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Ultrasound Imaging for Tailored Treatment of Patients With Acute Shoulder Pain
Authors:Ramon P G Ottenheijm  Jochen W L Cals  René Weijers  Kurt Vanderdood  Rob A de Bie  Geert-Jan Dinant
Institution:1Department of Family Medicine, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands;2Department of Radiology, Maastricht University Medical Centre, Maastricht, The Netherlands;3Department of Radiology, Orbis Medical Centre, Sittard-Geleen, The Netherlands;4Department of Epidemiology, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands
Abstract:PURPOSEThe objective of this study was to assess the frequencies of ultrasound findings in patients with acute rotator cuff disorders in family medicine.METHODSIn 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.RESULTSRotator 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.CONCLUSIONSUltrasound imaging enables family physicians to rationalize treatment in nearly all patients who are aged 40 years and older with acute shoulder pain.
Keywords:shoulder joint  rotator cuff  shoulder impingement syndrome  ultrasound imaging  family practice
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