McMahon P J, Sallis R E
Department of Orthopedic Surgery, University of Pittsburgh School of Medicine, PA 15213, USA.
Postgrad Med. 1999 Dec;106(7):36-8, 41-3, 47-9. doi: 10.3810/pgm.1999.12.800.
Most shoulder problems seen by the primary care physician involve impingement syndrome or problems at the acromioclavicular joint. Despite the complexity of the structures involved, most of these conditions can be diagnosed and treated without difficulty. MRI or other imaging studies are seldom needed but can be used to confirm a questionable diagnosis. Referral to an orthopedic surgeon is appropriate if shoulder problems persist for 3 to 6 months or if there is evidence of a medium or large rotator cuff tear, severe shoulder stiffness, or a complicated fracture.
初级保健医生所见到的大多数肩部问题都涉及撞击综合征或肩锁关节问题。尽管涉及的结构复杂，但这些病症大多都能轻松诊断和治疗。很少需要进行MRI或其他影像学检查，但可用于确诊存疑的诊断。如果肩部问题持续3至6个月，或者有证据表明存在中等或大型肩袖撕裂、严重的肩部僵硬或复杂骨折，则应转诊至骨科医生处。
