Materiały źródłowe

• #1 Subacromial impingement syndrome: management challenges | ORR

  https://www.dovepress.com/subacromial-impingement-syndrome-management-challenges-peer-reviewed-fulltext-article-ORR

  Subacromial Impingement Syndrome (SAIS) is the commonest disorder of the shoulder, accounting for 44%65% of all complaints of shoulder pain. […] In a Dutch study, the incidence of new cases of rotator cuff tendonitis in general practice was found to be around 3.24.2 per 1,000 person-years, and the corresponding incidence of shoulder pain (all causes) was 11.2 per 1,000 person-years. […] In the United Kingdom, the estimated percentage of people seeking treatment for shoulder pain in the general practice setting is between 20% and 50% in a life time. […] Among these patients, one in four sought medical care for SAIS. […] Its prevalence is especially high in repetitive overhead sports such as swimming, volleyball, handball, and manual jobs requiring prolonged overhead position of the arm (builders, electricians, hairdressers, etc).

• #2

  https://www.orthobullets.com/shoulder-and-elbow/3041/subacromial-impingement

  Subacromial impingement is the most common cause of shoulder pain which occurs as a result of compression of the rotator cuff muscles by superior structures (AC joint, acromion, CA ligament) leading to inflammation and development of bursitis. […] Subacromial impingement is the most common cause of shoulder pain. […] Subacromial impingement accounts for 44-65% of shoulder disorders.

• #3 Subacromial (shoulder) impingement syndrome – UpToDate

  https://www.uptodate.com/contents/subacromial-shoulder-impingement-syndrome

  Subacromial impingement syndrome (SIS; commonly referred to as shoulder impingement) refers to a combination of shoulder symptoms, examination findings, and radiologic signs attributable to the compression of structures around the glenohumeral joint that occurs with shoulder elevation. Such compression causes persistent pain and dysfunction. Shoulder pain is a common presenting complaint in primary care clinics, and SIS is likely the most common cause of shoulder pain in this setting. […] Studies suggest that SIS is the most common cause of shoulder pain, accounting for approximately 30 to 35 percent of shoulder disorders. However, epidemiologic calculations can vary depending upon how SIS is defined. […] Repetitive activity at or above the shoulder during work or sports represents the main risk factor for SIS. As with many shoulder disorders, increasing age also predisposes to SIS. SIS is common among athletes who participate in overhead sports. These sports may include swimming, throwing, tennis, weightlifting, golf, volleyball, and gymnastics. Overhead work activities that can increase risk for developing SIS include painting, stocking shelves, and mechanical repair.

• #4

  https://www.jneonatalsurg.com/index.php/jns/article/view/2838

  Shoulder impingement syndrome (SIS) occurs when the rotator cuff tendons become compressed during shoulder movements, leading to pain and reduced range of motion. […] Understanding the prevalence of SIS among cricketers is essential for developing preventive strategies and effective rehabilitation programs tailored to this specific population. […] This study concluded that there is prevalence of Shoulder Impingement syndrome among cricketers.

• #5 Shoulder Pain (Causes, Assessment, and Treatment) | Doctor

  https://patient.info/doctor/shoulder-pain-pro

  Shoulder pain is the third most common cause of musculoskeletal consultation in primary care. […] 1% of adults with new shoulder pain consult their GP each year. […] Self-reported prevalence of shoulder pain is between 16% and 26%.

• #6 Epidemiology, common diagnoses, treatments and prognosis of shoulder pain: A narrative review – Murdoch University

  https://researchportal.murdoch.edu.au/esploro/outputs/journalArticle/Epidemiology-common-diagnoses-treatments-and-prognosis/991005543844307891

  Shoulder pain is the third most common musculoskeletal complaint and several cost of illness studies suggest it is of significance. […] Common diagnoses can be categorised on the anatomic region such as ‘intra-articular’, ‘anterior shoulder’ and ‘subacromial’. […] Several studies have revealed that only 50% of all new cases of shoulder pain completely recovery after six months, and 60% after 12 months. […] Shoulder pain is a relatively common musculoskeletal complaint and costs associated appear reasonably high.

• #7 Epidemiology and the Shoulder

  https://www.whatswrongwithmyshoulder.com/post/epidemiology-and-the-shoulder

  Epidemiological studies of people with shoulder pain were scarce prior to the 1980s, but today (August 2023), A Pub Med search using the keywords Shoulder + Epidemiology will cite 8,236 papers. […] Shoulder pain and disability have likely always been a source of significant morbidity but it has only been since the 1980s that epidemiologists have started to investigate this condition. […] Shoulder complaints are the third most common musculoskeletal complaint in primary care. […] The prognosis for shoulder complaints is unfavourable. Chronicity and reoccurrence are common. […] Shoulder problems are prevalent and, despite not always being reported to a primary health care professional, shoulder conditions are the source of significant pain and disability. […] Prevalence data provides clinicians with information that helps them identify individual risk factors that may be important for the classification, diagnosis, and management of their patients.

• #8 Shoulder Impingement Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK554518/

  Shoulder impingement syndrome is most commonly seen in individuals who participate in sports and activities that require repetitive overhead activities, including but not limited to handball, volleyball, swimming, carpenters, painters, and hairdressers. Other extrinsic risk factors that may predispose to the development of impingement syndrome include bearing heavy loads, infection, smoking, and fluoroquinolone antibiotics. The incidence of shoulder impingement syndrome rises with age, with peak incidence occurring in the sixth decade of life. […] The estimated prevalence of shoulder complaints is 7% to 34%, often with shoulder impingement syndrome as the underlying etiology. Since it was first described in 1852, shoulder impingement syndrome is believed to be the most common cause of shoulder pain, accounting for 44% to 65% of all shoulder complaints. Similarly, of the 20% to 50% of people within the United Kingdom who seek shoulder pain treatment from a general practitioner, 25% of these individuals are then diagnosed with shoulder impingement syndrome.

