Die Schulter bei internistischen Erkrankungen

Zusammenfassung

Zahlreiche internistische Erkrankungen manifestieren sich durch Symptome am Schultergelenk oder in der Schulterregion. Dazu gehören Krankheiten, die zu einer Schmerzausstrahlung in die Schulter führen, vor allem Herzerkrankungen, aber auch die Pleuritis und Erkrankungen der Gallenblase und Gallenwege. Internistische Leiden, die Knorpel- und Knochenmetabolismus beeinträchtigen, betreffen die Schulter ebenso wie Entitäten, die mit der Ablagerung pathologischer Substanzen wie Amyloid oder Hydroxy-Apatit einhergehen – hier sind vor allem chronische Nierenerkrankungen zu nennen.

Abstract

The shoulder joint and shoulder girdle are affected by numerous internal disorders. Heart diseases, but also pleurisy and diseases of the gall bladder and the biliary tract may manifest themselves by pain projected into the shoulder region. The shoulder joint is also affected by diseases that lead to an impairment of cartilage and bone metabolism, and also by disorders that come along with the deposition of pathological substances such as amyloid and hydroxy-apatite. The latter phenomena are characteristic for chronic kidney diseases.

Schlüsselwörter

Schultergelenk - Herzerkrankungen - Nierenerkrankungen - Schmerzprojektion

Key words

shoulder joints - heart diseases - kidney diseases - projected pain

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