男,50岁。无明显诱因出现左肩,上臂,前臂外侧放射痛3个月。既往体健。查体:T36.6C,P82次/分,BP110/60mmHg,双肺呼吸音清,未闻及干湿性啰音,心律齐,未闻及杂音,腹软,无压痛,未触及包块,肩关节活动正常,上肢感觉及肌力均正常。Eaton试验和Spurling试验阳性。首先考虑的诊断是

A、冈上肌腱炎
B、肩峰撞击综合征
C、肩袖损伤
D、神经根型颈椎病
E、粘连性肩关节囊炎
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正确答案:

D

答案解析:

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