• #9 A systematic review of the global prevalence and incidence of shoulder pain | BMC Musculoskeletal Disorders | Full Text

  https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-022-05973-8

  Studies reporting on the population burden of people living with shoulder pain show wide heterogeneity in terms of case definition, study samples, and occurrence. […] We also explored the potential influence of methodological limitations and important sources of heterogeneity (case definition and reference period) on reported estimates of shoulder pain prevalence. […] The community prevalence of shoulder pain varied widely across the countries included in our review, with a median of 16% (range 0.67 to 55.2%). […] Estimates were generally higher for women than men and were higher in high-income nations. […] The incidence of shoulder pain ranged from 7.7 to 62 per 1000 persons per year (median 37.8 per 1000 persons per year). […] Our review demonstrates that a significant proportion of the population across the world will experience shoulder pain daily, yearly, and throughout a lifetime.

• #10 Epidemiology, Common Diagnoses, Treatments and Prognosis of Shoulder Pain – A Narrative Review | PDF | Shoulder | Medical Specialties

  https://www.scribd.com/document/708831702/Epidemiology-common-diagnoses-treatments-and-prognosis-of-shoulder-pain-A-narrative-review

  Shoulder pain is a common musculoskeletal issue that impacts many people. It has a prevalence rate ranging from 7-67% depending on the study. While the annual incidence is unknown, shoulder pain puts a significant burden on healthcare systems. Common diagnoses involve structures around the shoulder joint like the rotator cuff or bursa. […] Both surgical and conservative treatments can effectively manage symptoms, though conservative care is usually preferred initially. Only about half of new shoulder pain cases fully resolve within 6 months, demonstrating it often is not self-limiting.

• #11 Subacromial impingement syndrome: management challenges | ORR

  https://www.dovepress.com/subacromial-impingement-syndrome-management-challenges-peer-reviewed-fulltext-article-ORR

  Subacromial Impingement Syndrome (SAIS) is the commonest disorder of the shoulder, accounting for 44%65% of all complaints of shoulder pain. […] In a Dutch study, the incidence of new cases of rotator cuff tendonitis in general practice was found to be around 3.24.2 per 1,000 person-years, and the corresponding incidence of shoulder pain (all causes) was 11.2 per 1,000 person-years. […] In the United Kingdom, the estimated percentage of people seeking treatment for shoulder pain in the general practice setting is between 20% and 50% in a life time. […] Among these patients, one in four sought medical care for SAIS. […] Its prevalence is especially high in repetitive overhead sports such as swimming, volleyball, handball, and manual jobs requiring prolonged overhead position of the arm (builders, electricians, hairdressers, etc).

• #12 A systematic review of the global prevalence and incidence of shoulder pain | BMC Musculoskeletal Disorders | Full Text

  https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-022-05973-8

  Studies reporting on the population burden of people living with shoulder pain show wide heterogeneity in terms of case definition, study samples, and occurrence. […] We also explored the potential influence of methodological limitations and important sources of heterogeneity (case definition and reference period) on reported estimates of shoulder pain prevalence. […] The community prevalence of shoulder pain varied widely across the countries included in our review, with a median of 16% (range 0.67 to 55.2%). […] Estimates were generally higher for women than men and were higher in high-income nations. […] The incidence of shoulder pain ranged from 7.7 to 62 per 1000 persons per year (median 37.8 per 1000 persons per year). […] Our review demonstrates that a significant proportion of the population across the world will experience shoulder pain daily, yearly, and throughout a lifetime.

• #13 Subacromial impingement syndrome: management challenges | ORR

  https://www.dovepress.com/subacromial-impingement-syndrome-management-challenges-peer-reviewed-fulltext-article-ORR

  Subacromial Impingement Syndrome (SAIS) is the commonest disorder of the shoulder, accounting for 44%65% of all complaints of shoulder pain. […] In a Dutch study, the incidence of new cases of rotator cuff tendonitis in general practice was found to be around 3.24.2 per 1,000 person-years, and the corresponding incidence of shoulder pain (all causes) was 11.2 per 1,000 person-years. […] In the United Kingdom, the estimated percentage of people seeking treatment for shoulder pain in the general practice setting is between 20% and 50% in a life time. […] Among these patients, one in four sought medical care for SAIS. […] Its prevalence is especially high in repetitive overhead sports such as swimming, volleyball, handball, and manual jobs requiring prolonged overhead position of the arm (builders, electricians, hairdressers, etc).

• #14 Shoulder Pain (Causes, Assessment, and Treatment) | Doctor

  https://patient.info/doctor/shoulder-pain-pro

  Shoulder pain is the third most common cause of musculoskeletal consultation in primary care. […] 1% of adults with new shoulder pain consult their GP each year. […] Self-reported prevalence of shoulder pain is between 16% and 26%.

• #15 Population-based consultation patterns in patients with shoulder pain diagnoses | BMC Musculoskeletal Disorders | Full Text

  https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-13-238

  Annual consultation prevalence was 103/10 000 women and 98/10 000 men. […] New onset consultation rate was 80/10 000 women (peak in age 5059 at 129/10 000) and 74/10 000 men (peak in age 6069 at 116/10 000). […] Impingement and rotator cuff syndromes were the most frequent diagnoses. […] The annual consultation prevalence for shoulder pain diagnoses was about 1% of the adult population and similar in both women and men. […] The new onset consultation rate was 80/10 000 per year for women and 74/10 000 per year for men. […] The consultations for shoulder pain diagnoses increased by age and peaked for women at age 5059 and for men at age 6069. […] In concordance with previous studies, tendinitis, bursitis and impingement syndrome, were the most frequent group of diagnoses for both women and men. […] Most patients with a new onset shoulder pain diagnosis consulted a doctor only once. […] Prevalence and new onset consultation rate were about equal in women and men.

• #16 Population-based consultation patterns in patients with shoulder pain diagnoses | BMC Musculoskeletal Disorders | Full Text

  https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-13-238

  Annual consultation prevalence was 103/10 000 women and 98/10 000 men. […] New onset consultation rate was 80/10 000 women (peak in age 5059 at 129/10 000) and 74/10 000 men (peak in age 6069 at 116/10 000). […] Impingement and rotator cuff syndromes were the most frequent diagnoses. […] The annual consultation prevalence for shoulder pain diagnoses was about 1% of the adult population and similar in both women and men. […] The new onset consultation rate was 80/10 000 per year for women and 74/10 000 per year for men. […] The consultations for shoulder pain diagnoses increased by age and peaked for women at age 5059 and for men at age 6069. […] In concordance with previous studies, tendinitis, bursitis and impingement syndrome, were the most frequent group of diagnoses for both women and men. […] Most patients with a new onset shoulder pain diagnosis consulted a doctor only once. […] Prevalence and new onset consultation rate were about equal in women and men.

