Chronic shoulder pain

被引:2
|
作者
Crookes, Thomas [1 ,2 ]
Wall, Chris [3 ,4 ,5 ]
Byrnes, Jason [6 ]
Johnson, Theresa [7 ]
Gill, David [8 ,9 ]
机构
[1] Toowoomba Hosp, Dept Orthopaed, Darling Downs Hlth, Toowoomba, Qld, Australia
[2] Orthopaed Registrar Res Collaborat, Brisbane, Qld, Australia
[3] Toowoomba Hosp, Darling Downs Hlth, Dept Orthopaed, Toowoomba, Qld, Australia
[4] Univ Queensland, Sch Med, Rural Clin Sch, Toowoomba, Qld, Australia
[5] Australian Orthopaed Assoc Natl Joint Replacement, Adelaide, Australia
[6] Toowoomba Hosp, Dept Physiotherapy, Darling Downs Hlth, Toowoomba, Qld, Australia
[7] Darling Downs Hosp, Toowoomba Hosp, Toowoomba, Qld, Australia
[8] Orthopaed Cent, Nedlands, WA, Australia
[9] Australian Orthopaed Assoc Natl Joint Replacement, Adelaide, SA, Australia
关键词
ROTATOR CUFF TEARS; EXPECTATIONS; PREVALENCE; PHYSIOTHERAPY; MANAGEMENT; REPAIR; ADULTS; AGE;
D O I
暂无
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundChronic shoulder pain is a common presenting compliant in general practice. The differential diagnosis is broad and varies with patient age.ObjectiveThis article reviews the management of patients presenting with chronic shoulder pain. A structured approach to history and physical examination is presented, and appropriate investigations are discussed. Non-surgical and surgical treatment options are reviewed.DiscussionMany patients presenting with chronic shoulder pain can be successfully treated non-surgically. A multidisciplinary approach including physiotherapy, occupational therapy and psychology as needed will optimise care. Patients presenting with acute injuries or 'red flag' diagnoses should be urgently referred for specialist care. Referral to an orthopaedic surgeon is also recommended for patients who have failed an appropriate course of non-surgical treatment.
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页码:753 / 758
页数:6
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