Surgical options for patients with shoulder pain.
Shoulder pain is a common musculoskeletal complaint in the community, which can arise from diverse causes. Regardless of the cause, mild cases can often be effectively treated conservatively, with options including rest, physiotherapy, pain relief and glucocorticoid injections. If conservative strategies fail after a 3-6 month period then surgery might be considered. Generally, the proportion of patients with shoulder pain who require surgery is small. When surgery is considered, a clear diagnosis and structural information from imaging are required. The indications for surgery, and success rate, depend on the specific diagnosis as well as on the individual clinical presentation. Evidence from case series suggest that surgical interventions for shoulder pain are effective when used appropriately. This article outlines the surgical management of the most common painful conditions that affect the shoulder, including impingement, rotator cuff tear, frozen shoulder, osteoarthritis, rheumatoid arthritis and calcific tendonitis.
Chaudhury
Salma
S
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Windmill Road, Oxford OX3 7LD, UK.
Gwilym
Stephen E
SE
Moser
Jane
J
Carr
Andrew J
AJ
D000700:Analgesics / Q000627:therapeutic use; D001175:Arthrography / Q000379:methods; D019643:Arthroplasty, Replacement / Q000379:methods; D001182:Arthroscopy / Q000379:methods; D002062:Bursitis / Q000150:complications / Q000175:diagnosis / Q000534:rehabilitation / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods*; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D011182:Postoperative Care; D020127:Recovery of Function; D018570:Risk Assessment; D017006:Rotator Cuff / Q000601:surgery; D000070636:Rotator Cuff Injuries; D012720:Severity of Illness Index; D019534:Shoulder Impingement Syndrome / Q000150:complications / Q000175:diagnosis / Q000534:rehabilitation / Q000601:surgery; D020069:Shoulder Pain / Q000209:etiology* / Q000503:physiopathology / Q000534:rehabilitation / Q000601:surgery*; D016896:Treatment Outcome
D000700:Analgesics