• #17 Shoulder Impingement Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK554518/

  Shoulder impingement syndrome is most commonly seen in individuals who participate in sports and activities that require repetitive overhead activities, including but not limited to handball, volleyball, swimming, carpenters, painters, and hairdressers. Other extrinsic risk factors that may predispose to the development of impingement syndrome include bearing heavy loads, infection, smoking, and fluoroquinolone antibiotics. The incidence of shoulder impingement syndrome rises with age, with peak incidence occurring in the sixth decade of life. […] The estimated prevalence of shoulder complaints is 7% to 34%, often with shoulder impingement syndrome as the underlying etiology. Since it was first described in 1852, shoulder impingement syndrome is believed to be the most common cause of shoulder pain, accounting for 44% to 65% of all shoulder complaints. Similarly, of the 20% to 50% of people within the United Kingdom who seek shoulder pain treatment from a general practitioner, 25% of these individuals are then diagnosed with shoulder impingement syndrome.

• #18 Population-based consultation patterns in patients with shoulder pain diagnoses | BMC Musculoskeletal Disorders | Full Text

  https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-13-238

  Annual consultation prevalence was 103/10 000 women and 98/10 000 men. […] New onset consultation rate was 80/10 000 women (peak in age 5059 at 129/10 000) and 74/10 000 men (peak in age 6069 at 116/10 000). […] Impingement and rotator cuff syndromes were the most frequent diagnoses. […] The annual consultation prevalence for shoulder pain diagnoses was about 1% of the adult population and similar in both women and men. […] The new onset consultation rate was 80/10 000 per year for women and 74/10 000 per year for men. […] The consultations for shoulder pain diagnoses increased by age and peaked for women at age 5059 and for men at age 6069. […] In concordance with previous studies, tendinitis, bursitis and impingement syndrome, were the most frequent group of diagnoses for both women and men. […] Most patients with a new onset shoulder pain diagnosis consulted a doctor only once. […] Prevalence and new onset consultation rate were about equal in women and men.

• #19 A systematic review of the global prevalence and incidence of shoulder pain | BMC Musculoskeletal Disorders | Full Text

  https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-022-05973-8

  Studies reporting on the population burden of people living with shoulder pain show wide heterogeneity in terms of case definition, study samples, and occurrence. […] We also explored the potential influence of methodological limitations and important sources of heterogeneity (case definition and reference period) on reported estimates of shoulder pain prevalence. […] The community prevalence of shoulder pain varied widely across the countries included in our review, with a median of 16% (range 0.67 to 55.2%). […] Estimates were generally higher for women than men and were higher in high-income nations. […] The incidence of shoulder pain ranged from 7.7 to 62 per 1000 persons per year (median 37.8 per 1000 persons per year). […] Our review demonstrates that a significant proportion of the population across the world will experience shoulder pain daily, yearly, and throughout a lifetime.

• #20 A systematic review of the global prevalence and incidence of shoulder pain | BMC Musculoskeletal Disorders | Full Text

  https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-022-05973-8

  The global burden of shoulder pain, in terms of incidence and prevalence, has been assessed previously by Luime et al. […] Their review incorporated 18 studies reporting on the prevalence and one study reporting incidence of shoulder pain in the population, based on data collected until 2001 in 9 different countries. […] The prevalence estimates when primary care health records were used for data ascertainment ranged from 1.0 to 4.8%. […] The annual incidence rates varied from 7.762 per 1000 person years. […] Women were more likely to report shoulder pain than men, and studies conducted in higher income countries generally produced higher prevalence estimates than those from lower income countries.

• #21 Population-based consultation patterns in patients with shoulder pain diagnoses | BMC Musculoskeletal Disorders | Full Text

  https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-13-238

  Annual consultation prevalence was 103/10 000 women and 98/10 000 men. […] New onset consultation rate was 80/10 000 women (peak in age 5059 at 129/10 000) and 74/10 000 men (peak in age 6069 at 116/10 000). […] Impingement and rotator cuff syndromes were the most frequent diagnoses. […] The annual consultation prevalence for shoulder pain diagnoses was about 1% of the adult population and similar in both women and men. […] The new onset consultation rate was 80/10 000 per year for women and 74/10 000 per year for men. […] The consultations for shoulder pain diagnoses increased by age and peaked for women at age 5059 and for men at age 6069. […] In concordance with previous studies, tendinitis, bursitis and impingement syndrome, were the most frequent group of diagnoses for both women and men. […] Most patients with a new onset shoulder pain diagnosis consulted a doctor only once. […] Prevalence and new onset consultation rate were about equal in women and men.

• #22 Impingement Syndromes of the Shoulder | PM&R KnowledgeNow

  https://now.aapmr.org/impingement-syndromes-of-the-shoulder/

  Primary external impingement is the most common cause of shoulder pain and accounts for 40% of shoulder disorders. […] It primarily affects persons forty years or older but can present in younger patients. […] Secondary external impingement predominantly affects athletes who participate in overhead sports including baseball, softball, volleyball, tennis, and swimming. These athletes are younger, typically less than 35 years old at the development of symptoms. Secondary external impingement is less common than primary external impingement. […] Additional epidemiologic information would be beneficial, including contributing social factors to the development of shoulder impingement such as the effect of tobacco use and alcohol consumption. […] While a few cases suggest that down-sloped Type II and hooked Type III acromion may have higher incidence than expected in younger patients, including asymptomatic cases in overhead athletes, more studies are necessary to understand the correlation between anatomical variations and the development of shoulder impingement syndrome.

