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Clinical evaluation of the shoulder.

机译：肩的临床评价。

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摘要

Shoulder pain is an exceptionally common problem in physiatric practice.Evaluation and management of patients with shoulder dysfunction can challenge even the most experienced practitioner. The complexity and inherent instability of the shoulder lead to functional overload of various bony and soft tissues within the joint complex and adjacent structures.Additionally, shoulder pain may be the initial manifestation of a potentially serious condition. Consequently, a detailed and systematic approach to the evaluation of a patient with shoulder pain is crucial in establishing a complete and accurate diagnosis. A skillfully performed history and physical examination allows identification of specific tissue pain generators and biomechanical dysfunction throughout the kinetic chain. Only after these elements have been defined clearly can an appropriate rehabilitation program be de-signed. A thorough clinical assessment also can aid in the detection of serious diseases that masquerade as shoulder pain. An effective clinical evaluation enhances the quality and cost-effectiveness of care and facilitates a successful outcome in most cases.
机译：肩部疼痛是物理实践中一个非常普遍的问题。对肩部功能障碍患者的评估和管理甚至可以挑战最有经验的医生。肩部的复杂性和固有的不稳定性会导致关节复合体和邻近结构内各种骨骼和软组织的功能超负荷。此外，肩部疼痛可能是潜在严重状况的最初表现。因此，对肩痛患者进行评估的详细而系统的方法对于建立完整而准确的诊断至关重要。熟练地进行病史和体格检查可以识别整个运动链中特定的组织疼痛产生器和生物力学功能障碍。只有明确定义了这些要素之后，才能制定适当的康复计划。全面的临床评估还可以帮助检测出伪装成肩膀疼痛的严重疾病。在大多数情况下，有效的临床评估可提高护理质量和成本效益，并有助于取得成功的结果。

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