Shoulder pain in long-term haemodialysis patients. A clinical study of 166 patients

Taizo Konishiike, Hiroyuki Hashizume, Keiichirou Nishida, Hajime Inoue, Mitsuru Nagoshi

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

We reviewed 166 adult patients on long-term haemodialysis, dividing them into three groups according to the presence and type of shoulder pain. The 24 patients in group A, with spontaneous pain related to a supine posture, had been under haemodialysis for significantly longer than the others, and had a much higher incidence of carpal tunnel syndrome. Open or arthroscopic resection of the coracoacromial ligament in 21 shoulders relieved pain during haemodialysis and night pain, and histological examination showed amyloid deposits and inflammatory-cell infiltration in the subacromial bursa in almost all cases, and in the tenosynovium of the bicipital groove in some. We conclude that one type of shoulder pain experienced by patients on long-term haemodialysis is caused by the subacromial impingement of amyloid deposits. This should be distinguished from other types of shoulder pain, because it can be relieved by resection of the coracoacromial ligament.

Original languageEnglish
Pages (from-to)601-605
Number of pages5
JournalJournal of Bone and Joint Surgery - Series B
Volume78
Issue number4
DOIs
Publication statusPublished - 1996

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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