Ultrasound imaging for tailored treatment of patients with acute shoulder pain
- PMID: 25583893
- PMCID: PMC4291266
- DOI: 10.1370/afm.1734
Ultrasound imaging for tailored treatment of patients with acute shoulder pain
Abstract
Purpose: The objective of this study was to assess the frequencies of ultrasound findings in patients with acute rotator cuff disorders in family medicine.
Methods: In a prospective observational study, 129 patients aged 18 to 65 years with acute shoulder pain in whom the family physician suspected rotator cuff disease underwent ultrasound imaging.
Results: Rotator cuff disease was present in 81% of the patients, and 50% of them had multiple disorders. Calcific tendonitis was the most frequently diagnosed specific disorder. An age of 40 years or older was most strongly related to rotator cuff disease.
Conclusions: Ultrasound imaging enables family physicians to rationalize treatment in nearly all patients who are aged 40 years and older with acute shoulder pain.
Keywords: family practice; rotator cuff; shoulder impingement syndrome; shoulder joint; ultrasound imaging.
© 2015 Annals of Family Medicine, Inc.
References
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- Clinical Knowledge Summeries NHS/NICE. Shoulder pain guideline. http://www.cks.nhs.uk/shoulder-pain June 3, 2014.
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- Winters JC, van der Windt DAWM, Spinnewijn WEM, et al. Shoulder pain guideline of the Dutch College of General Practitioners [in Dutch]. Huisarts Wet. 2008;51(11):555–565.
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- Ottenheijm RPG, Jansen MJ, Staal JB, et al. Accuracy of diagnostic ultrasound in patients with suspected subacromial disorders: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2010;91(10):1616–1625. - PubMed
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