• #23 Impingement Syndromes of the Shoulder | PM&R KnowledgeNow

  https://now.aapmr.org/impingement-syndromes-of-the-shoulder/

  Primary external impingement is the most common cause of shoulder pain and accounts for 40% of shoulder disorders. […] It primarily affects persons forty years or older but can present in younger patients. […] Secondary external impingement predominantly affects athletes who participate in overhead sports including baseball, softball, volleyball, tennis, and swimming. These athletes are younger, typically less than 35 years old at the development of symptoms. Secondary external impingement is less common than primary external impingement. […] Additional epidemiologic information would be beneficial, including contributing social factors to the development of shoulder impingement such as the effect of tobacco use and alcohol consumption. […] While a few cases suggest that down-sloped Type II and hooked Type III acromion may have higher incidence than expected in younger patients, including asymptomatic cases in overhead athletes, more studies are necessary to understand the correlation between anatomical variations and the development of shoulder impingement syndrome.

• #24

  https://www.orthobullets.com/shoulder-and-elbow/3054/internal-impingement

  Internal impingement is a cause of shoulder pain in overhead athletes caused by repetitive impingement between the undersurface of the rotator cuff and the posterosuperior glenoid. […] Epidemiology: major cause of shoulder pain in throwing and overhead athletes.

• #25 Internal shoulder impingement | Diagnosis & Treatment

  https://www.physiotutors.com/conditions/internal-shoulder-impingement/

  The incidence of symptomatic internal impingement is unknown due to the variety of associated pathologic lesions, diagnostic difficulty, and incomplete reporting of the condition. However, it is commonly observed in younger patients, typically those under 40 years old, who participate in activities requiring repetitive external rotation and abduction. […] Although non-athletes may also develop the condition, the majority of those with symptomatic internal impingement are throwing athletes.

• #26 Shoulder Impingement Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK554518/

  Shoulder impingement syndrome is most commonly seen in individuals who participate in sports and activities that require repetitive overhead activities, including but not limited to handball, volleyball, swimming, carpenters, painters, and hairdressers. Other extrinsic risk factors that may predispose to the development of impingement syndrome include bearing heavy loads, infection, smoking, and fluoroquinolone antibiotics. The incidence of shoulder impingement syndrome rises with age, with peak incidence occurring in the sixth decade of life. […] The estimated prevalence of shoulder complaints is 7% to 34%, often with shoulder impingement syndrome as the underlying etiology. Since it was first described in 1852, shoulder impingement syndrome is believed to be the most common cause of shoulder pain, accounting for 44% to 65% of all shoulder complaints. Similarly, of the 20% to 50% of people within the United Kingdom who seek shoulder pain treatment from a general practitioner, 25% of these individuals are then diagnosed with shoulder impingement syndrome.

• #27 Patient education: Shoulder impingement syndrome (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/shoulder-impingement-syndrome-beyond-the-basics/print

  Shoulder pain is extremely common in the general population and is often caused by shoulder impingement syndrome (SIS). The condition is especially common among people who have certain shoulder weakness patterns or do repetitive activities that involve raising their arms to or above shoulder level. […] For example, SIS is more common among those who regularly perform overhead movements, which may include (among others) the following activities: Swimming or surfing, Throwing, Playing tennis or pickleball, Lifting weights, Playing golf, Other competitive sports, such as volleyball, water polo, Gymnastics, Painting, Stocking shelves.

• #28 Epidemiology of shoulder impingement in upper arm sports events.

  https://pmc.ncbi.nlm.nih.gov/articles/PMC1478773/

  An epidemiological survey was conducted to collect data relating to the prevalence and frequency of shoulder pain and other related problems among different athletic groups that demanded vigorous upper arm activities. […] A total of 163 athletes (43.8 percent) indicated that they had shoulder problems, 109 (29 percent) suffering pain. […] The prevalence of shoulder pain ranked highest among volley ball players (N = 28) followed by swimmers (N = 22), while badminton, basketball and tennis participants were equally affected (N = 10).

• #29 Shoulder Impingement Syndrome: Practice Essentials, Etiology, Epidemiology

  https://emedicine.medscape.com/article/92974-overview

  No documented information on the occurrence of shoulder impingement syndrome exists. […] In the general population, subacromial impingement syndrome is responsible for up to 65% of all shoulder complaints. […] From 23% to 38% of swimmers experience shoulder injuries within a 1-year period, and 23% of volleyball players have dominant shoulder pain during the season. Among elite handball players, up to 52% have current shoulder pain, and the weekly prevalence of significant shoulder injuries among these athletes is 12%.

• #30 Patient education: Shoulder impingement syndrome (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/shoulder-impingement-syndrome-beyond-the-basics/print

  Shoulder pain is extremely common in the general population and is often caused by shoulder impingement syndrome (SIS). The condition is especially common among people who have certain shoulder weakness patterns or do repetitive activities that involve raising their arms to or above shoulder level. […] For example, SIS is more common among those who regularly perform overhead movements, which may include (among others) the following activities: Swimming or surfing, Throwing, Playing tennis or pickleball, Lifting weights, Playing golf, Other competitive sports, such as volleyball, water polo, Gymnastics, Painting, Stocking shelves.

• #31 Shoulder Impingement Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK554518/

  Shoulder impingement syndrome is most commonly seen in individuals who participate in sports and activities that require repetitive overhead activities, including but not limited to handball, volleyball, swimming, carpenters, painters, and hairdressers. Other extrinsic risk factors that may predispose to the development of impingement syndrome include bearing heavy loads, infection, smoking, and fluoroquinolone antibiotics. The incidence of shoulder impingement syndrome rises with age, with peak incidence occurring in the sixth decade of life. […] The estimated prevalence of shoulder complaints is 7% to 34%, often with shoulder impingement syndrome as the underlying etiology. Since it was first described in 1852, shoulder impingement syndrome is believed to be the most common cause of shoulder pain, accounting for 44% to 65% of all shoulder complaints. Similarly, of the 20% to 50% of people within the United Kingdom who seek shoulder pain treatment from a general practitioner, 25% of these individuals are then diagnosed with shoulder impingement syndrome.

