The Controversial Pain Syndrome of the Shoulder Joint (So-Called Coracoiditis): Pathogenesis and Treatment of Resistant
A degenerative process at the common tendon origin of the short bicipital head and the coracobrachial muscle was supposed to be the cause of so-called coracoiditis. There was no proof of this concept. An inflammatory process, as described in TE, can also
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The Controversial Pain Syndrome of the Shoulder Joint (So-Called Coracoiditis): Pathogenesis and Treatment of Resistant Cases
Contents 4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8
Introduction ..................................................................................................................... Surgically Relevant Anatomy and Physiology ................................................................ Epidemiology .................................................................................................................. Etiology and Pathogenesis .............................................................................................. Diagnostics ...................................................................................................................... Classification ................................................................................................................... Indications and Contraindications ................................................................................... Therapy ........................................................................................................................... 4.8.1 Technique of Partial Upper Frontal Shoulder Quadrant Denervation of the Shoulder Joint According to Wilhelm ................................................................ 4.8.2 Technique of Complete Temporary Pain Elimination at the Shoulder Joint According to Wilhelm......................................................................................... 4.9 Results ............................................................................................................................. 4.10 Mistakes, Dangers and Complications ............................................................................ References ..................................................................................................................................
4.1
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Introduction
The region of the shoulder joint is a preferred localisation of diverse causes of pain. These concerns not only solely local but also further proximal and sometimes also distally situated pathological changes in the shape of irritation and compression of the brachial plexus including its origins from C4-Th 1 and peripheral nerves. In the first case, apart from arthrotic and arthritic as well as rheumatic changes of the shoulder and acromioclavicular joint, mainly diseases of the rotator cuff, summarised under the term humeroscapular periarthritis, are found. This includes affections of the subacromial, the subdeltoid and the subcoracoid bursa, as well as the adhesive capsulitis, called “frozen shoulder”. Up to now, the so-called coracoiditis was included as well, supposing this pathology is also a tendinopathy. This is not the case, however, as this localisation of pain mainly occurs in foraminal stenosis A. Wilhelm, Controversial Pain Syndromes of the Arm, DOI 10.1007/978-3-642-54513-9_4, © Springer-Verlag Berlin Heidelberg 2015
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The Controversial
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