DIAGNOSTICS

When it comes to shoulder problems, a variety of examinations are used to diagnose the exact cause of the problem and plan the best possible treatment.
A detailed patient interview and a manual examination of the shoulder are the two most important components of the diagnosis. Depending on the specific issue, additional instrumental examinations may be used.
Here are the most important methods of instrumental diagnostics:
Ultrasound (sonography) :
Examination of soft tissue structures such as tendons, muscles, and ligaments. Useful for diagnosing rotator cuff tears and bursitis.
Magnetic resonance imaging (MRI) :
Detailed visualization of soft tissues, including muscles, tendons, ligaments, cartilage, and joint capsule. Particularly helpful in diagnosing rotator cuff injuries, labral tears, and other soft tissue injuries.
X-ray :
Detection of bone fractures, joint deformities, osteoarthritis and other bone problems.
Computed tomography (CT) :
Detailed cross-sectional images of bones and soft tissues. Often used for complex fractures or when an MRI is not possible.
Arthroscopy :
Direct visual examination of the shoulder joint from the inside. This most sensitive procedure with the greatest possible precision enables not only the diagnosis but also the treatment of problems such as labral tears, tendon tears, and other joint injuries.
Electroneurography (ENG) and electromyography (EMG) :
Examination of nerve conduction and muscle activity. Helpful in diagnosing nerve damage or compression that can cause shoulder problems.
For whom is sports medicine performance diagnostics useful?
Sports medicine performance diagnostics can detect cardiovascular diseases and diseases of the musculoskeletal system under stress.
Sports medicine performance diagnostics are useful for both recreational athletes and elite and professional athletes at regular intervals.
It is a comprehensive health examination and aims to determine individual fitness for sport.
This includes a comprehensive medical history (anamnesis), including familial illnesses (family history), and a holistic physical examination.
The key parameters of physical (athletic) performance are the maximum oxygen uptake (VO2max) as well as the power and heart rate at the anaerobic threshold.






FAQ on diagnostics.
What happens if I have abnormal results in the performance diagnostics?
If the findings are normal, fitness for sports can generally be certified based on the above-mentioned examinations. If abnormal findings are found, additional examinations are recommended for further clarification. Once these additional findings are available, fitness for sports or limited fitness for sports can be certified.
Who covers the costs of sports medicine performance diagnostics?
In most cases, sports medicine performance diagnostics are covered by the German IGEL (Integrated Health Insurance) service, or are billed according to the GOÄ (General Fee Schedule for Private Insurance). Some health insurance companies now offer subsidies for sports medicine examinations and performance diagnostics, thus increasing the importance of these examinations among athletes. If you have any questions about sports medicine performance diagnostics, please contact us; we'll be happy to help!


PROF. DR. MED BEN OCKERT
Specialist in orthopedics and accident surgery, sports medicine.