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Pain mapping for common shoulder disorders

Bayam, L, Ahmad, MA, Naqui, SZ, Chouhan, A and Funk, L 2011, 'Pain mapping for common shoulder disorders' , American Journal of Orthopedics, 40 (7) , pp. 353-358.

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    We conducted a study to ascertain specific patterns of pain in patients with common shoulder disorders and to describe a comprehensive shoulder pain map. We prospectively studied 94 cases involving an upper limb pain map and correlated the maps with the final diagnoses made by 2 clinicians who were blinded to the pain map findings. Pattern, severity, and type of pain were specific to each common shoulder disorder. In subacromial impingement, pain was predominantly sharp, occurred around the anterior aspect of the shoulder, radiated down the arm, and was associated with dull, aching pain radiating to the hand. A similar pain pattern was found in rotator cuff tears. In acromioclavicular joint pathology, pain was sharp, stabbing, and well localized to the anterosuperior shoulder area. Glenohumeral joint arthritis was marked by the most severe pain, which occurred in a mixed pattern and affected the entire arm. Whereas the pain of instability was a mixture of sharp and dull pain, the pain of calcific tendonitis was severe and sharp. Both pains were limited to the upper arm and shoulder. Pain mapping revealed definitive patterns for shoulder pathologies. We advocate using pain maps as useful diagnostic guides and research tools.

    Item Type: Article
    Themes: Health and Wellbeing
    Schools: Colleges and Schools > College of Health & Social Care
    Colleges and Schools > College of Health & Social Care > School of Health Sciences > Centre for Health Sciences Research
    Colleges and Schools > College of Health & Social Care > School of Health Sciences
    Journal or Publication Title: American Journal of Orthopedics
    Publisher: Excerpta Medica, Inc
    Refereed: Yes
    ISSN: 1078-4519
    Depositing User: RH Shuttleworth
    Date Deposited: 27 Apr 2012 09:28
    Last Modified: 20 Aug 2013 18:27

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