Gärtner J, Blauth W, Hahne H J
Orthopädische Universitätsklinik Kiel.
Z Orthop Ihre Grenzgeb. 1991 Jul-Aug;129(4):322-5. doi: 10.1055/s-2008-1040249.
The response to pain of the shoulder in different diseases and injuries in this joint is uniform and this is of very little help in recognizing the cause. A detailed case history is useful in delineating the differential diagnosis. We have therefore developed a questionnaire consisting of 55 specifically aimed questions to these case histories. The acquired information was specifically rated for the 24 most frequent shoulderillnesses/injuries, and integrated in a computer program. In 55.4% of the cases the computer predicted the correct diagnosis and in 80% of the cases the right diagnosis was suggested amongst the first 3 preferences of the differential diagnosis.
该关节在不同疾病和损伤中对肩部疼痛的反应是一致的，这对识别病因帮助甚微。详细的病史有助于明确鉴别诊断。因此，我们设计了一份包含55个针对这些病史的特定问题的问卷。针对24种最常见的肩部疾病/损伤，对所获取的信息进行了专门评分，并整合到一个计算机程序中。在55.4%的病例中，计算机预测出了正确的诊断，在80%的病例中，鉴别诊断的前3个选项中给出了正确的诊断建议。
