肩带瘤误诊和临床表现:一个范围审查
Michael S Wilkinson1, Steven J Obst2
1School of Health, Medical, and Applied Sciences, Central Queensland University, Cairns, QLD, Australia.
Shoulder & elbow
|March 17, 2025
概括
肩带瘤经常被误诊为结肩合症综合征 (FSCS),导致诊断延迟. 识别关键症状,如疼痛,胀和骨敏感,对于准确诊断至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 肩带瘤可以模仿结肩缩综合征 (FSCS) 的症状.
- 准确的区分对于避免诊断延迟和确保适当的治疗至关重要.
研究的目的:
- 概述肩带瘤的临床表现.
- 为了区分瘤和FSCS.
- 量化文献中的错误诊断率.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 在四个电子数据库 (Embase,Medline,PUBMED,Scopus) 进行了搜索.
- 包括肩带瘤患者的队列研究.
主要成果:
- 肩膀疼痛是瘤最常见的症状 (62%).
- 错误诊断的病例呈现了肩部疼痛和硬 (73%).
- 错误诊断率从10%到50%不等,导致延迟长达30个月.
结论:
- 局部骨柔软和胀/质量/变形是主要的区分特征.
- 这些迹象的早期识别有助于区分瘤和FSCS.
- 将这些特征纳入体检可以指导初始成像选择.
相关概念视频
Gastroesophageal Reflux Disease II: Clinical Features and Management
43
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
43
Documentation of Nursing Diagnosis
1.2K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.2K


