From anatomy to discovering the patient!

• Primary shoulder dislocation peaks in the second and sixth decade

• 98% of cases, shoulder displaces anteriorly

• 70% of people who have dislocated can expect to dislocate again within 2 years of the initial injury

• Sub-acromial pain syndrome accounts for 44% to 60% of all conditions that cause shoulder pain and is the most frequent cause of visits to a physician’s office

• See more prevalence information in the Clinical Pattern Recognition: Orthopaedics app here

Meet the 5 common shoulder pain patients from the Shoulder Pain and Mobility Deficit Clinical Practice Guidelines and more!

Clinical Pattern Recognition

Click on the pain pattern to learn about the patients and develop your clinical patterns!

1. Adhesive Capsulitis or Frozen Shoulder – Shoulder pain and mobility deficits (1-minute video)

2. Labral tears, SLAP lesions, Bankart lesions, Anterior or Multidirectional Instability – Shoulder pain with movement coordination impairments (1-minute video)

3. Sub-Acromial Pain Syndrome (previously Shoulder Impingement) – Shoulder pain and muscle power deficits (1-minute video)

4. Acromioclavicular Joint Sprain – Shoulder pain and movement coordination impairments (1-minute video)

5. Thoracic Outlet Syndrome (TOS) – Shoulder pain with radiating pain (1-minute video)

Sources: 

Hayes K, Callanan M, Walton J, Paxinos A, Murrell GAC. Shoulder Instability: Management and Rehabilitation. J Orthop Sport Phys Ther. October 2002.

van der Windt DA, Koes BW, de Jong BA, Bouter LM. Shoulder disorders in general practice: incidence, patient characteristics, and management. Ann Rheum Dis. 1995; 54: 959– 964.

Vecchio PC, Kavanagh RT, Hazleman BL, King RH. Community survey of shoulder disorders in the elderly to assess the natural history and effects of treatment. Ann Rheum Dis. 1995; 54: 152– 154.