AI Summary & Key Takeaways
AI InsightOnly 5 (9.3%) of these patients had no musculoskeletal pathology.There was a significant difference between the ages of patients with MFPS and the ages ofpatients without MFPS, and patients with MFPS formed the younger group (P
📌 3 Key Takeaways
Abstract
Objective: Mastalgia originated from the breast itself, as well as diseases occurring in the muscles,joints and bones around the breast. The objective of current study is to investigate the frequency ofchronic pain syndromes, thoracic wall and vertebral pathologies in patients with mastalgia. Materials and Methods: Women aged 18-60 years, who presented to the outpatient clinic withnon-cyclical breast pain and had normal breast examination, breast ultrasound and/ormammography were included in the study. Patients were evaluated for Fibromyalgia Syndrome(FMS), Myofascial Pain Syndrome (MFPS), pain related vertebral pathologies, thoracic wallpathologies. Cervical and thoracic vertebraes were evaluated with magnetic resonance imaging(MRI).Results: The study included 54 female and mean age was 44.2±10.5 years. Forty-five (75%)patients were diagnosed with FMS, 22 (40.7%) with MFPS. Frequency of vertebral disc pathologywas 31 (59.3%), thoracic disc pathology was 14 (23.3%). Only 6 (11%) patients hadcostochondritis. MRI evaluation revealed cervical syrinx, thoracic spondylosis and hemangioma inT4 vertebra in 1 (2%) patients. Only 5 (9.3%) of these patients had no musculoskeletal pathology.There was a significant difference between the ages of patients with MFPS and the ages ofpatients without MFPS, and patients with MFPS formed the younger group (P
Özet
Amaç: Mastalji, memenin kendisinden, meme çevresindeki kaslarda, eklemlerde ve kemiklerdemeydana gelen hastalıklardan kaynaklanmaktadır. Bu çalışmanın amacı, mastaljili hastalardakronik ağrı sendromları, göğüs duvarı ve vertebral patolojilerin sıklığını araştırmaktır. Gereç ve Yöntemler: Polikliniğe siklik olmayan meme ağrısı ile başvuran, meme muayenesi,meme ultrasonu ve / veya mamografisi normal olan 18-60 yaş arası kadınlar çalışmaya dahil edildi. Hastalar Fibromiyalji Sendromu (FMS), Miyofasiyal Ağrı Sendromu (MFPS), ağrıya bağlı vertebralpatolojiler, torasik duvar patolojileri açısından değerlendirildi. Servikal ve torasik omurlar manyetikrezonans görüntüleme (MRI) ile incelendi. Bulgular: Çalışmaya 54 kadın dahil edilmiş olup ortalama yaşları 44.2±10.5 yıl bulundu. Kırk beşhastaya FMS (%75), 22'sine MFPS (%40.7) tanısı konuldu. Vertebral disk patolojisi sıklığı 31(%59.3), torasik disk patolojisi 14 (%23.3) idi. Sadece 6 (%11) hastada Costochondritis vardı. MRincelemesinde 1 (%2) hastada T4 vertebrada servikal sirinks, torasik spondiloz ve hemanjiyomsaptandı. Bu hastaların sadece 5'inde (%9,3) kas-iskelet patolojisi bulunmadı. MFPS'li hastalarınyaşları ile MFPS'siz hastaların yaşları arasında anlamlı bir fark bulunmuş olup, MFPS'li hastalargenç grubu oluşturmuştur (P