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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Korrespondenzadresse
Prof. Gernot Keyßer
Universitätsklinikum Halle
Klinik und Poliklinik für Innere
Medizin II
Ernst-Grube-Straße 40
06097 Halle/ Saale
Phone: + 49/0345/557 2644/1996
Fax: + 49/0345/557 4934
Email: gernot.keyszer@medizin.uni-halle.de
