Shoulder diagnoses in secondary care, a one year cohort

Juel, Niels G; Natvig, Bård

doi:10.1186/1471-2474-15-89

BMC Musculoskeletal Disorders

Table 1 Symptoms and diagnostic criteria for the most common shoulder diagnoses according to the ICD-10 code

From: Shoulder diagnoses in secondary care, a one year cohort

ICD-10 diagnosis with description	Symptoms	Diagnostic criteria	Radiologic investigations that might increase diagnostic accuracy	Number (% of all) in this study	References
M75.4	Pain in the shoulder and proximal lateral upper arm exacerbated by activity	Typical pain and positive impingement test and pain with isometric abduction or external rotation	None	275 (36)	[11–13]
Subacromial pain syndrome			None	275 (36)	[11–13]
M79.11	Diffuse pain outside the glenohumeral (GH) joint localised over muscles	Negative specific tests, pain when palpating muscles	None	132 (17)	[11]
Myalgia in shoulder muscles		Negative specific tests, pain when palpating muscles	None	132 (17)	[11]
M75.0	Pain in the shoulder exacerbated by activity. Feeling of stiffness.	Reduced passive range of GH motion >30° in two planes	None	86 (11)	[14, 15]
Adhesive capsulitis		Reduced passive range of GH motion >30° in two planes	None	86 (11)	[14, 15]
M75.1	Pain in the shoulder. Occasional feeling of weakness	Positive impingement test and weakness with isometric abduction or external rotation	MRI and US	58 (8)	[8, 16]
Full thickness rotator cuff tear	Pain in the shoulder. Occasional feeling of weakness		MRI and US	58 (8)	[8, 16]
M19.8	Pain on top of shoulder, over the AC joint	Pain with joint palpation. Osteoarthritis on X-ray, US or MRI	X-ray	31 (4)	[11, 18]
Acromioclavicular (AC) joint osteoarthritis	Pain on top of shoulder, over the AC joint		X-ray	31 (4)	[11, 18]
M19.0	Pain in the shoulder. Occasional feeling of stiffness	Osteoarthritis on X-ray or MRI	X-ray	29 (4)	[10, 11]
Glenohumeral (GH) joint osteoarthritis	Pain in the shoulder. Occasional feeling of stiffness	Osteoarthritis on X-ray or MRI	X-ray	29 (4)	[10, 11]
M24.3	Pain in the shoulder and/or feeling of instability	Positive apprehension/relocation test. Labral tear on MRA	MRA	24 (3)	[11]
Anterior labral tear or instability	Pain in the shoulder and/or feeling of instability	Positive apprehension/relocation test. Labral tear on MRA	MRA	24 (3)	[11]
M24.3	Pain in the shoulder. Occasional feeling of instability	Positive O’Brian test and SLAP lesion on MRA	MRA	16 (3)	[11]
SLAP lesion	Pain in the shoulder. Occasional feeling of instability	Positive O’Brian test and SLAP lesion on MRA	MRA	16 (3)	[11]
M25.2	Pain in and around the shoulder. Occasional feeling of instability	Positive sulcus sign and passive range of GH external rotation >90°	None	9 (2)	[11]
Multidirectional instability			None	9 (2)	[11]

Main symptoms, diagnostic criteria and radiological investigations that might have increased the accuracy of the diagnostic criteria are listed with and references for the used criteria.
Key: MRI, magnetic resonance imaging; MRA, MRI arthrography; SLAP, superior labrum anterior to posterior; US, ultrasound.
The numbers (%) of patients diagnosed with different diagnoses are shown.

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ISSN: 1471-2474

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