scholarly journals Summary of an evidence-based guideline on soft tissue injuries and related disorders – Part 2: Management

2009 ◽  
Vol 1 (1) ◽  
pp. 42 ◽  
Author(s):  
Gillian Robb ◽  
Bruce Arroll ◽  
Duncan Reid ◽  
Felicity Goodyear-Smith
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Soft Tissue ◽  
Rotator Cuff ◽  
Soft Tissue Injuries ◽  
Good Evidence ◽  
Supervised Exercise ◽  
Primary Health ◽  
Shoulder Disorders ◽  
Tissue Injuries

AIM: To provide a succinct summary of the management of soft tissue injuries to the shoulder for primary health care practitioners based on the New Zealand guideline. METHODS: A multidisciplinary team developed the guideline by critically appraising and grading retrieved literature using the Graphic Appraisal Tool for Epidemiology (GATE); and the Scottish Intercollegiate Guideline Network. Recommendations were derived from resulting evidence tables. RESULTS: For the management of soft tissue shoulder disorders there is little evidence to support or refute the efficacy of common interventions for shoulder disorders in general and rotator cuff disorders in particular. For rotator cuff tendinosis and partial tears, use NSAIDs and subacromial corticosteroid injections with caution and provide a trial of supervised exercise. For frozen shoulders, intra-articular corticosteroid injection should be considered and refer for supervised exercise after acute pain has settled. For shoulder instability, good evidence supports the referral of physically active young adults for orthopaedic intervention following a first traumatic shoulder dislocation. CONCLUSION: While there is a dearth of good evidence, this guideline does provide a framework for the management of common soft tissue injuries of the shoulder. KEYWORDS: Shoulder, soft tissue injuries, primary health care

scholarly journals Consumption of medical resources and outcome of shoulder disorders in primary health care consulters

2013 ◽  
Vol 14 (1) ◽  
Author(s):  
Juha Paloneva ◽  
Sanna Koskela ◽  
Hannu Kautiainen ◽  
Mauno Vanhala ◽  
Ilkka Kiviranta
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Resources ◽  
Primary Health ◽  
Shoulder Disorders

scholarly journals Summary of an evidence-based guideline on soft tissue injuries and related disorders – Part 1: Assessment

2009 ◽  
Vol 1 (1) ◽  
pp. 36 ◽  
Author(s):  
Gillian Robb ◽  
Bruce Arroll ◽  
Duncan Reid ◽  
Felicity Goodyear-Smith
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
Diagnostic Ultrasound ◽  
Shoulder Injuries ◽  
Keywords Shoulder ◽  
Primary Health ◽  
Health Care Practitioners ◽  
Tissue Injuries ◽  
Evidence Based Guideline ◽  
Appraisal Tool

AIM: To provide a succinct summary of the diagnosis of soft tissue injuries to the shoulder for primary health care practitioners based on the New Zealand guideline. METHODS: A multidisciplinary team developed the guideline by critically appraising and grading retrieved literature using the Graphic Appraisal Tool for Epidemiology (GATE). Recommendations were derived from resulting evidence tables. RESULTS: Diagnostic ultrasound is a valid tool for the diagnosis of a full thickness rotator cuff tear. If a significant tear is suspected, referral for diagnostic ultrasound is recommended. There is a paucity of evidence for the diagnosis of soft tissue shoulder injuries and most recommendations are based on the consensus of the guideline team. CONCLUSION: Assessment relies on thorough history-taking and physician examination with appropriate referral where there is evidence of serious damage or the diagnosis remains unclear. KEYWORDS: Shoulder, shoulder pain, diagnosis, soft tissue injuries

scholarly journals Diagnostic accuracy of clinical examination features for identifying large rotator cuff tears in primary health care

2013 ◽  
Vol 21 (3) ◽  
pp. 148-159 ◽  
Author(s):  
Angela Cadogan ◽  
Peter McNair ◽  
Mark Laslett ◽  
Wayne Hing ◽  
Stephen Taylor
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rotator Cuff ◽  
Diagnostic Accuracy ◽  
Clinical Examination ◽  
Rotator Cuff Tears ◽  
Primary Health

Suturing Technique in Facial Soft Tissue Injuries

1979 ◽  
Vol 12 (2) ◽  
pp. 415-430
Author(s):  
Joseph W. Walike
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
Facial Soft Tissue ◽  
Suturing Technique ◽  
Tissue Injuries

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

The Marriage of Population Health and Primary Health Care for Vulnerable Women

2001 ◽  
Author(s):  
Marion Relf ◽  
Allison Akgungor ◽  
Susan Chesney
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Population Health ◽  
Primary Health
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