[Diagnostic strategy for shoulder pathology?].
Faced to shoulder pathology, the way of investigating must be very systematic. Before doing sophisticated explorations (arthroCT, MRI), we first have to use the triad "interrogatory-clinical examination-standard X Rays". This first step is absolutely necessary; it must allow to make the diagnosis to which the therapy must be adapted. The rotator cuff pathology is the most frequent one. Its frequency depends on patient's age, precessive trauma or not and the pratice of activities using the arm up (sports, leasures, works). A stiff shoulder must never be neglected, the diagnosis is done by clinical examination and its origine is very often precised by standard Xrays. Others diagnosis are done by the conjunction of several elements (pathologic context, clinical examination, standard Xrays). In some complex situations, other investigations (US, arthroCT, MRI) will be needed.
Noël
Eric
E
Centre orthopédique Santy, 24, avenue Paul-Santy, 69008 Lyon. ericnoel3@wanadoo.fr
D000208:Acute Disease; D001265:Athletic Injuries / Q000175:diagnosis; D002114:Calcinosis / Q000000981:diagnostic imaging; D002908:Chronic Disease; D003937:Diagnosis, Differential; D006429:Hemiplegia / Q000175:diagnosis; D006801:Humans; D007592:Joint Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008487:Medical History Taking; D009437:Neuralgia / Q000175:diagnosis; D010173:Palpation; D010808:Physical Examination; D011859:Radiography; D017006:Rotator Cuff; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000000981:diagnostic imaging / Q000502:physiology; D020069:Shoulder Pain / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D052256:Tendinopathy / Q000000981:diagnostic imaging