Management of shoulder pain in the emergency room: a narrative review

shoulder pain emergency room

Authors

DOI:

https://doi.org/10.13130/AMSUM/14953

Keywords:

Acute shoulder pain, shoulder traumatology, shoulder emergencies, painful shoulder

Abstract

ABSTRACT

Background (Introduction)

The frequency of Emergency Room (ER) accesses for shoulder pain is constantly increasing. The presenting symptoms are similar across the various pathological conditions, therefore an appropriate focus on the pathogenetic mechanism (traumatic or not-traumatic) and the correct imaging choice is of extreme importance. The correct treatment strategy is fundamental. The aim of this study is to provide a simple and straightforward guide toward the correct treatment when facing a painful shoulder in ER. 

Materials and methods

We performed a narrative review analyzing 34 published articles from the most updated literature focused on the management of shoulder emergencies. The most significant data were collected to propose a document suggesting the most effective treatments in this group of patients. 

Results

Authors developed a guide that could help clinicians to propose the correct treatment when dealing with patients with acute shoulder pain in ER. 

Conclusions

Shoulder emergencies are frequent and different possible treatments can be proposed to the patients, as a consequence of local guidelines and hospital habits. This narrative review could help clinicians in the emergency room to propose an effective treatment in some of the most common situations. 

 

Keywords

Acute shoulder pain, shoulder traumatology, shoulder emergencies, painful shoulder

 

Level of evidence: 5° - Narrative review 

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Published

2021-02-16

Issue

Section

Review Article