masterThesis
“Factores asociados con la calificación del origen del síndrome de manguito rotatorio en trabajadores afiliados a una entidad promotora de salud privada”.
Fecha
2014Autor
Cadena Calderón, Nayibe
Institución
Resumen
Shoulder pain is one of the most common causes of general medical consultation. Rotator Cuff Syndromes (R.C.S) emerged during 2003 and 2004 as the fifth cause of occupational morbidity in Colombia, ranking second level of upper limb. The majority of studies have found a clear relationship between musculoskeletal shoulder injury and the type of work. It has been described a high relationship between shoulder pain associated with manually intensive professions, there is a clear association between work with the arm raised to shoulder pathologies. Within individual predisposing factors are: older age, female gender, dominance of the upper limb, high body mass index, previous musculoskeletal symptoms, low performing exercise, pregnancy, consumption habits and concomitant metabolic diseases.
A descriptive cross-sectional study was performed, evaluating the medical records of 117 workers qualified for diagnosis of Rotator Cuff Syndrome (R.C.S) in the area of Occupational Medicine of a Private Health Promoter during the 2013. The principal objective of this study was to identify the variables related as influential factors in the causation of this disease.
We studied the bivariate association between different risk factors (personal and occupational) of interest and determining the labor origin of Rotator Cuff Syndrome by obtaining the measure of association appropriate (Odds ratio).
The research identifies that the highest percentage of classification of the origin of the R.C.S is occupational with the 86.6% of the study population, the remaining 11,8% has a rating of common origin.
All studied workers presented painful symptoms at shoulder level qualifying 100%. The diagnostic image used for rating the pathology was shoulder magnetic resonance 97.5%. Causal relationship was found between the presentation of the disease with the female gender, the age range between 30 and 45 years, smoking and not practice exercise.
The final conclusion is that the results obtained in this study are consistent with the information described in the worldwide literature in workers, in which occupational influence and personal aspects described as variables in this study have a strong relation with the origin qualification of Rotator Cuff Syndromes.