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[Shoulder complaints in family practice; a simple approach]
1Rijksuniversiteit, disciplinegroep Huisartsgeneeskunde, Groningen.
Nederlands Tijdschrift Voor Geneeskunde
|September 28, 1998
Summary
Shoulder complaints can stem from joint issues or functional problems in the shoulder girdle. This classification helps guide treatment for shoulder pain, whether it
Area of Science:
- Orthopedics
- Physiotherapy
- Sports Medicine
Background:
- Shoulder complaints are common, often multifactorial.
- Understanding the origin of shoulder pain is crucial for effective treatment.
Observation:
- Two patients (56-year-old male, 43-year-old female) presented with shoulder complaints.
- The shoulder girdle's function (cervical spine, upper thoracic spine, upper ribs) was identified as significant.
Findings:
- A simple classification categorizes shoulder complaints into: synovial disorder (joint-related), shoulder girdle disorder (functional), or a combination.
- This classification aids in determining therapeutic strategies.
Implications:
- The proposed classification simplifies diagnosis for shoulder pain.
- It guides the selection of appropriate treatments, including NSAIDs, injections, or manipulative therapy.