Painful shoulder: comparison of physical examination and ultrasonographic findings

Naredo, Esperanza; Aguado, P.; Miguel, Eugenio de; Usón, Jacqueline; Mayordomo, L; Gijon-Baños, J; Martı́n-Mola, Emilio

doi:10.1136/ard.61.2.132

Cited by 161 publications

(133 citation statements)

References 55 publications

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“…We decided to use US as a reference standard due to its accuracy, tolerability and cost-effectiveness. Furthermore, it allows a dynamic evaluation, which is not possible with other imaging techniques [61,62]. It is important to note that in our study, the ultrasound examinations were performed using a 15 MHz matrix array probe instead of the 5 to 12 MHz conventional probe commonly used in other studies.…”

Section: Discussionmentioning

confidence: 99%

Women performing repetitive work: Is there a difference in the prevalence of shoulder pain and pathology in supermarket cashiers compared to the general female population?

Sansone¹,

Bonora²,

Boria³

et al. 2014

IJOMEH

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Objectives: Shoulder disorders in the occupational environment have been widely studied, but the quality of research and methodology applied vary. Little has been done to ascertain whether shoulder pain in female repetitive workers is due to any verifiable pathology, or to compare findings with the general population. Therefore, we decided to evaluate the prevalence of self-reported shoulder pain in a group of female supermarket cashiers and in the general female population using a standardized questionnaire. Shoulder pain prevalence was then compared to imaging findings in order to assess specific and non-specific pain prevalence. Material and Methods: 196 cashiers and 302 controls filled in a standardized shoulder questionnaire and underwent an imaging examination of a shoulder. Results: The prevalence of shoulder pain was significantly higher in the group of cashiers (46.4%) than in the general population (25.5%) (OR = 1.821; 95% CI: 1.426-2.325). Specific pain prevalence was higher among the controls (19.5%) than among the cashiers (13.2%). Conclusions: The more frequent reports of shoulder pain in the supermarket cashiers are not correlated with a higher prevalence of imaging abnormalities. The causes of these more frequent complaints should be probably sought in the psycho-social and occupational environment.

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Section: Discussionmentioning

confidence: 99%

Women performing repetitive work: Is there a difference in the prevalence of shoulder pain and pathology in supermarket cashiers compared to the general female population?

Sansone¹,

Bonora²,

Boria³

et al. 2014

IJOMEH

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show abstract

“…Although there are many specific tests for differential diagnosis of the shoulder pathologies, not much data on their diagnostic value are available (Naredo et al 2002). As a result especially in outpatient services, physicians mostly face a patient with a shoulder pain of unknown origin.…”

Section: Discussionmentioning

confidence: 99%

Suprascapular Nerve Block versus Steroid Injection for Non-Specific Shoulder Pain

Taşkaynatan

Yılmaz

Özgül

et al. 2005

Tohoku J. Exp. Med.

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“…Examining patients with shoulder problems can be challenging because (1) shoulder motion involves a complex interaction of movement of the scapula on the thorax, the humeral head on the glenoid, and the clavicle at the acromioclavicular and sternoclavicular joints [6,13,24]; and (2) physical examination tests for the shoulder are sensitive but not specific for one particular shoulder condition [4,5,10,20,23,26,[29][30][31]. It is important clinicians understand the limitations of physical examination tests when evaluating patients with shoulder pain.…”

Section: Introductionmentioning

confidence: 99%

Clinical Evaluation of the Shoulder Shrug Sign

Jia

Petersen

et al. 2008

Clinical Orthopaedics &Amp; Related Research

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The ''shrug sign'' (inability to lift the arm to 90°abduction without elevating the whole scapula or shoulder girdle) has been associated with a diagnosis of rotator cuff disease. Based on our clinical experience, we hypothesized the shrug sign is not a specific diagnostic sign for this condition, but rather is associated with various shoulder conditions and shoulder weakness and loss of range of motion. We retrospectively reviewed 982 consecutive patients who had been examined preoperatively for the shrug sign. A positive shrug sign was present in 51.3% of the patients, and the average distance lost from the horizontal was 20.5°± 2.2°(standard error of mean). Increasing age was associated with the presence of a shrug sign. The highest incidence was in patients with adhesive capsulitis (94.7%). The shrug sign was not sensitive for tendinosis, partial rotator cuff tears, or full-thickness or massive rotator cuff tears. The shrug sign was associated with weakness in abduction, night pain, and loss of range of motion, especially passive abduction. Although the shrug sign is useful as a general sign of shoulder abnormality, particularly when associated with stiffness, it was not specific or sensitive for rotator cuff problems.

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Painful shoulder: comparison of physical examination and ultrasonographic findings

Cited by 161 publications

References 55 publications

Women performing repetitive work: Is there a difference in the prevalence of shoulder pain and pathology in supermarket cashiers compared to the general female population?

Women performing repetitive work: Is there a difference in the prevalence of shoulder pain and pathology in supermarket cashiers compared to the general female population?

Suprascapular Nerve Block versus Steroid Injection for Non-Specific Shoulder Pain

Clinical Evaluation of the Shoulder Shrug Sign

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