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The painful shoulder. Zeroing in on the most common causes
1Department of Orthopedic Surgery, University of Pittsburgh School of Medicine, PA 15213, USA.
Postgraduate Medicine
|December 28, 1999
Summary
Most common shoulder issues, like impingement syndrome, are easily managed by primary care physicians. Advanced imaging is rarely needed, and surgery is reserved for persistent or severe cases.
Area of Science:
- Orthopedics
- Primary Care Medicine
- Sports Medicine
Background:
- Shoulder pain is a frequent complaint in primary care settings.
- Common diagnoses include impingement syndrome and acromioclavicular joint issues.
Purpose of the Study:
- To outline the diagnostic and treatment approach for common shoulder problems in primary care.
- To define criteria for referral to orthopedic specialists.
Main Methods:
- Clinical assessment and physical examination are primary diagnostic tools.
- Imaging studies like MRI are reserved for complex or inconclusive cases.
Main Results:
- Most shoulder conditions are diagnosed and managed effectively in primary care.
- Referral is indicated for persistent symptoms, significant rotator cuff tears, severe stiffness, or complex fractures.
Conclusions:
- Primary care physicians can confidently manage the majority of shoulder complaints.
- Timely orthopedic referral ensures optimal outcomes for complex shoulder pathologies.