A Viewpoint on Clinical Approach towards Assessment of Chronic Shoulder Pain
The shoulder joint offers a wide range of motion and therefore pathologies leading to restriction of its movements affect the routinely performed activities. Symptoms of the shoulder pathologies are often overlapping and usually are not specific to certain pathology. However, as discussed in this manuscript, with a targeted history, still a diagnostic algorithm can be made which can then be further guided by related clinical examination and appropriate investigations to conclude a diagnosis.
Hegedus EJ, Goode AP, Cook CE, Michener L, Myer CA, Myer DM, Wright AA. Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual tests. Br J Sports Med. 2012 Nov 1;46(14):964-78.
Schiefer M, Ching-San Júnior YA, Silva SM, Fontenelle C, Carvalho MG, de Faria FG, Franco JS. Clinical diagnosis of subscapularis tendon tear using the bear hug semiological maneuver. Revista Brasileira de Ortopedia (English Edition). 2012 Sep 1;47(5):588-92
Beaudreuil J, Nizard R, Thomas T, Peyre M, Liotard JP, Boileau P, Marc T, Dromard C, Steyer E, Bardin T, Orcel P. Contribution of clinical tests to the diagnosis of rotator cuff disease: a systematic literature review. Joint Bone Spine. 2009 Jan 1;76(1):15-9.
Reeves B. The natural history of the frozen shoulder syndrome. Scandinavian journal of rheumatology. 1975 Jan 1;4(4):193-6.
Cakir M, Samanci N, Balci N, Balci MK. Musculoskeletal manifestations in patients with thyroid disease. Clinical endocrinology. 2003 Aug;59(2):162-7.
Smith LL, Burnet SP, McNeil JD. Musculoskeletal manifestations of diabetes mellitus. British journal of sports medicine. 2003 Feb 1;37(1):30-5.
Austin L, Pepe M, Tucker B, Ong A, Nugent R, Eck B, Tjoumakaris F. Sleep disturbance associated with rotator cuff tear: correction with arthroscopic rotator cuff repair. The American journal of sports medicine. 2015 Jun;43(6):1455-9.
Burbank KM, Stevenson JH, Czarnecki GR, Dorfman J. Chronic shoulder pain: part I. Evaluation and diagnosis. American family physician. 2008 Feb 15;77(4).
Dinnes J, Loveman E, McIntyre L, Waugh N. The effectiveness of diagnostic tests for the assessment of shoulder pain due to soft tissue disorders: a systematic review. Health Technol Assess. 2003;7(29):iii, 1-166.
Gartsman GM. (iii) Partial thickness rotator cuff tears—evaluation and treatment. Current Orthopaedics. 2000 May 1;14(3):167-72.
Safran O, Schroeder J, Bloom R, Weil Y, Milgrom C. Natural history of nonoperatively treated symptomatic rotator cuff tears in patients 60 years old or younger. The American journal of sports medicine. 2011 Apr;39(4):710-4.
Work-Relatedness IE, Tears AR. Shoulder Conditions Diagnosis and Treatment Guideline.
Yip M, Francis AM, Roberts T, Rokito A, Zuckerman JD, Virk MS. Treatment of Adhesive Capsulitis of the Shoulder: A Critical Analysis Review. JBJS reviews. 2018 Jun 1;6(6):e5-.
Hossain S, Jacobs LG, Hashmi R. The long-term effectiveness of steroid injections in primary acromioclavicular joint arthritis: a five-year prospective study. Journal of shoulder and elbow surgery. 2008 Jul 1;17(4):535-8.
Montellese P, Dancy T. The acromioclavicular joint. Primary Care: Clinics in Office Practice. 2004 Dec 1;31(4):857-66.
Rabalais RD, McCarty E. Surgical treatment of symptomatic acromioclavicular joint problems: a systematic review. Clinical Orthopaedics and Related Research®. 2007 Feb 1;455:30-7.
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