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Shoulder pain that is not shoulder pathology - a shoulder surgeon's guide to concomitant cervical spine and rotator
Gregory R Sprowls1,2,3, Mitchell Parker2,3, Thomas R Denninger4,5
1Steadman Hawkins Clinic of the Carolinas, Greenville, SC, USA.
Background:
Rotator cuff and cervical spine disease are complex and nuanced conditions that commonly coexist, creating a challenging treatment paradigm.
Methods:
An algorithmic approach to diagnosis and management is developed in this study and illustrated through clinical vignettes.
Results:
The diagnostic and therapeutic challenges of concomitant shoulder and neck conditions may be simplified by this approach.
Conclusion:
Shoulder surgeons should seek cervical disease with a high index of suspicion and understand cervical conditions that may take surgical precedence to rotator cuff repair.
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