Idiopathic arm pain

The Journal of Bone and Joint Surgery. American Volume
David C RingJesse B Jupiter

Abstract

Arm pain with little or no objective abnormality (referred to herein as idiopathic arm pain) is a common and frustrating problem for both patients and physicians. We investigated the relative effect of idiopathic arm pain and arm pain due to a discrete diagnosis on upper-extremity-specific health status. The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was completed by 3888 patients seen over a twelve-month period. Scores for the entire sample, for 496 patients diagnosed with idiopathic arm pain, and for 1379 patients diagnosed with one of twenty-one discrete conditions were compared. Patients with idiopathic pain reported substantial and highly variable upper-limb-specific dysfunction (average DASH score [and standard deviation], 36 +/- 24 points). Patients with discrete diagnoses also exhibited substantial variation (average standard deviation, 25; range, 6 to 27) as well as long right tails indicating floor effects, particularly for less severe conditions (Pearson correlation of r = -0.87 between the mean DASH score and skewness). Analysis of variance confirmed the ability of the DASH instrument to discriminate among groups of diagnoses of varying severity, but post hoc Tukey analysis identified ten subgro...Continue Reading

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Citations

Oct 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Anneluuk L C LindenhoviusDavid C Ring
Aug 6, 2013·Clinical Orthopaedics and Related Research·Arjan G J BotAna-Maria Vranceanu
May 20, 2014·Hand : Official Journal of the American Association for Hand Surgery·Hosein Ahmadzadeh Chabok, David Ring
Sep 10, 2008·Hand : Official Journal of the American Association for Hand Surgery·Santiago A Lozano-CalderonDavid Ring
Oct 3, 2012·The Journal of Hand Surgery, European Volume·H S MakanjiD Ring
Jun 6, 2009·Hand : Official Journal of the American Association for Hand Surgery·Santiago A Lozano CalderónDavid Ring
Dec 4, 2012·Journal of Hand and Microsurgery·Raymond W Hwang, David Ring
Apr 18, 2012·The Journal of Hand Surgery, European Volume·F PetersD Ring
Oct 18, 2013·The Journal of Bone and Joint Surgery. American Volume·Mariano E MenendezDavid Ring
Jan 28, 2012·Journal of Hand and Microsurgery·Jeffrey WatsonDavid Ring
Jun 25, 2015·Clinical Orthopaedics and Related Research·Joost T P KortleverAna Maria Vranceanu
Jan 23, 2020·Hand : Official Journal of the American Association for Hand Surgery·Joost T P KortleverLee M Reichel
Dec 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Samir SodhaJesse B Jupiter
Dec 19, 2020·Journal of Hand and Microsurgery·Thomas J M KootstraDetlef van der Velde

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