Concordance of shoulder symptoms and imaging findings: a protocol for the Finnish Imaging of Shoulder (FIMAGE) study
Introduction Shoulder pain is a substantial medical and socioeconomic problem in most societies, affecting the ability to work or carry out leisure time activities as well as subsequently influencing physical and psychological well-being. According to a nationwide survey in Finland, 27% of the popul...
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BMJ Publishing Group
2023-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/12/e074457.full |
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| author | Rachelle Buchbinder Eira Viikari-Juntura Harri Rissanen Tommi Härkänen Seppo Koskinen Kari Kanto Simo Taimela Markku Heliövaara Pirjo Toivonen Teppo Jarvinen Niko Sillanpää Mika Paavola Roope Kalske Lasse Rämö Thomas Ibounig Saara Raatikainen Tomasz Czuba Robert Björkenheim Danielle van der Windt |
| author_facet | Rachelle Buchbinder Eira Viikari-Juntura Harri Rissanen Tommi Härkänen Seppo Koskinen Kari Kanto Simo Taimela Markku Heliövaara Pirjo Toivonen Teppo Jarvinen Niko Sillanpää Mika Paavola Roope Kalske Lasse Rämö Thomas Ibounig Saara Raatikainen Tomasz Czuba Robert Björkenheim Danielle van der Windt |
| collection | DOAJ |
| description | Introduction Shoulder pain is a substantial medical and socioeconomic problem in most societies, affecting the ability to work or carry out leisure time activities as well as subsequently influencing physical and psychological well-being. According to a nationwide survey in Finland, 27% of the population reported shoulder pain within the last 30 days. In clinical practice, imaging findings of structural abnormalities are typically thought to explain symptoms, even though such findings are also prevalent in asymptomatic individuals, particularly with increasing age. Overall, there is a paucity of high-quality evidence on the prevalence, clinical relevance and prognosis of ‘abnormal’ imaging findings of the shoulder.The aim of the Finnish Imaging of Shoulder (FIMAGE) study is fourfold: to assess (1) the prevalence of shoulder symptoms and the most common anatomical variants and imaging abnormalities of the shoulder; (2) the concordance between shoulder symptoms, function and imaging abnormalities; (3) the most important determinants of symptoms, function and imaging abnormalities; and (4) the course of shoulder complaints over 5 years.Methods The FIMAGE target population of 600 participants, aged 40–75 years, will be randomly selected from a nationally representative general population sample of 9922 individuals originally recruited for the Finnish Health 2000 Survey. On giving informed consent, the participants will be invited to a clinical visit that includes assessment of general health, shoulder symptoms, bilateral shoulder examination and imaging of both shoulders with plain radiography and MRI.Ethics and dissemination The study has been approved by the Institutional Review Board of the Helsinki and Uusimaa Hospital District. The findings will be published according to the Strengthening the Reporting of Observational Studies in Epidemiology criteria.Trial registration number NCT05641415. |
| format | Article |
| id | doaj-art-d0ddafcff1b448f7a9f3fd790a63603e |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2023-12-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-d0ddafcff1b448f7a9f3fd790a63603e2025-08-20T01:47:38ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-074457Concordance of shoulder symptoms and imaging findings: a protocol for the Finnish Imaging of Shoulder (FIMAGE) study 0Rachelle Buchbinder1Eira Viikari-Juntura2Harri Rissanen3Tommi Härkänen4Seppo Koskinen5Kari KantoSimo Taimela6Markku HeliövaaraPirjo Toivonen7Teppo Jarvinen8Niko Sillanpää9Mika Paavola10Roope KalskeLasse Rämö11Thomas Ibounig12Saara Raatikainen13Tomasz Czuba14Robert BjörkenheimDanielle van der WindtSPRinG Network, Severn and Peninsula Deaneries, UK5 School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaFinnish Institute of Occupational Health, Helsinki, FinlandFinnish Institute for Health and Welfare, Helsinki, Uusimaa, FinlandPopulation Health, National Institute for Health and Welfare, Helsinki, FinlandFinnish