Results of clinical and radiological exemination of patient with neck pain and previous injury of the shoulder girdle

Introduction: At present, it is believed that the cervical spine and the shoulder girdle form a single functional mechanism and have mutual influence on eachother. It can therefore be assumed that a prior history of shoulder girdle injury may cause pain in the cervical spine and affect the treatment algorithm. Properdiagnosis and identification of the causes of pain in the cervical spine will help form the correct treatment and rehabilitation tactics for this cohort of patients.Object and methods: 537 patients with shoulder girdle injury in the history (who underwent conservative and surgical treatment) and cervicalgia participatedin the study, the average age was 40.7 years. Radiographic and clinical examinations were performed on all patients. Results: Most patients (73.56%) had moderate functional disorders. Radiological examination revealed such manifestations (in descending order of frequency ofoccurrence) as: a deviation of austral vertebrae, displacement ofjoint surfaces of arched joints, instability of vertebral bodies, a decrease in height of intervertebraldiscs (in comparison with discs of adjacent segments), arthrosis of arched joints, spondylosis. Conclusions: The cervical spine and the shoulder girdle are inseparable functional structures. The present study confirms the dependence of the local pain syndrome of the cervical spine with the previous shoulder girdle injury. However, there is a lack of such studies in the literature, which encourages further study of this problem.