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Related Concept Videos

Muscles of the Shoulder01:23

Muscles of the Shoulder

The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
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Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...

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Clinical Efficacy of Small Needle Knife Therapy on Stage I-II Frozen Shoulder
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Published on: November 17, 2023

[Non-traumatic shoulder pain].

Jens Ivar Brox1, Per Sunde, Cecilie Piene Schrøder

  • 1Ortopedisk avdeling, Oslo universitetssykehus, Rikshospitalet, 0027 Oslo, Norway. jens.ivar.brox@rikshospitalet.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|November 6, 2010
PubMed
Summary
This summary is machine-generated.

Non-traumatic shoulder pain is common in primary care. Diagnosis relies on medical history and clinical tests, with ultrasound preferred for imaging, and conservative treatment often effective.

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Area of Science:

  • Musculoskeletal pain management
  • Primary healthcare diagnostics
  • Clinical decision-making in orthopedics

Background:

  • Non-traumatic shoulder pain is a frequent reason for primary healthcare visits.
  • Challenges exist in accurately diagnosing and effectively treating this condition.

Purpose of the Study:

  • To review diagnostic and treatment challenges for non-traumatic shoulder pain.
  • To provide evidence-based recommendations for clinical practice.

Main Methods:

  • Literature review based on non-systematic searches of PubMed and Cochrane Library.
  • Analysis of diagnostic accuracy and treatment efficacy for shoulder pain.

Main Results:

  • Single clinical tests are insufficient for diagnosis; imaging interpretation is complex due to degenerative changes.
  • Ultrasound is comparable to MRI for rotator cuff diagnosis; MRI is primarily for preoperative assessment.
  • Evidence for specific treatments is limited, with methodological weaknesses and placebo effects influencing outcomes.
  • Glucocorticoid injections are beneficial for frozen shoulder; supervised exercise and surgery show similar effects for subacromial pain.

Conclusions:

  • Medical history and clinical tests adequately diagnose most non-traumatic shoulder pain cases.
  • Conservative treatment is generally sufficient.
  • Ultrasound is the recommended imaging modality when needed.