Differential diagnosis of painful syndromes in manual medicine involving the superior thoracic aperture ('shoulder and arm pain'). Including osteopathic considerations

Buchmann J.; Arens U.; Harke G.Smolenski U.Kayser R.

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Differential diagnosis of painful syndromes in manual medicine involving the superior thoracic aperture ('shoulder and arm pain'). Including osteopathic considerations

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Pain in the area of the shoulder radiating into the upper extremity is extraordinarily frequent. Mostly, it is difficult to assign the pain to an anatomic structure. The affected patients suffer obviously. Structural disorders of the shoulder need to be excluded. However, they are essentially rarer compared to pain syndromes in this region associated with trigger points. In the following contribution, pain syndromes in manual medical involving the "shoulder region" are introduced: the upper, middle, and lower syndrome of the superior thoracic aperture and the dorsolateral scapular syndrome. Pain is characterized and leading and optional symptoms are presented as well as manual medicine findings. The differential diagnosis with emphasis on orthopedic and neurological illnesses is elaborated extensively. The proposed syndrome simplifies the clinical examination, assists in determining the indication for invasive diagnostic and therapeutic measures, and makes effective therapy planning possible outside an often practiced polypragmasy.

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《manuelle medizin》 |2009年第6期|403-417|共15页
作者
Buchmann J.; Arens U.; Harke G.Smolenski U.Kayser R.;
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作者单位

Arztegesell Manuelle Med Berliner Seminar eV AMM;

Univ Rostock;

Rehabil Klin Garder SeeFriedrich Schiller UnivErnst Moritz Arndt Univ Greifswald;

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Shoulder pain; Syndrome of the superior thoracic aperture; Dorsolateral scapular syndrome; Trigger point; Osteopathy;

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1. Thoracic Manual Therapy Improves Pain and Disability in Individuals With Shoulder Impingement Syndrome Compared With Placebo: A Randomized Controlled Trial With 1-Year Follow-up [J] . Hunter Donald J., Rivett Darren A., McKiernan SharmaineLuton RenaeSnodgrass Suzanne J. Archives of Physical Medicine and Rehabilitation . 2022,第8期

机译：Thoracic Manual Therapy Improves Pain and Disability in Individuals With Shoulder Impingement Syndrome Compared With Placebo: A Randomized Controlled Trial With 1-Year Follow-up
2. Cervical and thoracic pain including thoracic outlet syndrome and brachial neuritis [J] . John Bland current opinion in rheumatology . 1990,第2期

机译：Cervical and thoracic pain including thoracic outlet syndrome and brachial neuritis
3. The Short-term Effect of Graded Motor Imagery on the Affective Components of Pain in Subjects with Chronic Shoulder Pain Syndrome: Open-Label Single-Arm Prospective Study [J] . Araya-Quintanilla Felipe, Gutierrez-Espinoza Hector, Jesus Munoz-Yanez MariaRubio-Oyarzun DavidCavero-Redondo IvanMartinez-Vizcaino VicenteAlvarez-Bueno Celia Pain medicine : . 2020,第10期

机译：The Short-term Effect of Graded Motor Imagery on the Affective Components of Pain in Subjects with Chronic Shoulder Pain Syndrome: Open-Label Single-Arm Prospective Study

Differential diagnosis of painful syndromes in manual medicine involving the superior thoracic aperture ('shoulder and arm pain'). Including osteopathic considerations

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