title: [Leading symptom shoulder pain].
abstract: Pain in the shoulder should prompt a systematic clinical examination that adheres closely to the functional anatomy. The basic examination of the shoulder joint comprises active and passive movements and isometric resistance tests with the aid of which external and internal rotation and abduction/adduction can be investigated. The results of these tests provide the physician with a "pattern of findings" which unequivocally identifies the pain-triggering structure. Accordingly, shoulder pain can be classified into four categories as proposed by Cyriax. As treatment, intra-articular injections of corticoids or local anesthetics as determined by findings, where necessary supported by physiotherapeutic measures. Rupture of a tendon, in particular in the case of an active patient, is an indication for surgery.
authors.affiliation: kontakt@sportmedizin-wittke.de
authors.forename: R
authors.initials: R
authors.lastname: Wittke
mesh_terms: D000173:Acromioclavicular Joint / Q000502:physiology; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage / Q000627:therapeutic use; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000627:therapeutic use; D001168:Arthritis / Q000175:diagnosis / Q000628:therapy; D003937:Diagnosis, Differential; D006801:Humans; D007270:Injections, Intra-Articular; D007592:Joint Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000628:therapy; D009119:Muscle Contraction; D010146:Pain / Q000188:drug therapy / Q000209:etiology*; D059408:Pain Management; D026741:Physical Therapy Modalities; D012399:Rotation; D012421:Rupture; D019534:Shoulder Impingement Syndrome / Q000175:diagnosis; D012785:Shoulder Joint / Q000502:physiology; D013247:Sternoclavicular Joint / Q000502:physiology; D013708:Tendon Injuries / Q000175:diagnosis / Q000601:surgery
chemical_list: D000305:Adrenal Cortex Hormones; D000779:Anesthetics, Local