Summary
Arthroscopy under anaesthesia was used to investigate 123 patients with painful shoulders. The clinical diagnosis was compared with the arthroscopic findings. Four types of rotator cuff lesions were found in which there were significant differences between sex and age. Instability detected under anaesthesia was an important cause of pain. These examinations proved valuable in the diagnosis of shoulder pain, particularly when the clinical diagnosis was uncertain.
Résumé
123 patients souffrant de douleurs de l'épaule ont été examinés par arthroscopie et en testant la stabilité de l'épaule sous anesthésie. Le diagnostic clinique ainsi que l'âge, le sexe des patients et l'étiologie ont été comparés aux constatations arthroscopiques et les changements morphologiques notés lors de l'arthroscopie ont été enregistrés. Les modifications pathologiques de la coiffe des rotateurs ont été divisées en quatre classes qui montraient des différences significatives selon le sexe et les différents groupes d'âge. L'instabilité occulte s'est trouvée être une cause importante de douleurs de l'épaule. La combinaison arthroscopie-tests de stabilité sous anesthésie s'est avérée fort utile pour le diagnostic des douleurs de l'épaule, en particulier lorsque le diagnostic clinique était incertain.
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Adolfsson, L., Lysholm, J. Arthroscopy for the diagnosis of shoulder pain. International Orthopaedics 15, 275–278 (1991). https://doi.org/10.1007/BF00186859
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DOI: https://doi.org/10.1007/BF00186859