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Screening the athlete's shoulder for impingement symptoms: a clinical reasoning algorithm for early detection of shoulder pathology

Ann Cools UGent, Dirk Cambier UGent and Erik Witvrouw UGent (2008) British Journal of Sports Medicine. 42(8). p.628-635
abstract
Chronic shoulder pain and dysfunction are common complaints among overhead athletes seeking care from physical medicine and rehabilitation. Impingement is a frequently described pathological condition in the overhead athlete. Impingement symptoms may be the result of rotator cuff pathology, shoulder instability, scapular dyskinesis or muscle dysfunction, biceps pathology, SLAP lesions and chronic stiffness of the posterior capsule. At present, numerous different shoulder tests have been described in literature and discussed with respect to their individual diagnostic accuracy. However, in view of the number of shoulder tests, it is often a challenge for the clinician to select the appropriate tests for diagnosing the underlying pathology. The purpose of this paper is to present and discuss a clinical algorithm which may be used in the early detection of the underlying causes of impingement symptoms. In this algorithm, a specific chronology and selection of diagnostic tests may offer the clinician a guideline in his physical examination of the athlete with shoulder pain.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (review)
publication status
published
subject
journal title
British Journal of Sports Medicine
Br. J. Sports Med.
volume
42
issue
8
pages
628 - 635
Web of Science type
Review
Web of Science id
000258536100002
JCR category
SPORT SCIENCES
JCR impact factor
2.126 (2008)
JCR rank
10/71 (2008)
JCR quartile
1 (2008)
ISSN
0306-3674
DOI
10.1136/bjsm.2008.048074
language
English
UGent publication?
yes
classification
A1
id
529379
handle
http://hdl.handle.net/1854/LU-529379
date created
2009-03-24 14:29:00
date last changed
2015-06-17 11:09:11
@article{529379,
  abstract     = {Chronic shoulder pain and dysfunction are common complaints among overhead athletes seeking care from physical medicine and rehabilitation. Impingement is a frequently described pathological condition in the overhead athlete. Impingement symptoms may be the result of rotator cuff pathology, shoulder instability, scapular dyskinesis or muscle dysfunction, biceps pathology, SLAP lesions and chronic stiffness of the posterior capsule. At present, numerous different shoulder tests have been described in literature and discussed with respect to their individual diagnostic accuracy. However, in view of the number of shoulder tests, it is often a challenge for the clinician to select the appropriate tests for diagnosing the underlying pathology. The purpose of this paper is to present and discuss a clinical algorithm which may be used in the early detection of the underlying causes of impingement symptoms. In this algorithm, a specific chronology and selection of diagnostic tests may offer the clinician a guideline in his physical examination of the athlete with shoulder pain.},
  author       = {Cools, Ann and Cambier, Dirk and Witvrouw, Erik},
  issn         = {0306-3674},
  journal      = {British Journal of Sports Medicine},
  language     = {eng},
  number       = {8},
  pages        = {628--635},
  title        = {Screening the athlete's shoulder for impingement symptoms: a clinical reasoning algorithm for early detection of shoulder pathology},
  url          = {http://dx.doi.org/10.1136/bjsm.2008.048074},
  volume       = {42},
  year         = {2008},
}

Chicago
Cools, Ann, Dirk Cambier, and Erik Witvrouw. 2008. “Screening the Athlete’s Shoulder for Impingement Symptoms: a Clinical Reasoning Algorithm for Early Detection of Shoulder Pathology.” British Journal of Sports Medicine 42 (8): 628–635.
APA
Cools, Ann, Cambier, D., & Witvrouw, E. (2008). Screening the athlete’s shoulder for impingement symptoms: a clinical reasoning algorithm for early detection of shoulder pathology. British Journal of Sports Medicine, 42(8), 628–635.
Vancouver
1.
Cools A, Cambier D, Witvrouw E. Screening the athlete’s shoulder for impingement symptoms: a clinical reasoning algorithm for early detection of shoulder pathology. British Journal of Sports Medicine. 2008;42(8):628–35.
MLA
Cools, Ann, Dirk Cambier, and Erik Witvrouw. “Screening the Athlete’s Shoulder for Impingement Symptoms: a Clinical Reasoning Algorithm for Early Detection of Shoulder Pathology.” British Journal of Sports Medicine 42.8 (2008): 628–635. Print.