• #32 Subacromial (shoulder) impingement syndrome – UpToDate

  https://www.uptodate.com/contents/subacromial-shoulder-impingement-syndrome

  Subacromial impingement syndrome (SIS; commonly referred to as shoulder impingement) refers to a combination of shoulder symptoms, examination findings, and radiologic signs attributable to the compression of structures around the glenohumeral joint that occurs with shoulder elevation. Such compression causes persistent pain and dysfunction. Shoulder pain is a common presenting complaint in primary care clinics, and SIS is likely the most common cause of shoulder pain in this setting. […] Studies suggest that SIS is the most common cause of shoulder pain, accounting for approximately 30 to 35 percent of shoulder disorders. However, epidemiologic calculations can vary depending upon how SIS is defined. […] Repetitive activity at or above the shoulder during work or sports represents the main risk factor for SIS. As with many shoulder disorders, increasing age also predisposes to SIS. SIS is common among athletes who participate in overhead sports. These sports may include swimming, throwing, tennis, weightlifting, golf, volleyball, and gymnastics. Overhead work activities that can increase risk for developing SIS include painting, stocking shelves, and mechanical repair.

• #33 Subacromial impingement syndrome: management challenges | ORR

  https://www.dovepress.com/subacromial-impingement-syndrome-management-challenges-peer-reviewed-fulltext-article-ORR

  Subacromial Impingement Syndrome (SAIS) is the commonest disorder of the shoulder, accounting for 44%65% of all complaints of shoulder pain. […] In a Dutch study, the incidence of new cases of rotator cuff tendonitis in general practice was found to be around 3.24.2 per 1,000 person-years, and the corresponding incidence of shoulder pain (all causes) was 11.2 per 1,000 person-years. […] In the United Kingdom, the estimated percentage of people seeking treatment for shoulder pain in the general practice setting is between 20% and 50% in a life time. […] Among these patients, one in four sought medical care for SAIS. […] Its prevalence is especially high in repetitive overhead sports such as swimming, volleyball, handball, and manual jobs requiring prolonged overhead position of the arm (builders, electricians, hairdressers, etc).

• #34 Scapular Dyskinesia, the forgotten culprit of shoulder pain and how to rehabilitate | SICOT-J

  https://www.sicot-j.org/articles/sicotj/full_html/2019/01/sicotj180138/sicotj180138.html

  Scapular dyskinesis has been detected in individuals with or without symptoms. It is closely linked with shoulder instability and shoulder impingement syndrome. […] The shoulder joint plays an important role in the function of the upper limb and in the activities of daily living. Shoulder pathologies are very common with the lifetime risk being between 40% and 60%. In particular, athletes that principally use their arm over their head (e.g. volleyball, handball, swimming, tennis) are at a higher risk of injuring one of the structures of the shoulder. The other high-risk group are individuals who use personal computers.

• #35

  https://link.springer.com/article/10.1007/s40674-021-00184-z

  Shoulder pain is common, with an estimated annual incidence of 0.9 to 2.5% and point prevalence of 18-26%. It is reported to be the third most common musculoskeletal symptom presenting for health care, making up an estimated 4% of annual consultations by adults in UK primary care. […] Risk factors for shoulder pain have mostly been identified from epidemiological studies in which self-reported shoulder pain is investigated in connection with a range of socio-demographic, clinical, occupational, and other factors. A range of physical occupational exposures (lifting, pushing/pulling, repetitive movements, vibration, long periods of static posture (desk time)) have been implicated, but the most compelling evidence points to the highest risk being associated with the cumulative effects of more than one of these exposures, particularly amongst female workers.

• #36 Shoulder Impingement Syndrome: Practice Essentials, Etiology, Epidemiology

  https://emedicine.medscape.com/article/92974-overview

  No documented information on the occurrence of shoulder impingement syndrome exists. […] In the general population, subacromial impingement syndrome is responsible for up to 65% of all shoulder complaints. […] From 23% to 38% of swimmers experience shoulder injuries within a 1-year period, and 23% of volleyball players have dominant shoulder pain during the season. Among elite handball players, up to 52% have current shoulder pain, and the weekly prevalence of significant shoulder injuries among these athletes is 12%.

• #37 Prevalence of Shoulder Pain in Competitive Archery

  https://brieflands.com/articles/asjsm-13338

  54.4 % (n = 85) archers were found afflicted with current shoulder pain (CSP) at the time of survey. The lifetime prevalence of shoulder pain was 82.69% with 44 archers without CSP and 67 archers with CSP reported having at least one episode of shoulder pain in the past. […] The present study- probably the first on Indian competitive archers- confirms that shoulder pain is quite a common occurrence in archery. […] The clinical findings of this study suggest predominance of shoulder impingement in the game of archery. 60.89% archers had positive Hawkins tests of impingement; out of which 71.57% had current shoulder pain. […] The development of impingement and tendinitis of rotator cuff muscles observed in this study might be attributed to these mechanisms. […] Most of the injuries were overuse in nature affecting the supraspinatus, long head of biceps and subscapularis muscle due to impingement.

• #38 Epidemiology of shoulder impingement in upper arm sports events. | British Journal of Sports Medicine

  https://bjsm.bmj.com/content/24/3/173

  An epidemiological survey was conducted to collect data relating to the prevalence and frequency of shoulder pain and other related problems among different athletic groups that demanded vigorous upper arm activities. A total of 163 athletes (43.8 percent) indicated that they had shoulder problems, 109 (29 percent) suffering pain. The prevalence of shoulder pain ranked highest among volley ball players (N = 28) followed by swimmers (N = 22), while badminton, basketball and tennis participants were equally affected (N = 10).

• #39 Shoulder Impingement Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK554518/

  Shoulder impingement syndrome is most commonly seen in individuals who participate in sports and activities that require repetitive overhead activities, including but not limited to handball, volleyball, swimming, carpenters, painters, and hairdressers. Other extrinsic risk factors that may predispose to the development of impingement syndrome include bearing heavy loads, infection, smoking, and fluoroquinolone antibiotics. The incidence of shoulder impingement syndrome rises with age, with peak incidence occurring in the sixth decade of life. […] The estimated prevalence of shoulder complaints is 7% to 34%, often with shoulder impingement syndrome as the underlying etiology. Since it was first described in 1852, shoulder impingement syndrome is believed to be the most common cause of shoulder pain, accounting for 44% to 65% of all shoulder complaints. Similarly, of the 20% to 50% of people within the United Kingdom who seek shoulder pain treatment from a general practitioner, 25% of these individuals are then diagnosed with shoulder impingement syndrome.

