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Cervical spine and the shoulder.

R J Hawkins

    Instructional Course Lectures
    |January 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Cervical spine issues can cause shoulder pain, mimicking frozen shoulder or tendinitis. Accurate diagnosis is key for effective treatment, often involving both cervical spine and shoulder therapies.

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    Area of Science:

    • Orthopedics
    • Neurosurgery
    • Physical Therapy

    Background:

    • Cervical spine disorders can manifest as shoulder pain, potentially leading to frozen shoulder or tendinitis.
    • Coexisting cervical and shoulder pathologies present diagnostic and therapeutic challenges.

    Purpose of the Study:

    • To elucidate the relationship between cervical spine pathosis and shoulder pain.
    • To outline diagnostic and therapeutic strategies for managing concurrent cervical and shoulder conditions.

    Main Methods:

    • Review of clinical presentations, diagnostic workup, and treatment outcomes.
    • Emphasis on history, physical examination, imaging (roentgenograms, cervical discogram), and selective injections.
    • Discussion of conservative and surgical management approaches.

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    Main Results:

    • Referred cervical pain can mimic primary shoulder conditions, complicating diagnosis.
    • Effective management necessitates accurate identification of the predominant pathology.
    • Conservative treatment often involves aggressive cervical spine intervention alongside shoulder therapy.

    Conclusions:

    • Accurate diagnosis is crucial for successful treatment of shoulder pain originating from the cervical spine.
    • A comprehensive approach involving both cervical and shoulder evaluation and treatment is often required.
    • Surgical intervention, such as anterior cervical fusion, may be indicated for specific cervical spine disorders causing shoulder pain.