Iannotti J P
Shoulder Service, University of Pennsylvania School of Medicine, Philadelphia 19104.
J Hand Ther. 1994 Apr-Jun;7(2):77-83. doi: 10.1016/s0894-1130(12)80075-5.
The clinical evaluation of the painful shoulder by an experienced and knowledgeable health care professional remains the most sensitive and clinically useful tool for the assessment of most patients with rotator cuff disease, glenohumeral instability, glenohumeral arthritis, and adhesive capsulitis. The judicious and appropriate use of diagnostic imaging studies requires a thoughtful and thorough evaluation of the data obtained from these studies and their correlation to the patient's symptoms, history, mechanism of injury, and physical findings. The appropriate use of all of this diagnostic information should result in a precise, complete, and accurate diagnosis for most patients with shoulder pain.
由经验丰富且知识渊博的医疗保健专业人员对肩部疼痛进行临床评估，仍然是评估大多数患有肩袖疾病、盂肱关节不稳、盂肱关节炎和粘连性关节囊炎患者的最敏感且临床有用的工具。明智且适当地使用诊断性影像学检查，需要对从这些检查中获得的数据及其与患者症状、病史、损伤机制和体格检查结果的相关性进行深思熟虑且全面的评估。合理运用所有这些诊断信息，应为大多数肩部疼痛患者得出精确、完整且准确的诊断。
