Topic
Shoulder problem
About: Shoulder problem is a research topic. Over the lifetime, 50 publications have been published within this topic receiving 1432 citations. The topic is also known as: shoulder disease.
Papers
TL;DR: The prevalence of people consulting for shoulder problems in primary care is substantially lower than community-based estimates of shoulder pain and most referrals occur within 3 months of initial presentation, but only a minority of patients are referred to orthopaedic specialists or rheumatologists.
Abstract: Objectives To estimate the national prevalence and incidence of adults consulting for a shoulder condition and to investigate patterns of diagnosis, treatment, consultation and referral 3 yr after initial presentation. Methods Prevalence and incidence rates were estimated for 658469 patients aged 18 and over in the year 2000 using a primary care database, the IMS Disease Analyzer-Mediplus UK. A cohort of 9215 incident cases was followed-up prospectively for 3 yr beyond the initial consultation. Results The annual prevalence and incidence of people consulting for a shoulder condition was 2.36% [95% confidence interval (CI) 2.32-2.40%] and 1.47% (95% CI 1.44-1.50%), respectively. Prevalence increased linearly with age whilst incidence peaked at around 50 yr then remained static at around 2%. Around half of the incident cases consulted once only, while 13.6% were still consulting with a shoulder problem during the third year of follow-up. During the 3 yr following initial presentation, 22.4% of patients were referred to secondary care, 30.8% were prescribed non-steroidal anti-inflammatory drugs and 10.6% were given an injection by their general practitioner (GP). GPs tended to use a limited number of generalized codes when recording a diagnosis; just five of 426 possible Read codes relating to shoulder conditions accounted for 74.6% of the diagnoses of new cases recorded by GPs. Conclusions The prevalence of people consulting for shoulder problems in primary care is substantially lower than community-based estimates of shoulder pain. Most referrals occur within 3 months of initial presentation, but only a minority of patients are referred to orthopaedic specialists or rheumatologists. GPs may lack confidence in applying precise diagnoses to shoulder conditions.
359 citations
TL;DR: Age between 20 and 39 years and male sex represent significant demographic risk factors for AC dislocation in an urban population, and the most common traumatic mechanism was sport injury.
Abstract: Background. Acromioclavicular (AC) joint dislocation is a common shoulder problem. However, information about the basic epidemiological features of this condition is scarce. The aim of this study is to analyze the epidemiology of isolated AC dislocation in an urban population. Materials and Methods. A retrospective database search was performed to identify all patients with an AC dislocation over a 5-year period. Gender, age, affected side and traumatic mechanism were taken into account. X-rays were reviewed by two of the authors and dislocations were classified according to the Rockwood’s criteria. Results. A total of 108 patients, with a mean age of 37.5 years were diagnosed with AC dislocation. 105 (97.2%) had an isolated AC dislocation, and 3 (2.8%) were associated with a clavicle fracture. The estimated incidence was 1.8 per 10000 inhabitants per year and the male-female ratio was 8.5 : 1. 50.5% of all dislocations occurred in individuals between the ages of 20 and 39 years. The most common traumatic mechanism was sport injury and the most common type of dislocation was Rockwood type III. Conclusions. Age between 20 and 39 years and male sex represent significant demographic risk factors for AC dislocation.
152 citations
TL;DR: The clinical outcome of the management of shoulder disorders in the study population including also individuals who have consulted previously for a shoulder problem is notably poorer than the one reported by previous studies on new episodes, however, despite the relatively modest outcome, subjective disability is low.
Abstract: Background
Shoulder disorders are common problems in primary health care. The course of disease of patients consulting for a new episode of a shoulder problem has been thought to be benign. In this prospective cohort study, we assessed the one-year consumption of medical resources and clinical outcome of shoulder disorders inclusive of all disease episodes.
59 citations
TL;DR: Ginn et al. as discussed by the authors investigated the long-term clinical outcome and to identify factors that predict that outcome, after conservative treatment of patients who have shoulder pain with or without accompanying stiffness.
56 citations
TL;DR: With the ability to reach the face and hair, the back and buttocks region, and the feet with ease, the patient with an arthrodesed shoulder is much happier, more comfortable, and less depressed.
Abstract: By the time a patient's shoulder problem has reached the stage in which an arthrodesis is being considered, the patient usually is willing to accept the restraints of an arthrodesed shoulder. If there is a chance of relieving chronic pain and restoring some reasonable degree of function in the upper extremity, arthrodesis warrants consideration. However, failure to relieve pain and restore function may cause unhappiness. Because of recent advances in the surgical technique and the improved, more comfortable anatomic position of the arm at the side of the body, the patient is considering arthrodesis of the shoulder with much greater optimism. With the ability to reach the face and hair, the back and buttocks region, and the feet with ease, the patient with an arthrodesed shoulder is much happier, more comfortable, and less depressed.
47 citations
Related Topics (5)
Performance Metrics
| Year | Papers |
|---|---|
| 2021 | 3 |
| 2020 | 2 |
| 2019 | 4 |
| 2018 | 5 |
| 2017 | 5 |
| 2016 | 3 |