The Effects of Vitamin D in Patients with Subacromial Impingement Syndrome

Abstract

Objective: Vitamin D deficiency can cause pain and disability in many diseases. Subacromial impingement syndrome (SAIS) is a common reasonfor shoulder pain. In this study, we aimed to assess the relationship between vitamin D and the clinical features in patients with SAIS.Methods: Patients with SAIS were evaluated, and age, gender, affected side, disease duration, 25-OH vitamin D, and other laboratory testswere recorded from patients’ files. Also, patients’ data on shoulder visual analog scale (VAS), shoulder range of motions (ROMs), and scores ofDisabilities of the Arm, Shoulder, and Hand (DASH) were obtained. The patients were grouped according to their 25-OH vitamin D levels. (Group1: 20 ng/mL). Demographic and clinical features were compared between groups, and therelation of vitamin D with VAS, DASH scores, and ROMs were investigated.Results: Eighty patients with SAIS were included in the study. The mean age of patients was 51.99±11.14 years. There were 35 female and 25male patients. The mean disease duration was 6.32 months. VAS was statistically higher in Group 1 compared to Group 3. Also, shoulder painwas negatively correlated with 25-OH vitamin D level. There was no statistically significant relation between the 25-OH vitamin D level and DASHscore or the 25-OH vitamin D level and shoulder ROMs.Conclusion: Severe deficiency of vitamin D increases shoulder pain in patients with SAIS. Vitamin D deficiency should be taken into considerationin patients with severe shoulder pain in SAIS.

Özet

Amaç: Subakromial sıkışma sendromu, klinikte omuz ağrısının en sık nedenlerinden biridir. Vitamin D eksikliği, birçok hastalıkta ağrı ve fonksiyon kaybına neden olabilmektedir. Bu çalışmanın amacı, subakromial sıkışma sendromu tanısı olan hastalarda, D vitaminin klinik özellikler, ağrı ve dizabilite ile ilişkisini araştırmaktır. Yöntemler: Subakromial sıkışma sendromu tanısı ile başvurmuş olan hastaların yaş, cinsiyet, etkilenen taraf, hastalık süresi, 25-OH vitamin D ve diğer laboratur bulguları ile omuz hareket açıklıkları, omuz ağrıları için Vizuel Analog Skala (VAS) ve Kol-omuz-el dizabilite (DASH) anketinden aldıkları skorları hasta dosyalarından kaydedildi. Hastalar, 25-OH vitamin D düzeylerine göre 3 gruba ayrıldı (Grup 1: