Acute Shoulder Injuries in Adults

Area of Science:

• Orthopedics
• Sports Medicine
• Primary Care

Background:

• Acute shoulder injuries are frequently managed initially by family physicians.
• Common injuries include acromioclavicular joint injuries, clavicle fractures, glenohumeral dislocations, proximal humerus fractures, and rotator cuff tears.

Purpose of the Study:

• To outline the initial management of common acute shoulder injuries in adults.
• To emphasize the importance of recognizing subtle signs and symptoms for proper care.

Main Methods:

• Review of common acute shoulder injuries and their typical presentations.
• Discussion of conservative and nonoperative management strategies.
• Highlighting key physical examination findings and diagnostic imaging considerations.

Main Results:

• Acromioclavicular joint injuries and clavicle fractures often affect young adults due to trauma and are typically managed conservatively.
• Glenohumeral dislocations require reduction maneuvers, often with analgesia.
• Proximal humerus fractures, common in older adults, are usually managed nonoperatively with physical therapy.
• Rotator cuff tears present with pain and difficulty with overhead activities.

Conclusions:

• Effective initial management of acute shoulder injuries by family physicians is crucial.
• Timely recognition of injury signs and symptoms facilitates appropriate treatment and necessary referrals.
• Conservative management, including pain control and physical therapy, is often effective for many acute shoulder injuries.