DIAGNOSTIC AND THERAPEUTIC APPROACH IN PAINFUL SHOULDER
Abstract:
Shoulder pain is recognized as a frequent physical complaint, rotator cuff representing the main source. Shoulder impingement syndrome is the common cause of pain and determinates a significant disability. Aim: The evaluaion of methods and limits of diagnosis and treatment of painful shoulder, based on review of the latest data from international literature. Material and methods: authors present information obtained from studies published in 2009-2012. Results: shoulder impingement syndrome can usually be diagnosed based on clinical examination. X-rays can detect shoulder joint and bone pathology. Ultrasonography and magnetic resonance imaging may reveal rotator cuff pathology. Treatment is usually conservative, but sometimes an arthroscopic or classic surgery is required. Discussions and conclusions: in the diagnosis of painful shoulder clinical tests should be corroborated with imaging data, in particular ultrasound. Physiotherapy is the main option of treatment, proving to be effective in most patients.
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