• #40

  https://link.springer.com/article/10.1007/s40674-021-00184-z

  Shoulder pain is common, with an estimated annual incidence of 0.9 to 2.5% and point prevalence of 18-26%. It is reported to be the third most common musculoskeletal symptom presenting for health care, making up an estimated 4% of annual consultations by adults in UK primary care. […] Risk factors for shoulder pain have mostly been identified from epidemiological studies in which self-reported shoulder pain is investigated in connection with a range of socio-demographic, clinical, occupational, and other factors. A range of physical occupational exposures (lifting, pushing/pulling, repetitive movements, vibration, long periods of static posture (desk time)) have been implicated, but the most compelling evidence points to the highest risk being associated with the cumulative effects of more than one of these exposures, particularly amongst female workers.

• #41 Impingement syndrome | Radiology Reference Article | Radiopaedia.org

  https://radiopaedia.org/articles/impingement-syndrome?lang=us

  Impingement syndromes are common and can occur at any age. […] Risk factors include developmental osseous anomalies, overuse activity, and trauma. […] Associations with impingement syndromes include osteoarthritis, tendinosis and tears, myotendinous injury, bursitis, and chondral and labral injury.

• #42 The Epidemiology of Shoulder Pain: A Narrative Review of the Literature | IntechOpen

  https://www.intechopen.com/chapters/40393

  This chapter provides some findings from the literature on the prevalence of shoulder pain seen in clinical practice that may affect the general population. The findings include a literature-based discussion on risk factors associated with the onset of shoulder pain including personal, occupational, and psychosocial working factors that may be related to symptomatology of the shoulder. […] In obtaining epidemiological data relevant to the shoulder a number of difficulties exist. According to Bjelle there are four methodological problems associated with epidemiological study of the shoulder: criteria and classification, diagnostic procedure, study design, methods of measuring risk factors. […] In spite of the complications with obtaining epidemiological data, the focus of this chapter will be to report some findings from the literature with regards to the prevalence of shoulder pain in the general population, age distribution, occupational and psychosocial risk factors associated with the onset of shoulder-related pain symptoms.

• #43 A systematic review of the global prevalence and incidence of shoulder pain | BMC Musculoskeletal Disorders | Full Text

  https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-022-05973-8

  Studies reporting on the population burden of people living with shoulder pain show wide heterogeneity in terms of case definition, study samples, and occurrence. […] We also explored the potential influence of methodological limitations and important sources of heterogeneity (case definition and reference period) on reported estimates of shoulder pain prevalence. […] The community prevalence of shoulder pain varied widely across the countries included in our review, with a median of 16% (range 0.67 to 55.2%). […] Estimates were generally higher for women than men and were higher in high-income nations. […] The incidence of shoulder pain ranged from 7.7 to 62 per 1000 persons per year (median 37.8 per 1000 persons per year). […] Our review demonstrates that a significant proportion of the population across the world will experience shoulder pain daily, yearly, and throughout a lifetime.

• #44 The Epidemiology of Shoulder Pain: A Narrative Review of the Literature | IntechOpen

  https://www.intechopen.com/chapters/40393

  Chronic shoulder pain has large health care costs and a major impact on the health of affected individuals, including absence from work and disability. Shoulder complaints may have an unfavourable outcome, with only about 50% of all new episodes of shoulder complaints presenting in medical practice showing a complete recovery within 6 months. […] Most of the shoulder pain prevalence data is derived from population-based research. […] The prevalence of shoulder pain has also been investigated in a community-based rheumatology practice. […] The prevalence of shoulder pain has been studied in medical practice and represents a common reason for consulting a GP. […] The prevalence of shoulder pain has also been investigated in a community-based rheumatology practice. […] The findings from this narrative epidemiological review confirm that shoulder pain is a common complaint seen in the population and it is also a common presenting symptom to health care practitioners in clinical practice. The prevalence of shoulder pain varies widely across different populations that have been studied (from 16-67%) and is probably due to different definitions used for defining shoulder pain.

• #45 Epidemiology and the Shoulder

  https://www.whatswrongwithmyshoulder.com/post/epidemiology-and-the-shoulder

  Epidemiological studies of people with shoulder pain were scarce prior to the 1980s, but today (August 2023), A Pub Med search using the keywords Shoulder + Epidemiology will cite 8,236 papers. […] Shoulder pain and disability have likely always been a source of significant morbidity but it has only been since the 1980s that epidemiologists have started to investigate this condition. […] Shoulder complaints are the third most common musculoskeletal complaint in primary care. […] The prognosis for shoulder complaints is unfavourable. Chronicity and reoccurrence are common. […] Shoulder problems are prevalent and, despite not always being reported to a primary health care professional, shoulder conditions are the source of significant pain and disability. […] Prevalence data provides clinicians with information that helps them identify individual risk factors that may be important for the classification, diagnosis, and management of their patients.

• #46 A systematic review of the global prevalence and incidence of shoulder pain | BMC Musculoskeletal Disorders | Full Text

  https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-022-05973-8

  The global burden of shoulder pain, in terms of incidence and prevalence, has been assessed previously by Luime et al. […] Their review incorporated 18 studies reporting on the prevalence and one study reporting incidence of shoulder pain in the population, based on data collected until 2001 in 9 different countries. […] The prevalence estimates when primary care health records were used for data ascertainment ranged from 1.0 to 4.8%. […] The annual incidence rates varied from 7.762 per 1000 person years. […] Women were more likely to report shoulder pain than men, and studies conducted in higher income countries generally produced higher prevalence estimates than those from lower income countries.

• #47 A systematic review of the global prevalence and incidence of shoulder pain | BMC Musculoskeletal Disorders | Full Text

  https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-022-05973-8

  Studies reporting on the population burden of people living with shoulder pain show wide heterogeneity in terms of case definition, study samples, and occurrence. […] We also explored the potential influence of methodological limitations and important sources of heterogeneity (case definition and reference period) on reported estimates of shoulder pain prevalence. […] The community prevalence of shoulder pain varied widely across the countries included in our review, with a median of 16% (range 0.67 to 55.2%). […] Estimates were generally higher for women than men and were higher in high-income nations. […] The incidence of shoulder pain ranged from 7.7 to 62 per 1000 persons per year (median 37.8 per 1000 persons per year). […] Our review demonstrates that a significant proportion of the population across the world will experience shoulder pain daily, yearly, and throughout a lifetime.

