most common cause of shoulder pain

Demographics

• 30-70yo

Clinical Features

• HX repeat heavy lifting or repetitive movements esp. above shoulder level
• Often occurs in non-dominant arm and in non-manual workers
• gradual onset
• discomfort sleeping on side
• Wasting may be present on examination
• Active/resisted movements are painful and partially restricted
  • unilateral painful abduction 60-120 degrees
• passive movements are non restricted and not painful
• ROM loss is isolated depending on tendon involved
• may have impingement

Investigations

• nil required unless excluding others or demonstrating calcific deposits
• don’t need USS if assessment suggests rotator cuff