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Skuldersmerter, veiviser

Med skuldersmerter menes smerter utgående fra strukturer i og omkring selve skulderleddet, eller leddet mellom kragebenet og skulderbladet (AC-leddet)

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https://nhi.no/symptomer/muskelskjelett/skuldersmerter-veiviser/ 

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Referanser

Dette dokumentet er basert på det profesjonelle dokumentet Skuldersmerter. Referanselisten for dette dokumentet vises nedenfor.

  1. Burbank KM, Stevenson JH, Czarnecki GR, Dorfman J. Chronic shoulder pain: Part I. Evaluation and diagnosis. Am Fam Physician 2008; 77: 453-60. PubMed 
  2. Linsell L, Dawson J, Zondervan K, et al. Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral. Rheumatology (Oxford) 2006; 45: 215-21. PubMed 
  3. Ostor AJ, Richards CA, Prevost AT, Speed CA, Hazleman BL. Diagnosis and relation to general health of shoulder disorders presenting to primary care. Rheumatology (Oxford) 2005; 44: 800-5. PubMed 
  4. Burbank KM, Stevenson JH, Czarnecki GR, Dorfman J. Chronic shoulder pain: Part II. Treatment. Am Fam Physician 2008; 77: 493-7. PubMed 
  5. van der Windt DAWM, Koes BW, De Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patients characteristics and management. Ann Rheum Dis 1995; 54: 959-64. PubMed 
  6. Nørregaard J, Krogsgaard MR, Gam AN. Den kliniske skulderundersøgelse. Ugeskr Læger 2005; 167: 3886-9. PubMed 
  7. Avdeling for allmennmedisin, Universitetet i Oslo. Trygg på skulder i primærhelsetjenesten. Faglig veileder. Publisert mars 2019. Nettsiden besøkt 16.04.19. www.helsebiblioteket.no 
  8. Ireland ML, Hatzenbuehler JR. Superior labrum anterior posterior (SLAP) tears. UpToDate, last updatedOct 25, 2018. UpToDate 
  9. Tallia AF, Cardone DA. Diagnostic and therapeutic injection of the shoulder region. Am Fam Physician 2003; 67: 1271-8. PubMed 
  10. Smidt N, Green S. Is the diagnosis important for the treatment of patients with shoulder complaints?. Lancet 2003; 362: 1867-8. PubMed 
  11. Silva L, Andriu JL, Muqoz P, et al. Accuracy of physical examination in subacromial impingement syndrome. Rheumatology (Oxford). 2008; 47: 679-83. PubMed 
  12. Nasjonal faglig retningslinje for bildediagnostikk ved ikke-traumatiske muskel- og skjelettlidelser. Anbefalinger for primærhelsetjenesten. Oslo, Helsedirektoratet 2014. legehandboka.no 
  13. Brox JI, Sunde P, Schrøder CP, et al. Atraumatiske skulderlidelser. Tidsskr Nor Legeforen 2010; 130: 2132-5. Tidsskrift for Den norske legeforening 
  14. Englund M, Guermazi A, Gale D et al. Incidental meniscal findings on knee MRI in middle-aged and elderly persons. N Engl J Med 2008; 359: 1108-15. New England Journal of Medicine 
  15. Moosmayer S, Heir S, Aaser P, Smith H-J. Ultralyddiagnostikk av skuderbuen - en metodebeskrivelse. Tidsskr Nor Lægeforen 2004; 124: 177-80. PubMed 
  16. Moosmayer S, Heir S, Smith H-J. Sonography of the rotator cuff in painful shoulders performed without knowledge of clinical information: results from 58 sonographic examinations with surgical correlation. J Clin Ultrasound 2007; 35: 20-6. PubMed 
  17. Teefey SA, Rubin DA, Middleton WD et al. Detection and quantification of rotator cuff tears: comparison of ultrasonographic, magnetic resonance imaging, and arthroscopic findings in seventy-one consecutive cases. J Bone Joint Surg Am 2004; 86-A: 708-16.
  18. van der Windt DAWM, Bouter LM. Physiotherapy or corticosteroid injection for shoulder pain? Ann Rheum Dis 2003; 62: 385-87. PubMed 
  19. Hay EM, Thomas E, Paterson SM, Dziedzic K,Croft PR. A pragmatic randomized controlled trial of local steroid injection and physiotherapy for the treatment of new episodes of shoulder pain in primary care. Ann Rheum Dis 2003; 62: 394-99. PubMed 
  20. Buchbinder R, Green S, Youd JM. Corticosteroid injections for shoulder pain. Cochrane Database of Systematic Reviews 2003, Issue 1. Art. No.: CD004016. DOI: 10.1002/14651858.CD004016. DOI 
  21. Bloom JE, Rischin A, Johnston RV, Buchbinder R. Image-guided versus blind glucocorticoid injection for shoulder pain. Cochrane Database of Systematic Reviews 2012, Issue 8. Art. No.: CD009147. DOI: 10.1002/14651858.CD009147.pub2. DOI 
  22. Green S, Buchbinder R, Hetrick SE. Physiotherapy interventions for shoulder pain. Cochrane Database of Systematic Reviews 2003, Issue 2. Art. No.: CD004258. DOI: 10.1002/14651858.CD004258. DOI 
  23. Lombardi I Jr, Magri AG, Fleury AM. et al. Progressive resistance training in patients with shoulder impingement syndrome: a randomized controlled trial. Arthritis Rheum 2008; 59: 615-22. PubMed 
  24. Karjalainen TV, Jain NB, Page CM, et al. Subacromial decompression surgery for rotator cuff disease. Cochrane Database of Systematic Reviews 2019, Issue 1. Art. No.: CD005619. DOI: 10.1002/14651858.CD005619.pub3. DOI 
  25. Engebretsen K, Grotle M, Bautz-Holter E, et al. Radial extracorporeal shockwave treatment compared with supervised exercises in patients with subacromial pain syndrome: single blind randomised study. BMJ 2009; 339: b3360. BMJ (DOI) 
  26. Harniman E, Carette S, Kennedy C, Beaton D. Extracorporeal shock wave therapy for calcific and non-calcific tendonitits of the rotator cuff: a systematic review. J Hand Ter 2004; 17: 132-51. PubMed 
  27. Green S, Buchbinder R, Hetrick SE. Acupuncture for shoulder pain. Cochrane Database of Systematic Reviews 2005, Issue 2. Art. No.: CD005319. DOI: 10.1002/14651858.CD005319. DOI