• #48 A systematic review of the global prevalence and incidence of shoulder pain | BMC Musculoskeletal Disorders | Full Text

  https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-022-05973-8

  Studies reporting on the population burden of people living with shoulder pain show wide heterogeneity in terms of case definition, study samples, and occurrence. […] We also explored the potential influence of methodological limitations and important sources of heterogeneity (case definition and reference period) on reported estimates of shoulder pain prevalence. […] The community prevalence of shoulder pain varied widely across the countries included in our review, with a median of 16% (range 0.67 to 55.2%). […] Estimates were generally higher for women than men and were higher in high-income nations. […] The incidence of shoulder pain ranged from 7.7 to 62 per 1000 persons per year (median 37.8 per 1000 persons per year). […] Our review demonstrates that a significant proportion of the population across the world will experience shoulder pain daily, yearly, and throughout a lifetime.

• #49 A systematic review of the global prevalence and incidence of shoulder pain | BMC Musculoskeletal Disorders | Full Text

  https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-022-05973-8

  The global burden of shoulder pain, in terms of incidence and prevalence, has been assessed previously by Luime et al. […] Their review incorporated 18 studies reporting on the prevalence and one study reporting incidence of shoulder pain in the population, based on data collected until 2001 in 9 different countries. […] The prevalence estimates when primary care health records were used for data ascertainment ranged from 1.0 to 4.8%. […] The annual incidence rates varied from 7.762 per 1000 person years. […] Women were more likely to report shoulder pain than men, and studies conducted in higher income countries generally produced higher prevalence estimates than those from lower income countries.

• #50 Journal of the Korean Medical Association

  https://jkma.org/m/journal/view.php?number=3380

  The study investigated the current epidemiologic and etiologic trends of shoulder pain over the past 10 years in South Korea. […] From 2011 to 2020, nationwide health statistics data of the following diseases and soft tissue damage codes related to shoulder pain were extracted from the Healthcare Bigdata Hub M75, S43, and S46. […] The crude and age-standardized prevalence rates, and the annual percentage change were analyzed to characterize trends in prevalence rates over time. […] Among the three codes, a significant increase in total medical cost, crude and age-standardized prevalence was observed only for the code M75. […] The age of patients with shoulder pain appears to be increasing. […] Considering this trend of change in health statistics on shoulder pain in Korea, socioeconomic support and improvement of health policy regarding the distribution of medical expenses and resources for shoulder pain will be more necessary in the future.

• #51 Epidemiology and etiology of shoulder pain based on health statistics data from Healthcare Bigdata Hub in Korea. | EBSCOhost

  https://search.ebscohost.com/login.aspx?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=19758456&AN=160662673&h=p%2FkTQ3b4pe09o%2FAWPALBXBGgzq4Aq%2Bims4VUw%2BtRaiyaCZvLrY8cTD3WA8764oscfMyA8C0Gl0CSjMDkHzIAwg%3D%3D&crl=c

  Epidemiology and etiology of shoulder pain based on health statistics data from Healthcare Bigdata Hub in Korea. The study investigated the current epidemiologic and etiologic trends of shoulder pain over the past 10 years in South Korea. From 2011 to 2020, nationwide health statistics data of the following diseases and soft tissue damage codes related to shoulder pain were extracted from the Healthcare Bigdata Hub–M75, S43, and S46. The crude and age-standardized prevalence rates, and the annual percentage change were analyzed to characterize trends in prevalence rates over time. Among the three codes, a significant increase in total medical cost, crude and age-standardized prevalence was observed only for the code M75. The age of patients with shoulder pain appears to be increasing. Considering this trend of change in health statistics on shoulder pain in Korea, socioeconomic support and improvement of health policy regarding the distribution of medical expenses and resources for shoulder pain will be more necessary in the future.

• #52 Epidemiology of shoulder pain and associated risk factors in the United Kingdom: a population-based study of UK primary care data using clinical practice research datalink (CPRD). | CPRD

  https://www.cprd.com/approved-studies/epidemiology-shoulder-pain-and-associated-risk-factors-united-kingdom-population

  Shoulder pain is a common complaint that can lead to sleeping difficulties, work disability and functional limitations in daily activities such as dressing and driving. It affects between 5% and 47% of the adult population annually worldwide. In the United Kingdom (UK), about 2.4% of people aged between 18 and 60 years old annually consult their general practitioners (GPs) for shoulder pain and the number of consultations in primary care for shoulder pain appears to be increasing. Shoulder pain increases with age and is higher in women than in men. […] From a population health perspective, having insight into the frequency of shoulder pain in the UK will help to understand the disease burden and the population at risk, and provide effective management for patients in primary care. Therefore, this research aims to investigate the current frequency of shoulder pain, the trend in the past 21 years, variation between different areas and related risk factors in the UK population.

• #53 Epidemiology of shoulder pain and associated risk factors in the United Kingdom: a population-based study of UK primary care data using clinical practice research datalink (CPRD). | CPRD

  https://www.cprd.com/approved-studies/epidemiology-shoulder-pain-and-associated-risk-factors-united-kingdom-population

  Shoulder pain is a common complaint that can lead to sleeping difficulties, work disability and functional limitations in daily activities such as dressing and driving. It affects between 5% and 47% of the adult population annually worldwide. In the United Kingdom (UK), about 2.4% of people aged between 18 and 60 years old annually consult their general practitioners (GPs) for shoulder pain and the number of consultations in primary care for shoulder pain appears to be increasing. Shoulder pain increases with age and is higher in women than in men. […] From a population health perspective, having insight into the frequency of shoulder pain in the UK will help to understand the disease burden and the population at risk, and provide effective management for patients in primary care. Therefore, this research aims to investigate the current frequency of shoulder pain, the trend in the past 21 years, variation between different areas and related risk factors in the UK population.

