 Diagnosis (Shoulder) |
|
|
|
Doctors |
|
|
|
Rehabilitation |
|
|
|
Service |
|
|
|
|
 The first step: a correct diagnosis |
The cause of a complaint specific to the shoulder can be analysed precisely during an examination. Problems with the cervical spine, which are often cited as being responsible, can be clearly differentiated from shoulder problems.
In addition to careful determination of the history of the condition (the characteristics and localisation of the complaint point us in the right direction), the diagnosis is refined by a systematic clinical examination with special tests – all of which are supported by an imaging process. The conventional x-ray examination method still plays an important role, despite the development of modern magnetic resonance imaging technology. With the aid of special, conventional radiological images, it is possible to assess both the qualitative and quantitative extent of narrowing of the bone, for example. This method cannot be replaced by other modern imaging methods, as it takes into account additional aspects. The examination using imaging is supplemented by an ultrasound examination of the shoulder joints. This enables more than an assessment of left versus right shoulder differences. It is a dynamic examination method that is particularly suitable for analysing the structures of the rotator cuff while the arm is in motion, making ultrasound an indispensable component of a modern shoulder examination. Last but not least, magnetic resonance imaging (MRIs) supplements the information. It is an important prerequisite for refining the diagnosis and thus for the selective and differentiated planning of conservative or surgical treatment of a disease or injury. Magnetic resonance imaging, also known as nuclear spin resonance tomography, is based on highly complex technology. |
|
|
The magnetic resonance images can be produced because the atoms and molecules of individual tissues are stimulated in different ways. This reaction, which differs from tissue to tissue, is depicted as different shades of grey in the printed out images. The very high resolution makes it possible to give an exact diagnosis of the condition of the tissue. By using magnetic resonance imaging technology as we do, it is no longer necessary to be “put through a tube”, which for many patients causes a feeling of claustrophobia, not to mention the unpleasant noises that accompany it. |
|
|
It is also possible to display inflamed and altered tissue structures more clearly by first injecting a contrast medium intravenously. Magnetic resonance imaging provides the “last piece” of information and surety needed to accurately plan a conservative or, if necessary, surgical treatment. |
 |
| Precise view of the damage: MRI |
|
|
 |
| Special x-ray images 1 |
|
|
 |
| Special x-ray image 2 |
|
|
|
|
A specialised clinical examination technique and the combined imaging information put us in a position to be able to assess the extent of the damage and the therapeutic requirements, and also to make a prognosis with regard to the restoration of function – even for the extreme stresses and strains of sport. |
|
|
| © 2001-2008 Alpha-Klinik GmbH. Imprint |
|
Alpha Klinik Homepage