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[Painful shoulders. Clinico-echographic evaluation].

M S Fernandes1, A C Pinto

  • 1Serviço de Medicina Fisica e de Reabilitação, Hospital de St. Maria-FML e SCML, Lisboa.

Acta Medica Portuguesa
|July 1, 1990
PubMed
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Real-time ultrasonography offers a non-invasive method for diagnosing painful shoulder conditions. This imaging technique is valuable for confirming diagnoses and monitoring treatment effectiveness in patients with shoulder pain.

Area of Science:

  • Musculoskeletal imaging
  • Diagnostic medicine
  • Medical technology

Background:

  • Painful shoulders represent a common clinical challenge for healthcare professionals.
  • Accurate diagnosis and effective therapeutic management are often difficult.
  • Non-invasive imaging modalities are sought for improved patient care.

Purpose of the Study:

  • To present Real Time Ultrasonography (RTUS) as a diagnostic tool for painful shoulders.
  • To evaluate the utility of RTUS in therapeutic control of shoulder pathologies.
  • To establish sonographic criteria for diagnosis and treatment monitoring.

Main Methods:

  • A standardized routine ultrasonographic technique was applied to 50 patients with suspected soft tissue shoulder pathology.
  • Static and dynamic imaging were utilized.

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  • Sonographic findings were compared with clinical data, X-rays, arthrography, and surgical observations.

    • Main Results:

    • Real-time ultrasonography demonstrated utility in diagnosing various soft tissue shoulder pathologies.
    • In a subgroup of 20 patients with tendinitis or bursitis, RTUS was effective in monitoring physiatric treatment.
    • Established sonographic criteria (echogenicity, dimensions, dynamic performance) aid diagnosis and therapeutic control.

    Conclusions:

    • Real-time ultrasonography is a valuable method for confirming the diagnosis of painful shoulders.
    • This imaging modality is indispensable for following and controlling therapeutic outcomes in patients with shoulder pain.