Abstract
Many patients affected by shoulder pain refer to an orthopaedic specialist suspecting a rotator cuff abnormality; most of them actually suffer other musculoskeletal disorders which may cause shoulder pain (Table 1), but in some cases extra-orthopaedic pathologies may clinically cause shoulder pain indeed. Orthopaedic specialists should always remember extra-orthopaedic etiopathogenesis of shoulder pain, in order to include important systemic diseases into a complete differential diagnosis approach.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Saunders NJ (1986) Shoulder-tip pain in chemical peritonitis. Lancet 2(8504):454
Embleton D (1870) On the shoulder-tip pain and other sympathetic pains in disease of the liver. Br Med J 2(514):480–482
Embleton D (1870) On the shoulder-tip pain and other sympathetic pains in disease of the liver. Br Med J 2(515):524–525
Watson T. Lectures on the practice of physic, 4th edn, vol 1. 1857, Lect. xxxix
Festi D, Sottili S, Colecchia A, Attili A, Mazzella G, Roda E, Romano F, The MICOL Research Group (1999) Clinical manifestations of gallstone disease: evidence from the multicenter Italian study on cholelithiasis (MICOL). Hepatology 30(4):839–846
Festi D, Dormi A, Capodicasa S, Staniscia T, Attili AF, Loria P, Pazzi P, Mazzella G, Sama C, Roda E, Colecchia A (2008) Incidence of gallstone disease in Italy: results from a multicenter, population-based Italian study (the MICOL project). World J Gastroenterol 14(34):5282–5289
Moghadam FM, Bahremand GH, Vejdani A (2008) Letters to the editor. Shoulder pain as the first sign of a hepatic fibrolamellar carcinoma in a young man. J Gastrointestin Liver Dis 17(2):233–239
Kandil TS, Hefnawy EE (2010) Shoulder pain following laparoscopic cholecystectomy: factors affecting the incidence and severity. J Laparoendosc Adv Surg Tech 20(8):677–682
Nyerges A (1994) Pain mechanisms in laparoscopic surgery. Semin Laparosc Surg 1:215–218
Pokorny CS, Waterland M (2002) Short-stay, out-of-hospital, radiologically guided liver biopsy. Med J Aust 176:67–69
Kang TW, Rhim H, Kim EY, Kim YS, Choi D, Lee WJ, Lim HK (2009) Percutaneous radiofrequency ablation for the hepatocellular carcinoma abutting the diaphragm: assessment of safety and therapeutic efficacy. Korean J Radiol 10(1):34–42
Lowenfels A (1966) Kehr’s sign a neglected aid in rupture of the spleen. N Engl J Med 274(18):1019
Lunning MA, Stetler-Stevenson M, Silberstein PT, Zenger V, Marti GE (2002) Spontaneous (pathological) splenic rupture in a blastic variant of mantle cell lymphoma: a case report and literature review. Clin Lymphoma 3(2):117–120
Neudorfer H, Hesse H, Simma W (1989) Spontaneous rupture of the spleen in infectious mononucleosis. Dtsch Med Wochenschr 114(51–52):2006–2007
Lammert F, Miquel JF (2008) Gallstone disease: from genes to evidence-based therapy. J Hepatol 48:124–135
Arendt-Nielsen L, Svensson P (2001) Referred muscle pain: basic and clinical findings. Clin J Pain 17(1):11–19
Fox K, Garcia MA, Ardissino D, Buszman P, Camici PG, Crea F, Daly C, De Backer G, Hjemdahl P, Lopez-Sendon J, Marco J, Morais J, Pepper J, Sechtem U, Simoons M, Thygesen K, Priori SG, Blanc JJ, Budaj A, Camm J, Dean V, Deckers J, Dickstein K, Lekakis J, McGregor K, Metra M, Morais J, Osterspey A, Tamargo J, Zamorano JL (2006) Guidelines on the management of stable angina pectoris: executive summary: the task force on the management of stable angina pectoris of the European Society of Cardiology. Eur Heart J 27:1341–1381
Van de Werf F, Bax J, Betriu A, Blomstrom-Lundqvist C, Crea F, Falk V, Filippatos G, Fox K, Huber K, Kastrati A, Rosengren A, Steg PG, Tubaro M, Verheugt F, Weidinger F, Weis M (2008) Management of acute myocardial infarction in patients presenting with persistent ST-segment elevation: the Task Force on the Management of ST-Segment Elevation Acute Myocardial Infarction of the European Society of Cardiology. Eur Heart J 29:2909–2945
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Rocco, A., Fattorini, F., Gumina, S. (2017). Differential Diagnosis. In: Gumina, S. (eds) Rotator Cuff Tear. Springer, Cham. https://doi.org/10.1007/978-3-319-33355-7_22
Download citation
DOI: https://doi.org/10.1007/978-3-319-33355-7_22
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-33354-0
Online ISBN: 978-3-319-33355-7
eBook Packages: MedicineMedicine (R0)
Keywords
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.