Imaging studies in cases with painful shoulder
Estudio por imagen del hombro doloroso
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Imaging plays an essential role in the etiologic diagnosis. Simple x-rays are usually the first performed diagnostic test, and on occasion, it is enough to establish a diagnosis. Tendinous calcifications are clearly depicted on plain radiographs, which are a first option modality in the evaluation of bone tumors. Tendinous pathology is the most common cause of shoulder pain. It may be analysed either by ultrasound or magnetic resonance (MR). MR is the most sensitive technique to detect early pathological changes. MR is usually used in the presurgical evaluation of the shoulder and in local staging of bone and soft tissue tumors.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El hombro doloroso es un problema clínico frecuente en la enfermedad osteomuscular. Las pruebas de imagen desempeñan un papel importante en el diagnóstico etiológico. La radiografía convencional generalmente es la primera prueba realizada y en ocasiones es suficiente para el diagnóstico. Las calcificaciones tendinosas se ven con claridad y en el diagnóstico etiológico de las neoplasias óseas las técnicas tomográficas no la han sustituido. La patología tendinosa es la causa más frecuente de dolor en el hombro,y tanto la ecografía como la resonancia magnética (RM) son herramientas eficaces para su estudio. La RM es la técnica que mejor detecta cambios patológicos precoces. Asimismo, es fundamental en la valoración prequirúrgica del hombro y en la estadificación local de los tumores óseos y de las partes blandas.</p>" ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Note: Section credited by the SEAFORMEC with 11.9 credits. To consult questions of every article in: <span class="elsevierStyleInterRef" href="http://www.reumatologiaclinica.org/">http://www.reumatologiaclinica.org</span>.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:11 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Shoulder Radiography" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "A. Bianchi" 1 => "N. Prato" 2 => "C. Martinoli" 3 => "L. Derchi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Imaging of the shoulder" "paginaInicial" => "3" "paginaFinal" => "13" "serieFecha" => "2004–2006" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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