Erschienen in:
19.01.2018 | Rotator Cuff Repair (M Tao and M Teusink, section editors)
Evaluation and Management of Rotator Cuff Tears: a Primary Care Perspective
verfasst von:
Ross Mathiasen, Christopher Hogrefe
Erschienen in:
Current Reviews in Musculoskeletal Medicine
|
Ausgabe 1/2018
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Abstract
Purpose of Review
To provide a primary care perspective regarding the evaluation and management of shoulder pain and rotator cuff tears.
Recent Findings
In the primary care setting, rotator cuff pathology is commonly encountered. Information regarding the risks of oral medications for the management of the associated pain keeps mounting. Partial-thickness rotator cuff tears remain difficult to diagnose with a single imaging modality. Musculoskeletal education in medical schools and non-orthopaedic residency and fellowship training programs continues to be an area for additional improvement.
Summary
In the primary care office, the initial evaluation of shoulder pain should include a thorough musculoskeletal evaluation in order to identify the source of the pain (e.g., shoulder, cervical spine, chest wall), as well as the development of an initial treatment plan. Access to imaging modalities such as ultrasound and MRI can vary depending on the resources available in the primary care setting. The identification of patients who may benefit from early surgical referral is imperative for optimizing outcomes.