Evaluation of thyroid function in patients presenting with musculoskeletal complaints Kas-i̇skelet sistemi şikayetleriyle başvuran hastalarda tiroid fonksiyonlarinin deǧerlendirilmesi


Erkoç S., KARAAHMET Ö. Z., BAL A., Çakci A.

Journal of Rheumatology and Medical Rehabilitation, cilt.22, sa.1, ss.1-7, 2011 (Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 22 Sayı: 1
  • Basım Tarihi: 2011
  • Dergi Adı: Journal of Rheumatology and Medical Rehabilitation
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.1-7
  • Anahtar Kelimeler: Fibromyalgia, Hypothyroidism
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: The aim of this study is, patients admitted to our clinic with complaints of musculoskeletal system to evaluate thyroid function, before any patients were not diagnosed as thyroid dysfunction in clinical situations to identify and describe the cause of this dysfunction. Material and Methods: For this purpose, the patients who presented with a variety of musculoskeletal complaints were required. Total of 150 patients were included in the study. 30 patients had thyroid dysfunction, therefore anti-TPO and Anti-Tg antibodies and thyroid ultrasound was requested. The standardized Nordic questionnaire was used to query all of the patients in the study of musculoskeletal complaints. Results: As a result, adhesive capsulitis was found in 6.7% (n=2), carpal tunnel sydrome in 10.0% (n=3), arthritis in 13.3% (n=4), fibromyalgia in 50.0% (n=15) osteoporosis in 10.0% (n=3), myofascial pain syndrome in 10.0% (n=3) of 30 patients. When the prevalence were analysed, arthritis was significantly more prevalent in case group (p <0.015). In addition, the relationship was not detected between diagnostic features and thyroid antibody status (p> 0.05). When the groups were evaluated with Nordic survey for 12 mount and one week there was no significant difference between the groups (p> 0.05). In the case group, activity limitation due to low back pain and foot problems were significantly higher (p=0,029, p=0.003). Conclusion: Thyroid dysfunction, including musculoskeletal problems encountered in various clinical manifestations. Routine measurement of thyroid function tests in accordance with the complaints of patients with thyroid dysfunction detected and, as a result of treatment may be possible to eliminate the secondary clinical statements. Copyright © 2011 by Turk Tibbi Rehabilitasyon Kurumu Derneǧi.