ABSTRACT
El síndrome de hombro doloroso es una causa frecuente de consulta en la práctica clínica diaria. Su origen puede ser traumático, inflamatorio, degenerativo, infeccioso o tumoral. El abordaje diagnóstico implica un amplio conocimiento de la anatomía regional y la aplicación de maniobras clínicas y técnicas de imagen que conduzcan a un diagnóstico certero para la aplicación de un tratamiento óptimo en cada paciente. En los años recientes, el ultrasonido musculoesquelético ha demostrado ser una herramienta complementaria de altísima utilidad en el examen complementario de los pacientes con hombro doloroso, especialmente en el contexto de la práctica reumatológica. Revisaremos los principales hallazgos patológicos evaluados por esta técnica.
Painful shoulder syndrome is a frequent cause of daily clinical consultation. Its origin can be traumatic, inflammatory, degenerative, infectious or tumor like. The boarding diagnosis implies an ample knowledge of the regional anatomy and the application of clinical and technical maneuvers of image that leads to an accurate diagnosis for the application of an optimal treatment in each patient. In the recent years, the musculoskeletal ultrasound has demonstrated to be a complementary tool of highest utility in the complementary examination of the patients with painful shoulder, especially in the context of the rheumatological practice. We will review the main pathological findings evaluated by this technique.
Subject(s)
Humans , Shoulder Pain/etiology , Shoulder Pain , Shoulder Joint/injuries , Shoulder Joint , Bursitis/complications , Bursitis , Shoulder Pain/pathology , Syndrome , Tendinopathy/complications , TendinopathyABSTRACT
Estudo de caso de uma paciente no pós-operatório de mastectomia com linfadenectomia axilar que apresentou evolução com importante restrição de amplitude de movimento de flexão e abdução do ombro, acompanhada de dor e cordões fibrosos musculares, caso concordante com axillary web syndrome. Essa síndrome apresenta apenas dois relatos na literatura e esse artigo tem como objetivo relatar o caso obtido e discutir o diagnóstico diferencial do quadro.
This study presents the case of breast cancer woman with axillary dissection. After fourteen days postoperatively days a pain began in the member ipsilateral to the surgery that worsened with flexion and abduction of the shoulder and three cords were observed, like Axillary Web Syndrome. There are only two published cases in the literature and this article discuss this syndrome and its diferential movement diagnosis.