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Musculoskeletal system
Published in A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha, Clark’s Procedures in Diagnostic Imaging: A System-Based Approach, 2020
A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha
Painful shoulder – can be due to several causes. Frozen shoulder is a clinical diagnosis and imaging is not normally required. Impingement (pressure on the supraspinatus tendon in the tunnel above the humeral head and below the acromion process of the scapula/acromioclavicular joint [ACJ]) is also a clinical diagnosis, but imaging is used to assess the extent of swelling and inflammation of the tendon and any tendon tears. Ultrasound is the first-line investigation for this, with MRI used for cases of uncertainty or where the clinical and ultrasound findings are discordant. Plain radiographs are useful to show the bony anatomy if only ultrasound has been performed, and to assess tendon calcification in calcific tendonitis.
Risk of subacromial shoulder disorder in airport baggage handlers: combining duration and intensity of musculoskeletal shoulder loads
Published in Ergonomics, 2018
Sanne Pagh Møller, Charlotte Brauer, Sigurd Mikkelsen, Tine Alkjær, Henrik Koblauch, Ellen Bøtker Pedersen, Erik B. Simonsen, Lau Caspar Thygesen
The outcome of the study was diagnosis or surgical treatment of subacromial shoulder disorder, identified through linkage of the cohort with the National Patient Register including all contacts to the secondary health care system (Lynge, Sandegaard, and Rebolj 2011). We only included diagnoses in the International Classification of Diseases version 10 (ICD-10) used from 1994, since subacromial shoulder disorders were not a diagnostic entity before 1994. We included the following primary diagnoses : rotator cuff syndrome, bicipital tendinitis, calcific tendinitis of the shoulder, impingement syndrome of shoulder, bursitis of shoulder, other shoulder lesions and unspecified shoulder lesion (ICD-10 codes: M75.1, M75.2, M75.3, M75.4, M75.5, M75.8 and M75.9). For surgical treatment we only included procedures classified by the NOMESCO classification used from 1996 (Nordic Medico-Statistical Committee 2011), since surgical procedures for subacromial shoulder disorders were not an entity in coding of surgical procedures before 1996. We included the following surgeries: exploratory procedures on the shoulder, surgeries on capsules and ligaments of joints of the shoulder, humeroscapular arthroplasty, excision of osteophyte of humero-scapular joint, suture of tendon of the shoulder, and excision of bursa of the shoulder (NOMESCO codes: NBA01, NBA02, NBA11, NBA12, NBE01, NBE02, NBE11, NBE12, NBE21, NBE22, NBG09, NBH51, NBH52, NBL49 and NBM79).