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Skulder, ulike senebetennelse: Diagnostikk

Sykehistorien vil ofte gi mistanke om diagnosen. Det er viktig å vite hvor smertene sitter, smertegraden, hvilke bevegelser som utløser smertene og om det foreligger risikofaktorer for tilstanden. Ved supraspinatustendinopati er spesielt det å løfte armen ut til siden av kroppen, smertefullt. Ved systematisk undersøkelse av bevegeligheten i skulderen kan legen noen ganger finne ut hvilken sene som er betent.

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Typisk for senebetennelse er at smertene forverres ved bruk av senen som er betent. I skulderen kan noen ganger flere sener være betente. Dersom legen er usikker på diagnosen, kan han eller hun sprøyte lokalbedøvelse rundt den aktuelle senen. Hvis smertene forsvinner, bekreftes diagnosen.

Røntgen av skulderen er vanligvis unødvendig, men ved gjentatte betennelser vil det være riktig å foreta en røntgen- eller MR-undersøkelse. I noen tilfeller påvises kalkutfellinger rundt sener.

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

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