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Shoulder pain

Alka Agrawal, Prem Tripathi, Prachi Shukla


Shoulder pain is a common and important musculoskeletal problem. Compromised shoulder movement due to pain, stiffness, or weakness can cause substantial disability and affect a person’s ability to carry out daily activities. Common shoulder disorders exhibit similar clinical features, and the lack of consensus on diagnostic criteria. This review proposes an evidence based approach using a simplified classification of shoulder problems, incorporating diagnostic techniques applicable to a primary care consultation and a “red flag” system to identify potentially serious disease.


Alan, D., Massengill, Leanne, L., Seege, Lawrence, Y., Amilcare Gentili, Ronald, C., Shnier, Matthew, S., Shapiro, Richard, H., Gold. 1994.Labrocapsular ligamentous complex of the shoulder: Normal Anatomy, Anatomic Variation and Pitfalls of MR Imaging and MR Arthrography. Radiographics. 14.

Arun Kinare, 2007. Musculoskeletal ultrasound symposium. Indian. J. Radiol. Imaging. 17(3), 194-200.

Bigliani, L.U., Ticker, J.B., Flatow, E.L., Soslowsky, L.J., Mow, V.C., 1991. The relationship of acromial architecture to rotator cuff disease. Clin. Sport. Med. 10(4), 823-38.

Bodin, J., Ha, C., Petit Le Manac’h, A., Sérazin, C., Descatha, A., 2012. Risk factors for incidence of rotator cuff syndrome in a large working population. Scand. J. Work. Environ. Health. 38(5), 436-446.

Buchbinder, R., Green, S., Youd, J.M., 2003. Corticosteroid injections for shoulder pain. Cochrane Database Syst. Rev. 1, CD004016.

Cullen, D.M., Breidahl, W.H., Janes, G.C., 2007. Diagnostic accuracy of shoulder ultrasound performed by a single operator. Aust. Radiol. 51, 226-229.

Ekeberg, O.M., Bautz-Holter, E., Tveita, E.K., Juel, N.G., Kvalheim, S., Brox, J.I., 2009. Subacromial ultrasound guided or systemic steroid injection for rotator cuff disease: randomised double blind study. BMJ. 338, a3112.

Greving, K., Dorrestijn, O., Winters, J., 2012. Incidence, prevalence, and consultation rates of shoulder complaints in general practice. Scand. J. Rheumatol. 41, 150–155.

Ling, S.C., Chen, C.F., Wan, R.X., 1990. A study on the vascular supply of the supraspinatus tendon. Surg. Radiol. Anat. 12(3), 161–5.

Lohr, J.F., Uhthoff, H.K., 1990. The microvascular pattern of the supraspinatus tendon. Clin. Orthop. Relat. Res. (254), 35–8.

Neer, C.S., 1972. Anterior acromioplasty for chronic impingement syndrome of shoulder. J. Bone. Joint. Surg. 54A, 41–50.

Sammarco, V.J., 2000. Os acromiale: Frequency, anatomy, and clinical implications. J. Bone. Joint. Surg. Am. 82, 394-400.

Tekavec, 2012. BMC musculoskeletal disorders. 13, 238.

van der Windt, D.A., Koes, B.W., de Jong, B.A., Bouter, L.M., 1995. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann. Rheum. Dis. 54, 959–964.

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