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Related Experiment Video

Updated: May 6, 2026

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[Diagnostic imaging for atraumatic shoulder pain].

E Wagner1, D Arditi, P-A Guerne

  • 1Service de Médecine de Premier Recours, Département de Médecine Communautaire, HUG, Genève. elise.wagner@hcuge.ch

Revue Medicale Suisse
|October 30, 2013
PubMed
Summary
This summary is machine-generated.

Shoulder pain, often caused by rotator cuff injury, is diagnosed through history, physical exam, and imaging like X-rays and ultrasound. Ultrasonography is key for soft tissue evaluation, aiding diagnosis of common shoulder conditions.

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Area of Science:

  • Orthopedics
  • Radiology
  • Primary Care Medicine

Context:

  • Shoulder pain is a frequent complaint in primary care.
  • Accurate diagnosis relies on detailed patient history and physical examination.
  • Identifying intrinsic or extrinsic causes guides the diagnostic process.

Purpose:

  • To outline the diagnostic approach for shoulder pain in primary care.
  • To highlight the role of imaging in evaluating shoulder pathologies.
  • To emphasize common causes like rotator cuff injuries.

Summary:

  • A thorough history and physical exam help differentiate intrinsic and extrinsic shoulder pain causes.
  • Plain radiography is often the initial imaging step, identifying bony and some soft tissue abnormalities.
  • Ultrasonography excels in diagnosing soft tissue injuries, including rotator cuff tears, biceps tendinopathy, bursitis, effusions, and calcifications.

Impact:

  • Facilitates accurate and timely diagnosis of shoulder pain conditions.
  • Guides appropriate selection of further diagnostic imaging modalities.
  • Improves patient management by identifying the most common causes of shoulder pain.