TOC  |  Derm  

Shoulder Pain Differential     Outlines in Clinical Medicine on Physicians' Online 2002

A. Soft Tissue

• Tendinitis

• Biceps

• Rotator Cuff : Supraspinatus, infraspinatus, Teres minor, subscapularis

• Bursitis: Subacromioclavicular, usually with tendinitis, adiography should be obtained to rule out ectopic calcificiation

B. Tumor

• Lung Carcinoma

• Lymphoma

• Metastatic Disease

• Sarcoma

• Very rare Tumors of the Joint

C. Referred Pain

• Neuropathy

• Pneumonia

D. Arthritis

• Acromioclavicular joint

• Glenoclavicular joint

• Osteoarthritis

• Inflammatory - RA, PMR, reactive

• Infectious - septic arthritis

• Crystal Disease - pseudogout more common than gout in the shoulder    

01252002