Ombros dolorosos. Avaliação clínico-ecográfica.

Painful shoulders are a frequent pathology and its specific diagnosis and therapeutic control are common challenges to medical professionals. To solve these problems a non invasive morphologic method of study--Real Time Ultrasonography--is presented. A standardized routine ultrasonographic technique...

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Main Authors: M S Fernandes, A C Pinto
Format: Article
Language:English
Published: Ordem dos Médicos 1990-08-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4569
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author M S Fernandes
A C Pinto
author_facet M S Fernandes
A C Pinto
author_sort M S Fernandes
collection DOAJ
description Painful shoulders are a frequent pathology and its specific diagnosis and therapeutic control are common challenges to medical professionals. To solve these problems a non invasive morphologic method of study--Real Time Ultrasonography--is presented. A standardized routine ultrasonographic technique using static and dynamic imaging was applied to the analysis of fifty patients whose clinical data suggested soft tissue pathology of that joint. Initial sonographic diagnostic data were compared with clinical signs and x-ray information and in some cases arthrographic and surgical observation as well. The utility of sonography in the therapeutic control was specially evaluated in a sub-group of twenty patients with clinical and ultrasonographic evidence of tendinitis or bursitis at that location and submitted to physiatric treatment. Sonographic criteria established in terms of echogenicity, dimensions and dynamic scanning performance are described and its value as diagnostic and therapeutic control tools are discussed. Our results suggest that real time ultrasonography is a useful method to confirm the diagnosis and could be indispensable to follow and control the therapeutic results in Painful Shoulders.
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spelling doaj.art-b6130d91cc1c40a49722b47c61540e1c2022-12-22T04:13:00ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07581990-08-013410.20344/amp.4569Ombros dolorosos. Avaliação clínico-ecográfica.M S Fernandes0A C PintoServiço de Medicina Fisica e de Reabilitação, Hospital de St. Maria-FML e SCML, Lisboa.Painful shoulders are a frequent pathology and its specific diagnosis and therapeutic control are common challenges to medical professionals. To solve these problems a non invasive morphologic method of study--Real Time Ultrasonography--is presented. A standardized routine ultrasonographic technique using static and dynamic imaging was applied to the analysis of fifty patients whose clinical data suggested soft tissue pathology of that joint. Initial sonographic diagnostic data were compared with clinical signs and x-ray information and in some cases arthrographic and surgical observation as well. The utility of sonography in the therapeutic control was specially evaluated in a sub-group of twenty patients with clinical and ultrasonographic evidence of tendinitis or bursitis at that location and submitted to physiatric treatment. Sonographic criteria established in terms of echogenicity, dimensions and dynamic scanning performance are described and its value as diagnostic and therapeutic control tools are discussed. Our results suggest that real time ultrasonography is a useful method to confirm the diagnosis and could be indispensable to follow and control the therapeutic results in Painful Shoulders.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4569
spellingShingle M S Fernandes
A C Pinto
Ombros dolorosos. Avaliação clínico-ecográfica.
Acta Médica Portuguesa
title Ombros dolorosos. Avaliação clínico-ecográfica.
title_full Ombros dolorosos. Avaliação clínico-ecográfica.
title_fullStr Ombros dolorosos. Avaliação clínico-ecográfica.
title_full_unstemmed Ombros dolorosos. Avaliação clínico-ecográfica.
title_short Ombros dolorosos. Avaliação clínico-ecográfica.
title_sort ombros dolorosos avaliacao clinico ecografica
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/4569
work_keys_str_mv AT msfernandes ombrosdolorososavaliacaoclinicoecografica
AT acpinto ombrosdolorososavaliacaoclinicoecografica