IMAGING FINDINGS OF COMMON MUSCULOSKELETAL DISORDERS: EXCERPT FROM A PAKISTANI TERTIARY CARE HOSPITAL

Main Article Content

Nazia Azeem
Shakeel Ahmed Memon
Ashfaque Husain Mir Jat
Farkhanda Jabeen
Zaheer Hussain Memon
Nadeem Memon

Keywords

De Quervain's tenosynovitis, lateral epicondylitis, plantar fasciitis, imaging

Abstract

Background: Musculoskeletal disorders prevail commonly and affect a large number of people globally. They are major contributors to global disability and out-of-office workdays. The most common sites that undergo repeated stress and experience musculoskeletal problems are the wrist, elbow, and heel.


Objective: To determine the frequency of common musculoskeletal disorders like De Quervain's tenosynovitis, lateral epicondylitis, and plantar fasciitis.


Methods: This observational, cross-sectional study was conducted at a tertiary care hospital in Karachi, Pakistan. Patients of any gender, aged between 20 to 60 years, who presented to the orthopedic or radiology department and were diagnosed with either De Quervain's tenosynovitis, lateral epicondylitis, or plantar fasciitis were enrolled in the study. Clinically relevant diagnostic tests, such as the Cozen's test or the Finkelstein test, were performed. Findings from imaging tests, including X-ray, ultrasound, and MRI, were also recorded. Data collection was conducted using a study proforma.


Results: A total of 42 patients were enrolled in our study, with an equal distribution of male and female participants and a mean age of 43 ± 8.5 years. Among the 42 participants, 18 (42%) were diagnosed with De Quervain’s tenosynovitis, 14 (33%) had lateral epicondylitis, and 10(23%) were diagnosed with plantar fasciitis. De Quervain’s tenosynovitis predominantly affected females, while lateral epicondylitis was more common among males. The prevalence of these diagnoses was higher among patients aged 40 and above.


Conclusion: Musculoskeletal disorders like De Quervain’s tenosynovitis, plantar fasciitis, and lateral epicondylitis are common conditions presented with varying imaging findings. Prompt and early diagnosis of these diseases can lead to improved recovery, a reduced number of days missed from work, and preventing unnecessary burden on the healthcare system.

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