Institute for Health and Welfare, Helsinki, Uusimaa, FinlandFinnish Centre for Evidence-Based Orthopaedics, University of Helsinki, Helsinki, FinlandFinnish Centre for Evidence-Based Orthopaedics, University of Helsinki, Helsinki, FinlandFinnish Centre for Evidence-Based Orthopaedics (FICEBO), Department of Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki, FinlandTampere University Hospital, Tampere, FinlandDepartment of Orthopaedics and Traumatology, Helsinki University Central Hospital, Helsinki, FinlandDepartment of Orthopaedics and Traumatology, Helsinki University Central Hospital, Helsinki, FinlandDepartment of Orthopaedics and Traumatology, Helsinki University Central Hospital, Helsinki, FinlandDepartment of Orthopaedics and Traumatology, Helsinki University Central Hospital, Helsinki, FinlandDepartment of Molecular and Clinical Medicine, University of Gothenburg, Goteborg, SwedenIntroduction Shoulder pain is a substantial medical and socioeconomic problem in most societies, affecting the ability to work or carry out leisure time activities as well as subsequently influencing physical and psychological well-being. According to a nationwide survey in Finland, 27% of the population reported shoulder pain within the last 30 days. In clinical practice, imaging findings of structural abnormalities are typically thought to explain symptoms, even though such findings are also prevalent in asymptomatic individuals, particularly with increasing age. Overall, there is a paucity of high-quality evidence on the prevalence, clinical relevance and prognosis of ‘abnormal’ imaging findings of the shoulder.The aim of the Finnish Imaging of Shoulder (FIMAGE) study is fourfold: to assess (1) the prevalence of shoulder symptoms and the most common anatomical variants and imaging abnormalities of the shoulder; (2) the concordance between shoulder symptoms, function and imaging abnormalities; (3) the most important determinants of symptoms, function and imaging abnormalities; and (4) the course of shoulder complaints over 5 years.Methods The FIMAGE target population of 600 participants, aged 40–75 years, will be randomly selected from a nationally representative general population sample of 9922 individuals originally recruited for the Finnish Health 2000 Survey. On giving informed consent, the participants will be invited to a clinical visit that includes assessment of general health, shoulder symptoms, bilateral shoulder examination and imaging of both shoulders with plain radiography and MRI.Ethics and dissemination The study has been approved by the Institutional Review Board of the Helsinki and Uusimaa Hospital District. The findings will be published according to the Strengthening the Reporting of Observational Studies in Epidemiology criteria.Trial registration number NCT05641415.https://bmjopen.bmj.com/content/13/12/e074457.full |
| spellingShingle | Rachelle Buchbinder Eira Viikari-Juntura Harri Rissanen Tommi Härkänen Seppo Koskinen Kari Kanto Simo Taimela Markku Heliövaara Pirjo Toivonen Teppo Jarvinen Niko Sillanpää Mika Paavola Roope Kalske Lasse Rämö Thomas Ibounig Saara Raatikainen Tomasz Czuba Robert Björkenheim Danielle van der Windt Concordance of shoulder symptoms and imaging findings: a protocol for the Finnish Imaging of Shoulder (FIMAGE) study BMJ Open |
| title | Concordance of shoulder symptoms and imaging findings: a protocol for the Finnish Imaging of Shoulder (FIMAGE) study |
| title_full | Concordance of shoulder symptoms and imaging findings: a protocol for the Finnish Imaging of Shoulder (FIMAGE) study |
| title_fullStr | Concordance of shoulder symptoms and imaging findings: a protocol for the Finnish Imaging of Shoulder (FIMAGE) study |
| title_full_unstemmed | Concordance of shoulder symptoms and imaging findings: a protocol for the Finnish Imaging of Shoulder (FIMAGE) study |
| title_short | Concordance of shoulder symptoms and imaging findings: a protocol for the Finnish Imaging of Shoulder (FIMAGE) study |
| title_sort | concordance of shoulder symptoms and imaging findings a protocol for the finnish imaging of shoulder fimage study |
| url | https://bmjopen.bmj.com/content/13/12/e074457.full |
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