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Aktuelle klinische Untersuchung der Schulter

Current procedures for clinical evaluation of the shoulder

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Zusammenfassung

Die erfolgreiche Behandlung von Schultererkrankungen erfordert eine exakte Diagnose. Die klinische Untersuchung stellt dabei den wesentlichen Bestandteil in der Befunderhebung dar. Schmerzen, Kraftminderung, Bewegungseinschränkungen und Instabilität zählen zu den häufigsten Symptomen, die durch eine Reihe von Schulterpathologien verursacht sein können. Eine strukturierte Vorgehensweise im Rahmen der klinischen Diagnostik ist deshalb essenziell. Ein standardisierter Untersuchungsgang unter Verwendung differenzierter diagnostischer Tests und klinischer Zeichen erlaubt eine relativ selektive Beurteilung jedes einzelnen Komplexes der Schulter. In vielen Fällen lässt sich dadurch bereits eine Diagnose stellen, die durch den gezielten Einsatz bildgebender Verfahren verifiziert oder weiterführend evaluiert werden kann.

Abstract

Successful treatment of any pathologic condition of the shoulder requires an accurate diagnosis. Physical examination represents an integral part in the assessment of shoulder disorders. Pain, loss of strength, decreased range of motion and instability are the most common symptoms that can be caused by a great variety of different shoulder pathologies. Therefore, a sophisticated clinical approach is essential. A standardized evaluation including different diagnostic tests and clinical signs improves diagnostic accuracy by specifically examining one component of the shoulder complex. In most cases a careful physical examination will establish or suggest a diagnosis and special investigative techniques such as imaging procedures can be applied more selectively for confirmation or further evaluation of the pathological entity.

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Authors and Affiliations

  1. Centrum für Muskuloskeletale Chirurgie (CMSC), Charité, Universitätsmedizin Berlin

    M. Scheibel

  2. Zentrum für Schulter- und Ellenbogenchirurgie, ATOS-Klinik , Heidelberg

    P. Habermeyer

  3. Centrum für Muskuloskeletale Chirurgie (CMSC), Charité, Universitätsmedizin Berlin, Augustenburgerplatz 1, 13353 , Berlin

    M. Scheibel

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  1. M. Scheibel
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  2. P. Habermeyer
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Correspondence to M. Scheibel.

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Scheibel, M., Habermeyer, P. Aktuelle klinische Untersuchung der Schulter. Orthopäde 34, 267–283 (2005). https://doi.org/10.1007/s00132-005-0768-y

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