Differential diagnosis through clinical symptoms and physical examination findings
Clinical symptoms and physical examination | Associated disorder | Probability |
---|---|---|
Normal range of motion and tendon integrity in the shoulder joint; no difficulty with arm elevation | Rotator cuff lesions | Low |
No pain during arm elevation; normal findings in Horizontal Adduction and Hawkins-Kennedy tests | Impingement syndrome | Low |
No tenderness in Acromioclavicular joint; no excessive stress-inducing activities on the acromioclavicular joint | Acromioclavicular joint lesions | Low |
No signs of polyarthralgia, fatigue, morning stiffness, fever, or weight loss | Rheumatoid arthritis | Low |
No increase in nocturnal shoulder pain; no decrease in external rotation or restriction of movement | Frozen shoulder | Low |
No friction sounds during shoulder abduction; no swelling, heat, or muscle atrophy | Bursitis | Low |
No sensation of burning, numbness, or paresthesia in the ulnar nerve distribution; no edema or discoloration of the limb | Thoracic outlet syndrome | Low |
No cardiac or pulmonary history; absence of gastrointestinal disturbances; no history of trauma | Other shoulder-related pathologies | Low |
Positive Spurling test; symptom decrease with cervical distraction; decreased sensation in the dermatome of the left C5∼C8 regions | Cervical spondylosis | High |