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© 1995 British Society for Rheumatology

research-article

SHOULDER PAIN IN A COMMUNITY-BASED RHEUMATOLOGY CLINIC

P. VECCHIO*, R. KAVANAGH*, B. L. HAZLEMAN*, and R. H. KING{dagger}

*Rheumatology Research Unit, Addenbrooke's Hospital Cambridge
{dagger}East Barnwell Health Centre Cambridge

Correspondence to: Correspondence to: B. L. Hazleman, Rheumatology Research Unit, E6, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ.

The objective of this study was to assess the prevalence of different shoulder disorders likely to be experienced by a rheumatologist in a community-based rheumatology clinic. We assessed patients with shoulder pain presenting to a large general practice at a community-based rheumatology clinic. It was found that the more common conditions seen were rotator cuff lesions (65%), pericapsular soft tissue pain (11%), acromioclavicular joint pain (10%) and referredpain from cervical spine (5%). In conclusion this study has established the spectrum of shoulder disorders referredfrom general practice to a highly accessible communitybased rheumatology clinic. The diagnostic processes to distinguish the different conditions rely chiefly on an accurate history and directed examination.

KEY WORDS: Shoulder pain, Community study, Soft tissue lesions


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