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Shoulder

  • Jennifer Kelly McDonald
  • Philip PengEmail author
Chapter

Abstract

With a lifetime prevalence of 70%, shoulder pain is commonly encountered in the pain practice. The shoulder consult can be formidable due to the multiple potential pain generators. This chapter reviews the relevant anatomy of the shoulder girdle and the most common pathology leading to shoulder pain. The reader is guided to identify the most likely pain generator using key features on history and physical examination. A stepwise approach is provided to the ultrasound scanning of the long head of biceps tendon, rotator interval, subacromial subdeltoid bursa, posterior glenohumeral joint, and acromioclavicular joint. Proper needle placement and injection technique is depicted for the posterior glenohumeral joint, acromioclavicular joint, subacromial subdeltoid bursa, long head of biceps tendon, and the anterior glenohumeral joint via the rotator interval.

Keywords

Shoulder joint Shoulder pain Glenohumeral joint Acromioclavicular joint Rotator cuff Bursitis Subacromial bursa Biceps tendon Subacromial impingement Frozen shoulder Injection Rotator interval Adhesive capsulitis 

Abbreviations

AC

acromioclavicular

CHL

coracohumeral ligament

GH

glenohumeral

GT

greater tuberosity

HA

hyaluronic acid

LHB

long head of biceps

LT

lesser tuberosity

RCT

randomized control trial

SASD

subacromial subdeltoid

SGHL

superior glenohumeral ligament

THL

transverse humeral ligament

US

ultrasound

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.The Ottawa Hospital, Physical Medicine and Rehabilitation, The Ottawa Hospital Rehabilitation CentreOttawaCanada
  2. 2.Department of Anesthesia and Pain ManagementToronto Western Hopsital and Mount Sinai Hospital, University of TorontoTorontoCanada

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