at: https://www.scienceopen.com/document?vid=b9bfc40f-e7a8-487f-a038-ae8088c80bc4. Accessed January 28, 2019.
18. Shen X.-L., Tian Y., Zhou X.-H., Ren D., Cao P., Yuan W. A Radiographic Analysis of Cervical Sagittal Alignment in Adolescent Idiopathic Cervical Kyphosis. Clin. Spine Surg. 2017;30(5):E560-E566. https://doi.org/10.1097/bsd.0000000000000257
19. Kalinskij E. B., Markov P. L., Goncharuk Yu. R. [et al.]. JanGO Patients System, gosudarstvennaya registraciya programmy dlya EVM: nomer: RU2018616174. Byulleten’ «Programmydlya EVM. Bazy dannyh. Topologii integral’nyh mikroskhem» № 6 ot 24.05.18. Bulletin of «Computer Software. Data base. Intergrated circuit topologies». Available at: http://www1.fips.ru/wps/PA_FipsPub/res/BULLETIN/PrEVM/2018/06/20/INDEX.HTM. Accessed January 28, 2019. (In Russ.).
20. Altman D. G., Bland J. M. Statistics Notes: Diagnostictests 1: sensitivity and specificity. BMJ. 1994;308(6943): 1552-1552. https://doi.org/10.1136/bmj.308.6943.1552

Keywords: cervicobrachial syndrome, shoulder joint, cervical spine, sagittal balance

Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy