A Simplified Approach to Evaluate and Manage Shoulder Pain

Area of Science:

• Orthopedics
• Sports Medicine
• Physical Therapy

Background:

• Shoulder pain has a high lifetime prevalence, nearing 70%.
• The shoulder's complex anatomy and extensive range of motion predispose it to injury.
• Accurate diagnosis and management are crucial for effective treatment of shoulder conditions.

Purpose of the Study:

• To present a simplified, novel approach for evaluating and managing atraumatic shoulder pain.
• To categorize shoulder pain based on the presence or loss of range of motion.
• To guide diagnosis and management through symptom-based triage.

Main Methods:

• Triage of shoulder pain symptoms based on active and passive range of motion.
• Differentiation of etiologies (adhesive capsulitis, glenohumeral joint arthritis) based on range of motion loss and imaging.
• Utilizing special testing for patients with preserved range of motion.
• Incorporating ultrasound for diagnosis and management.

Main Results:

• A simplified diagnostic pathway is established based on range of motion assessment.
• Loss of active and passive range of motion suggests adhesive capsulitis or arthritis.
• Preserved range of motion allows for targeted diagnosis via special testing.
• Ultrasound is highlighted as a valuable tool in shoulder pathology management.

Conclusions:

• A novel, simplified approach effectively categorizes atraumatic shoulder pain based on range of motion.
• This triage method aids in pinpointing diagnoses like adhesive capsulitis or arthritis.
• Special testing and ultrasound are key components in managing shoulder pain effectively.