Ramponi Denise R
School of Nursing and Health Sciences, Robert Morris University, Moon Township, Pennsylvania 15108, USA.
Adv Emerg Nurs J. 2011 Apr-Jun;33(2):114-26. doi: 10.1097/TME.0b013e318217c983.
Shoulder pain is a frequent complaint encountered in the emergency setting. A brief review of shoulder anatomy and physical examination sets the foundation for evaluation of shoulder pain. Considerations of patient's age are helpful to predict injuries. Fractured clavicles are often seen in traumatic injuries in children and young adults, whereas fractures of the humeral head are more often seen in the elderly from traumatic injuries. Shoulder dislocations are more common in teens to fourth decade. This article reviews specific acute injuries, chronic conditions, and radiologic considerations of patients with shoulder complaints encountered in emergency settings.
肩部疼痛是急诊中常见的主诉。简要回顾肩部解剖结构和体格检查为评估肩部疼痛奠定了基础。考虑患者年龄有助于预测损伤情况。锁骨骨折常见于儿童和年轻成人的创伤性损伤，而肱骨头骨折在老年人的创伤性损伤中更为常见。肩关节脱位在青少年至四十岁人群中更为常见。本文回顾了急诊中遇到的肩部疼痛患者的特定急性损伤、慢性疾病及影像学注意事项。
