肩部疼痛：体格检查与超声检查结果的比较
Painful shoulder: comparison of physical examination and ultrasonographic findings.
作者信息
Naredo E, Aguado P, De Miguel E, Uson J, Mayordomo L, Gijon-Baños J, Martin-Mola E
机构信息
Department of Rheumatology, La Paz Hospital, Autonoma University of Madrid, Spain.
出版信息
Ann Rheum Dis. 2002 Feb;61(2):132-6. doi: 10.1136/ard.61.2.132.
Abstract
BACKGROUND
High frequency ultrasonography is an accurate non-invasive imaging technique for evaluating patients with painful shoulder.
OBJECTIVE
To compare the clinical diagnosis established by a physical examination with high frequency ultrasonographic findings in patients with painful shoulder.
METHODS
Thirty one consecutive patients with a first flare of shoulder pain were prospectively included in the study. All had a physical examination performed by two blinded rheumatologists. Ultrasonographic examination was carried out within one week of the physical examination by a third rheumatologist experienced in this technique who had no knowledge of the clinical findings. Ultrasonography was considered the optimal diagnostic technique.
RESULTS
Clinical assessment showed low accuracy in the diagnosis of periarticular shoulder lesions.
CONCLUSION
Ultrasonography should be used wherever possible to improve diagnosis and treatment of painful shoulder.
摘要
背景
高频超声检查是评估肩部疼痛患者的一种准确的非侵入性成像技术。
目的
比较体格检查所确立的临床诊断与肩部疼痛患者的高频超声检查结果。
方法
前瞻性纳入31例首次发作肩部疼痛的连续患者。所有患者均由两名不知情的风湿病学家进行体格检查。在体格检查后一周内，由一名精通该技术但不了解临床检查结果的第三名风湿病学家进行超声检查。超声检查被视为最佳诊断技术。
结果
临床评估显示对肩关节周围病变的诊断准确性较低。
结论
应尽可能使用超声检查以改善肩部疼痛的诊断和治疗。
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