Estudio epidemiológico de afecciones musculoesqueléticas de hombro en la Ciudad de Buenos Aires

  • Gaston Jorge Muhafara Hospital Piñero, CABA, Argentina
  • Matias Villarruel Hospital Piñero, CABA, Argentina
  • Adriano Cura Hospital Piñero, CABA, Argentina
  • Walter Tozzi Hospital Piñero, CABA, Argentina
  • Antonela Vicente Hospital Piñero, CABA, Argentina
  • Luis Francisco Esperón Hospital Piñero, CABA, Argentina
  • Sandra Salzberg Hospital Durand, CABA, Argentina
  • Santiago Soliño Hospital Durand, CABA, Argentina
  • Emiliano Navarro Hospital Durand, CABA, Argentina
  • Fernando Argento Escuela de Kinesiología, Facultad de Medicina, Universidad de Buenos Aires
  • Pablo Policastro Hospital Durand, CABA, Argentina
Palabras clave: prevalencia, dolor de hombro, epidemiología, rehabilitación, evaluación en salud, Argentina


Objetivo: Determinar la prevalencia, características epidemiológicas y clínicas de pacientes con afecciones de hombro en dos centros de salud en el período de un año. 

Materiales y método: Se llevó a cabo un estudio descriptivo, transversal, prospectivo y multicéntrico a lo largo de un año, donde se incluyeron sujetos con diagnóstico médico de afecciones musculoesqueléticas de hombro, que acudieron al servicio de kinesiología de dos hospitales públicos de la Ciudad Autónoma de Buenos Aires. Se recolectaron y analizaron variables sociodemográficas y clínicas. 

Resultados: Se incluyeron 179 sujetos con una media de edad de 53,64 ± 14,31 años, siendo el 58,7% de sexo femenino. El 75% de la muestra estudiada presentó cuadros clínicos de Dolor de Hombro Asociado al Manguito Rotador (DHAMR). El 72,32% no reportó patología previa en el hombro. El 63,79% no recibió tratamiento kinésico previo. El valor promedio del ASES fue de 49,4 ± 22,08, hallándose diferencias estadísticamente significativas según el género (p= 0,02), nivel educativo (p= 0,02), dolor nocturno (p< 0,001). Se encontró una correlación positiva significativa entre el rango total de movimiento del brazo afectado y el ASES (rho= 0,33, p˂ 0,001).

Conclusión: El presente estudio nos permitió conocer las características epidemiológicas y clínicas de pacientes con afecciones musculoesqueléticas de hombro en dos centros de salud públicos. La prevalencia de las afecciones de hombro fue de 11,38%, siendo las diferentes entidades del DHAMR las más frecuentes. 


Muhafara GJ, Cura AJ, Tozzi WA, Villarruel M, Virgilio SA, Alí MA, Esperón LF. Prevalence of Musculoskeletal disorders of the Shoulder in a Hospital of the City of Buenos Aires. Retrospective study. J Shoulder Elbow Surg . 2017;2(2):20–23.

Greving K, Dorrestijn O, Winters JC, Groenhof F, Van Der Meer K, Stevens M, et al. Incidence, prevalence, and consultation rates of shoulder complaints in general practice. Scand J Rheumatol. 2012;41(2):150–5.

Struyf F, Geraets J, Noten S, Meeus M, Nijs J. A Multivariable Prediction Model for the Chronification of Non-traumatic Shoulder Pain: A Systematic Review. Pain Physician. 2016;19(2):1-10.

Ludewig PM, Kamonseki DH, Staker JL, Lawrence RL, Camargo PR, Braman JP. Changing Our Diagnostic Paradigm: Movement System Diagnostic Classification. Int J Sports Phys Ther. 2017;12(6):884–93.

Bahr R. Why screening tests to predict injury do not work — and probably never will … : a critical review. Br J Sports Med. 2016;50(13):776–80.

Kelley MJ, Shaffer MA, Kuhn JE, Michener LA, Seitz AL, Uhl TL, et al. Shoulder pain and mobility deficits: Adhesive capsulitis: Clinical practice guidelines linked to the international classification of functioning, disability, and ealth from the orthopaedic section of the american physical therapy association. J Orthop Sports Phys Ther. 2013;43(5).

Davenport TE, Watts HG, Kulig K, Resnik C. Current status and correlates of physicians’ referral diagnoses for physical therapy. J Orthop Sports Phys Ther. 2005;35(9):572–9.

Pierobon A, Policastro P, Amorín MP, Navarro E, Méndez D. Epidemiología de sujetos con afecciones músculo-esqueléticas que acuden a un consultorio privado de kinesiología en Argentina . Estudio retrospectivo. AJRPT. 2020;2(2):28–35.

Portney LG. Foundations of Clinical Research: Applications Evidence- Based Practice. 4th Ed: Philadelphia: Davis Company; 2020. p: 2-16.

Studies O. Annals of Internal Medicine Academia and Clinic The Strengthening the Reporting of Observational Studies in Epidemiology ( STROBE ) Statement : Guidelines for Reporting. 2015;147(8):573–8.

Policastro PO, Pierobon A, Pérez J, Novoa GA, Calvo Delfino M, Sajfar ME, et al. Cross-cultural adaptation and validation of the Argentine “American Shoulder and elbow surgeons, patient self-report section” questionnaire. Musculoskelet Sci Pract. 2019;43:37–44.

