Predisposing conditions are inflammatory arthropathy
, acromegaly, diabetes, hypothyroidism, overuse syndromes and pregnancy.
14) It is frequently seen in athletes and may also be seen in patients with inflammatory arthropathy
Table 1 Author's pragmatic guidelines for NSAID use Conditions in which NSAID will Impingement conditions (nerve tend to be most useful (but should or soft-tissue impringment) be avoided if the patient is at high risk of side effects) Tenosynovitis Inflammatory arthropathy
Conditions in which NSAID use Ligament and joint sprains might be considered based on clinical findings Osteoarthritis and other degentrative joint conditions Haematomas Postoperatively The value of NSAID remains Muscle strains controversial and should be used with caution Conditions in which NSAID use is Isolated chronic tendinopathies not generally indicated because (without impringement) they may compromise healing Fractures NSAID, Non-steroidal anti-inflammatory drug
The differential diagnosis of an atraumatic, acutely painful, swollen shoulder with reduced range of motion includes calcific tendonitis, frozen shoulder, glenohumeral septic arthritis, acromioclavicular septic arthritis, osteomyelitis, subacromial-subdeltoid abscess, and inflammatory arthropathy
Their presence should alert the radiologist to the possibility of an inflammatory arthropathy