Correlation between physical examination and intraoperative findings in shoulder disease treated by arthroscopy. Statistical analysis of 150 patients

Parra, P. García; Rojas, M. Anaya; Bravo, Beatriz; Oria, M.O. González; Muñoz, M. Lisbona; Álvarez, J.J. Gil; Luís, P. Cano

doi:10.1016/j.recote.2016.07.004

Cited by 4 publications

(1 citation statement)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Common shoulder pain diagnoses include rotator cuff-related shoulder pain (RCRSP), adhesive capsulitis, glenohumeral (GH) instability, GH osteoarthritis and acromioclavicular disorders. Recommendations for the management of most shoulder disorders include that shoulder pain should be diagnosed using a detailed clinical examination; combining a history of the injury and subjective assessment of symptoms, as well as physical examination [ 8 , 9 ]. Despite some diagnostic uncertainties due to a lack of sensibility and specificity of physical examination tests [ 10 , 11 ], recent evidence from CPGs indicates that diagnostic imaging is discouraged for the initial management of shoulder pain [ 12 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

“I wanted to know what was hurting so much”: a qualitative study exploring patients’ expectations and experiences with primary care management

Lowry,

Desmeules,

Zidarov

et al. 2023

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background The management of shoulder pain is challenging for primary care clinicians considering that 40% of affected individuals remain symptomatic one year after initial consultation. Developing tailored knowledge mobilization interventions founded on evidence-based recommendations while also considering patients’ expectations could improve primary care for shoulder pain. The aim of this qualitative study is to explore patients’ expectations and experiences of their primary care consultation for shoulder pain. Methods In this qualitative study, participants with shoulder pain and having consulted a primary care clinician in the past year were interviewed. All the semi-structured interviews were transcribed verbatim, and inductive thematic analysis was performed to identify themes related to the participants’ expectations and experiences of primary care consultations for shoulder pain. Results Thirteen participants with shoulder pain were interviewed (8 women, 5 men; mean age 50 ± 12 years). Eleven of them initially consulted a family physician or an emergency physician, and two participants initially consulted a physiotherapist. Four overarching themes related to patients’ expectations and experiences were identified from our thematic analysis: 1) I can’t sleep because of my shoulder; 2) I need to know what is happening with my shoulder; 3) But… we need to really see what is going on to help me!; and 4) Please take some time with me so I can understand what to do!. Several participants waited until they experienced a high level of shoulder pain before making an appointment since they were not confident about what their family physician could do to manage their condition. Although some participants felt that their physician took the time to listen to their concerns, many were dissatisfied with the limited assessment and education provided by the clinician. Conclusions Implementing evidence-based recommendations while considering patients’ expectations is important as it may improve patients’ satisfaction with healthcare. Several participants reported that their expectations were not met, especially when it came to the explanations provided. One unexpected finding that emerged from this study was the waiting period between the onset of shoulder pain and when patients decided to consult their primary care clinician.

show abstract