Cools AM, De Wilde L, van Tongel A, Ceyssens C, Ryckewaert R, Cambier DC. Measuring shoulder external and internal rotation strength and range of motion: Comprehensive intra-rater and inter-rater reliability study of several testing protocols. J Shoulder Elb Surg. 2014;23(10):1454–61.

Yang JI, Lin JJ. Reliability of function-related tests in patients with shoulder pathologies. J Orthop Sports Phys Ther. 2006;36(8):572–6.

Hegedus EJ, Cook C, Lewis J, Wright A, Park JY. Combining orthopedic special tests to improve diagnosis of shoulder pathology. Phys Ther Sport 2015;16(2):87–92.

Lewis J, McCreesh K, Roy JS, Ginn K. Rotator cuff tendinopathy: Navigating the diagnosis-management conundrum. J Orthop Sports Phys Ther. 2015;45(11):923–37.

Itoi E, Arce G, Bain GI, Diercks RL, Guttmann D, Imhoff AB, et al. Shoulder Stiffness: Current Concepts and Concerns. Arthroscopy. 2016;32(7):1402–14.

Lo IKY, Nonweiler B, Woolfrey M, Litchfield R, Kirkley A. An Evaluation of the Apprehension, Relocation, and Surprise Tests for Anterior Shoulder Instability. Am J Sports Med. 2004;32(2):301-7.

Reilingh ML, Kuijpers T, Windt DA Van Der. Course and prognosis of shoulder symptoms in general practice. Rheumatology. 2008;47(5):724–30.

Doiron-Cadrin P, Lafrance S, Saulnier M, Cournoyer E, Roy JS, Dyer JO, et al. Shoulder rotator cuff disorders: a systematic review of clinical practice guidelines and semantic analyses of recommendations. Arch Phys Med Rehabil. 2020;101(7):1233-1242.

INDEC. No Title [Internet]. Available from:

Strazdins L, Bammer G. Women, work and musculoskeletal health. Soc Sci Med. 2004;58(6):997–1005.

Kauppinen K, Kumpulainen R, Houtman I, Copsey S. Gender issues in safety and health at work. Vol. 19, Psychology and Health. 2004. 93–94 p.

Mitchell C, Adebajo A, Hay E, Carr A. Shoulder Pain: diagnosis and management in primary care. BMJ. 2005. Nov 12;331(7525):1124–8.

Salamh P, Lewis J. It Is Time to Put Special Tests for Rotator Cuff Related Shoulder Pain Out to Pasture. J Orthop Sport Phys Ther. 2020;50(5):222-225.

Cadogan A, McNair PJ, Laslett M, Hing WA. Diagnostic accuracy of clinical examination and imaging findings for identifying subacromial pain. PLoS One. 2016;11(12):e016738.

Leong HT, Fu SC, He X, Oh JH, Yamamoto N, Hang S. Risk factors for rotator cuff tendinopathy: A systematic review and meta-analysis. J Rehabil Med. 2019;51(9):627–37.

Jørgensen MB, Faber A, Hansen JV, Holtermann A, Søgaard K. Effects on musculoskeletal pain , work ability and sickness absence in a 1-year randomised controlled trial among cleaners. BMC Public Health. 2011;11(1):840.

Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR Jr, Tudor-Locke C et al. 2011 Compendium of Physical Activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011 Aug;43(8):1575-81.

Wakabayashi I, Itoi E, Minagawa H, Kobayashi M, Seki N, Shimada Y, et al. Does reaching the back reflect the actual internal rotation of the shoulder? J Shoulder Elb Surg. 2006;15(3):306–10.

Satpute KH, Hall T, Adanani A. Validity of an Alternate Hand Behind Back Shoulder Range of Motion Measurement in Patients With Shoulder Pain and Movement Dysfunction. J Manipulative Physiol Ther. 2018;41(3):242-251.

Cho CH, Jung SW, Park JY, Song KO, Yu KI. Is shoulder pain for three months or longer correlated with depression, anxiety, and sleep disturbance ? J Shoulder Elb Surg. 2013;22(2):222–8.

Dunn WR, Kuhn JE, Sanders R, An Q, Baumgarten KM, Bishop JY, et al. Symptoms of pain do not correlate with rotator cuff tear severity a cross-sectional study of 393 patients with a symptomatic atraumatic full-thickness rotator cuff tear. J Bone Joint Surg Am. 2014;96(10):793–800.

Testa M, Rossettini G. Enhance placebo, avoid nocebo: How contextual factors affect physiotherapy outcomes. Man Ther. 2016;24:65-4.

Mulligan EP, Brunette M, Shirley Z, Khazzam M. Sleep quality and nocturnal pain in patients with shoulder disorders. J Shoulder Elbow Surg. 2015 Sep;24(9):1452-7.

Lewis J. The End of an Era? J Orthop Sports Phys Ther. 2018 Mar;48(3):127-129.

Chester R, Jerosch-Herold C, Lewis J, Shepstone L. Psychological factors are associated with the outcome of physiotherapy for people with shoulder pain: A multicentre longitudinal cohort study. Br J Sports Med. 2018;52(4):269–75.

Cómo citar
Muhafara, G. J., Villarruel, M., Cura, A., Tozzi, W., Vicente, A., Esperón, L. F., Salzberg, S., Soliño, S., Navarro, E., Argento, F., & Policastro, P. (2021). Estudio epidemiológico de afecciones musculoesqueléticas de hombro en la Ciudad de Buenos Aires . Argentinian Journal of Respiratory & Physical Therapy, 3(2), 13-21. Recuperado a partir de