Die Bedeutung der Anamnese für die Wahrscheinlichkeitsdiagnose von Schulterschmerzen

The response to pain of the shoulder in different diseases and injuries in this joint is uniform and this is of very little help in recognizing the cause. A detailed case history is useful in delineating the differential diagnosis. We have therefore developed a questionaire consisting of 55 specifically aimed questions to these case histories. The acquired information was specifically rated for the 24 most frequent shoulderillnesses/injuries, and integrated in a computer program. In 55,4% of the cases the computer predicted the correct diagnosis and in 80% of the cases the right diagnosis was suggested amongst the first 3 preferences of the differential diagnosis.