ITEMS IN AFP WITH KEYWORD:
Jul 01, 2021 Issue
Acromioclavicular Joint Dislocation: Surgical vs. Conservative Interventions [Cochrane for Clinicians]
Surgical treatment for AC joint dislocation of the shoulder does not appear to be superior to conservative management in adults. Surgical therapy increases the risk of hardware complications, infection, and continued discomfort.
The review found no evidence that supports any additional benefit of platelet-rich plasma injections compared with various control interventions, including saline placebo, in the non-operative treatment of rotator cuff disease in adults.
Adhesive capsulitis is a painful shoulder condition that limits range of motion. Treatments include physiotherapy, intra-articular corticosteroid injections, and manipulation under anesthesia, although the most effective treatment is uncertain. Recent clinical evidence of persistent functional limitation of the shoulder lasting for years after no treatment has shown that early treatment is the best option for improvement in pain and range of motion.
In patients with subacromial shoulder pain of at least three months' duration who receive physical therapy, surgical decompression is no better than arthroscopy without decompression in improving pain or function, and neither is much better than no invasive intervention at all.
Nov 1, 2017 Issue
History and Physical Examination for Identifying Rotator Cuff Tears [FPIN's Help Desk Answers]
There are no historical features that reliably identify full-thickness rotator cuff tears. The physical examination maneuvers that best identify the presence of a full-thickness rotator cuff tear are the internal rotation lag test, the external rotation lag test, and a positive “belly-off” sign. The...
A positive lag sign with external rotation is the best test for full-thickness tears of the infraspinatus and supraspinatus (positive likelihood ratio = 7.2). A positive lag sign with internal rotation is best for assessing full-thickness tears of the subscapularis (positive likelihood ratio = 5.6).
Many common acute shoulder injuries can be managed without surgery by a knowledgeable family physician; however, it is important to know when to refer to an orthopedist. Learn about diagnostic clues, conservative management options, and indications for referral.
Oct 1, 2013 Issue
Ultrasound-Guided Steroid Injections for Shoulder Pain [Cochrane for Clinicians]
Ultrasound-guided glucocorticoid injection for shoulder pain provides no advantage over landmark-guided or intramuscular injection in terms of pain, function, range of motion, or safety when measured within a six-week follow-up period. However, the small sample size of this review means that a clinically significant benefit cannot be ruled out.
Adhesive capsulitis is a common, yet poorly understood, condition causing pain and loss of range of motion in the shoulder. It can occur in isolation or concomitantly with other shoulder conditions (e.g., rotator cuff tendinopathy, bursitis) or diabetes mellitus. It is often self-limited, but can pe...
What are the effects of oral and topical drug treatment in persons with shoulder pain?What are the effects of local injections, nondrug and surgical treatments in persons with shoulder pain?