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Painful shoulder : comparison of physical examination and ultrasonographic findings

NAREDO E; AGUADO P; DEMIGUEL E
ANN RHEUM DIS , 2002, vol. 61, n° 2, p. 132-136
Doc n°: 103954
Localisation : Bibliothèque Universitaire de Médecine de Nancy
Descripteurs : DD35 - PATHOLOGIE - EPAULE

High frequency ultrasonography is an accurate non-invasive imaging technique for evaluating patients with painful shoulder. OBJECTIVE: To compare the clinical diagnosis established by a physical examination with high frequency ultrasonographic findings in patients with painful shoulder. METHODS: Thirty one consecutive patients with a first flare of shoulder pain were prospectively included in the study. All had a physical examination performed by two blinded rheumatologists. Ultrasonographic examination was carried out within one week of the physical examination by a third rheumatologist experienced in this technique who had no knowledge of the clinical findings. Ultrasonography was considered the optimal diagnostic technique. RESULTS: Clinical assessment showed low accuracy in the diagnosis of periarticular shoulder lesions. CONCLUSION: Ultrasonography should be used wherever possible to improve diagnosis and treatment of painful shoulder.

Langue : ANGLAIS

Identifiant basis : 2002219929

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