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In tendinitis, X-rays may be normal at first but later show bony fragments, osteophyte sclerosis, or calcium deposits. Arthrography is usually normal, with occasional small irregularities on the undersurface of the tendon. Computed tomography scan and magnetic resonance imaging (MRI) have replaced X-ray and even arthrography of the shoulder as diagnostic tools. An MRI will usually identify tears, partial tears, inflammation, or tumor but cannot reveal irregularities of the tendon sheath itself. Diagnosis of tendinitis must rule out other causes of shoulder pain, such as myocardial infarction, cervical spondylosis, degenerative changes, and tendon tear or rupture. Significantly, in tendinitis, heat aggravates shoulder pain; in other painful joint disorders, heat usually provides relief.
Localized pain and inflammation and a history of unusual strain or injury 2 to 3 days before onset of pain are the bases for diagnosing bursitis. During early stages, X-rays are usually normal, except in calcific bursitis, where X-rays may show calcium deposits.
Source: Professional Guide to Diseases (Eighth Edition), 2005
In tendinitis, X-rays may be normal at first but later show bony fragments, osteophyte sclerosis, or calcium deposits. Arthrography is usually normal, with occasional small irregularities on the undersurface of the tendon.
Diagnosis of tendinitis must rule out other causes of shoulder pain, such as myocardial infarction, cervical spondylosis, and tendon tear or rupture.
Significantly, in tendinitis, heat aggravates shoulder pain; in other painful joint disorders, heat usually provides relief.
Localized pain and inflammation and a history of unusual strain or injury 2 to 3 days before onset of pain are the bases for diagnosing bursitis. During early stages, X-rays are usually normal, except in calcific bursitis, in which X-rays may show calcium deposits.
Source: Handbook of Diseases, 2003
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