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Differential diagnosis: Subacromial bursitis, rotator cuff tendinitis, impingement syndrome [1] [3] ... This defect is often referred to as a rotator cuff tear.
The diagnosis is usually initially made by a combination of physical exam and medical imaging, where the latter may be projectional radiography (in cases of bony Bankart) and/or MRI of the shoulder. The presence of intra-articular contrast allows for better evaluation of the glenoid labrum. [8] Type V SLAP tears extends into the Bankart defect. [9]
Differential diagnosis [ edit ] Differential considerations include similar rotator cuff denervation syndromes such as Parsonage–Turner syndrome , and compression of the suprascapular nerve at the spinoglenoid notch in which the infraspinatus , and to a lesser degree supraspinatus is involved.
This is a difficult test to perform for an accurate diagnosis. [2] False positive findings can be the result of a rotator cuff tear, while pain in the superior glenohumeral region is a weak predictor of a SLAP tear. [4]
The condition can also occur after injury or surgery to the shoulder. [2] Risk factors include diabetes and thyroid disease. [1] [4] [5] The underlying mechanism involves inflammation and scarring. [2] [6] The diagnosis is generally based on a person's symptoms and a physical exam. [1] The diagnosis may be supported by an MRI. [1]
[26] [27] Second, a computerized three-dimensional study failed to support impingement by any portion of the acromion on the rotator cuff tendons in different shoulder positions. [28] Third, most partial-thickness cuff tears do not occur on bursal surface fibers, where mechanical abrasion from the acromion does occur.
Differential diagnosis: Rotator cuff tear, cervical disc disorders, fibromyalgia, multiple sclerosis, complex regional pain syndrome, [1] pectoralis minor syndrome [3] Treatment: Pain medication, surgery [1] [2] Frequency ~1% [4]
Symptoms include shoulder pain and instability. [2] Complications may include a Bankart lesion, Hill-Sachs lesion, rotator cuff tear, or injury to the axillary nerve. [1] A shoulder dislocation often occurs as a result of a fall onto an outstretched arm or onto the shoulder. [3] Diagnosis is typically based on symptoms and confirmed by X-rays. [2]
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