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Deltoid Fibrosis Workup

  • Author: Brian G Cothern; Chief Editor: S Ashfaq Hasan, MD  more...
 
Updated: Jun 22, 2016
 

Approach Considerations

No specific laboratory studies have been helpful in the evaluation or treatment of deltoid fibrosis. Diagnostic imaging (see Imaging Studies) is performed for initial evaluation. No other specific tests have been shown to be beneficial. Electromyography (EMG) testing may have research value, but it is not used routinely for patient evaluation.[25]  Histology of deltoid fibrosis shows dense fibrous tissue with some atrophied muscle fibers.[6, 26]

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Imaging Studies

Plain radiographs are used initially to evaluate the glenohumeral and scapulothoracic mechanics. Fluoroscopic examination may follow if results are inconclusive.

If fluoroscopic examination is also inconclusive, computed tomography (CT) may be performed to evaluate any bone or joint abnormalities. CT scans provide a more comprehensive view of the glenohumeral joint than do plain films or fluoroscopic examination.

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Contributor Information and Disclosures
Author

Brian G Cothern Wright State University, Boonshoft School of Medicine

Brian G Cothern is a member of the following medical societies: American Medical Association, American Medical Student Association/Foundation

Disclosure: Nothing to disclose.

Coauthor(s)

Jedediah H May, MD Resident Physician, Department of Orthopedics, Wright State University, Boonshoft School of Medicine

Jedediah H May, MD is a member of the following medical societies: American Medical Association

Disclosure: Nothing to disclose.

Matthew J DiPaola, MD Assistant Professor of Orthopedics, Wright State University, Boonshoft School of Medicine; Director, Shoulder and Elbow Service and Orthopedic Surgical Simulation Laboratory, Dayton Veterans Affairs Medical Center

Matthew J DiPaola, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, Association of American Physicians and Surgeons

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Pekka A Mooar, MD Professor, Department of Orthopedic Surgery, Temple University School of Medicine

Pekka A Mooar, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons

Disclosure: Nothing to disclose.

Chief Editor

S Ashfaq Hasan, MD Associate Professor, Chief, Shoulder and Elbow Service, Department of Orthopaedics, University of Maryland School of Medicine

S Ashfaq Hasan, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Shoulder and Elbow Surgeons

Disclosure: Nothing to disclose.

Additional Contributors

Cato T Laurencin, MD, PhD University Professor, Albert and Wilda Van Dusen Endowed Distinguished Professor of Orthopedic Surgery, and Professor of Chemical, Materials, and Biomolecular Engineering, University of Connecticut School of Medicine

Cato T Laurencin, MD, PhD is a member of the following medical societies: American Academy of Orthopaedic Surgeons

Disclosure: Nothing to disclose.

Acknowledgements

Mark Brodersen, MD Assistant Professor, Department of Orthopedic Surgery, Mayo Medical School

Mark Brodersen, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, Clinical Orthopaedic Society, Florida Medical Association, and Mid-America Orthopaedic Association

Disclosure: Nothing to disclose.

References
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