• #54 Epidemiology of shoulder pain and associated risk factors in the United Kingdom: a population-based study of UK primary care data using clinical practice research datalink (CPRD). | CPRD

  https://www.cprd.com/approved-studies/epidemiology-shoulder-pain-and-associated-risk-factors-united-kingdom-population

  This research will increase understanding of the burden of shoulder pain in the UK, potential use of health resources because of shoulder pain and its comorbidities. It will also inform early intervention strategies for people at higher risk of comorbidity. […] We will determine the number of GP consultations per year, the frequency of hospitalisations per year and all-cause mortality. We will also examine the incidence of comorbidities and their relative risk in people with shoulder pain versus those without. […] We will report the prevalence and incidence each year and examine the trend from 2000 to 2020. We will include 2020 data to examine the impact of the pandemic/lockdown on shoulder pain.

• #55 The clinical utility of ultrasonography for rotator cuff disease, shoulder impingement syndrome and subacromial bursitis | The Medical Journal of Australia

  https://www.mja.com.au/journal/2008/188/1/clinical-utility-ultrasonography-rotator-cuff-disease-shoulder-impingement

  Medicare statistics indicate that between 2001 and 2006 the use of diagnostic shoulder ultrasonography increased significantly. […] Rotator cuff disease, shoulder impingement syndrome and subacromial bursitis are among the most common diagnoses reported on shoulder ultrasonography. […] The reliability of shoulder ultrasound in the diagnosis of SIS has not been clearly established. […] Data on the reliability of shoulder ultrasonography for the diagnosis of SIS are not compelling. This may in part explain why the Australian Medicare Benefits Schedule (MBS) (effective 1 November 2006) excluded suspected SIS as a clinical indicator for shoulder or upper arm ultrasonography for which a Medicare benefit is payable. […] The lack of agreement in assessment of the subacromial bursa and the high incidence of bursitis in asymptomatic individuals suggest that circumspection is warranted in interpreting SAB on ultrasonography.

• #56 The Epidemiology of Shoulder Pain: A Narrative Review of the Literature | IntechOpen

  https://www.intechopen.com/chapters/40393

  Chronic shoulder pain has large health care costs and a major impact on the health of affected individuals, including absence from work and disability. Shoulder complaints may have an unfavourable outcome, with only about 50% of all new episodes of shoulder complaints presenting in medical practice showing a complete recovery within 6 months. […] Most of the shoulder pain prevalence data is derived from population-based research. […] The prevalence of shoulder pain has also been investigated in a community-based rheumatology practice. […] The prevalence of shoulder pain has been studied in medical practice and represents a common reason for consulting a GP. […] The prevalence of shoulder pain has also been investigated in a community-based rheumatology practice. […] The findings from this narrative epidemiological review confirm that shoulder pain is a common complaint seen in the population and it is also a common presenting symptom to health care practitioners in clinical practice. The prevalence of shoulder pain varies widely across different populations that have been studied (from 16-67%) and is probably due to different definitions used for defining shoulder pain.

• #57 The Epidemiology of Shoulder Pain: A Narrative Review of the Literature | IntechOpen

  https://www.intechopen.com/chapters/40393

  Chronic shoulder pain has large health care costs and a major impact on the health of affected individuals, including absence from work and disability. Shoulder complaints may have an unfavourable outcome, with only about 50% of all new episodes of shoulder complaints presenting in medical practice showing a complete recovery within 6 months. […] Most of the shoulder pain prevalence data is derived from population-based research. […] The prevalence of shoulder pain has also been investigated in a community-based rheumatology practice. […] The prevalence of shoulder pain has been studied in medical practice and represents a common reason for consulting a GP. […] The prevalence of shoulder pain has also been investigated in a community-based rheumatology practice. […] The findings from this narrative epidemiological review confirm that shoulder pain is a common complaint seen in the population and it is also a common presenting symptom to health care practitioners in clinical practice. The prevalence of shoulder pain varies widely across different populations that have been studied (from 16-67%) and is probably due to different definitions used for defining shoulder pain.

• #58 Epidemiology, Common Diagnoses, Treatments and Prognosis of Shoulder Pain – A Narrative Review | PDF | Shoulder | Medical Specialties

  https://www.scribd.com/document/708831702/Epidemiology-common-diagnoses-treatments-and-prognosis-of-shoulder-pain-A-narrative-review

  Shoulder pain is a common musculoskeletal issue that impacts many people. It has a prevalence rate ranging from 7-67% depending on the study. While the annual incidence is unknown, shoulder pain puts a significant burden on healthcare systems. Common diagnoses involve structures around the shoulder joint like the rotator cuff or bursa. […] Both surgical and conservative treatments can effectively manage symptoms, though conservative care is usually preferred initially. Only about half of new shoulder pain cases fully resolve within 6 months, demonstrating it often is not self-limiting.

• #59 Epidemiology, common diagnoses, treatments and prognosis of shoulder pain: A narrative review – Murdoch University

  https://researchportal.murdoch.edu.au/esploro/outputs/journalArticle/Epidemiology-common-diagnoses-treatments-and-prognosis/991005543844307891

  Shoulder pain is the third most common musculoskeletal complaint and several cost of illness studies suggest it is of significance. […] Common diagnoses can be categorised on the anatomic region such as ‘intra-articular’, ‘anterior shoulder’ and ‘subacromial’. […] Several studies have revealed that only 50% of all new cases of shoulder pain completely recovery after six months, and 60% after 12 months. […] Shoulder pain is a relatively common musculoskeletal complaint and costs associated appear reasonably high.

• #60 Epidemiology of shoulder pain and associated risk factors in the United Kingdom: a population-based study of UK primary care data using clinical practice research datalink (CPRD). | CPRD

  https://www.cprd.com/approved-studies/epidemiology-shoulder-pain-and-associated-risk-factors-united-kingdom-population

  Shoulder pain is a common complaint that can lead to sleeping difficulties, work disability and functional limitations in daily activities such as dressing and driving. It affects between 5% and 47% of the adult population annually worldwide. In the United Kingdom (UK), about 2.4% of people aged between 18 and 60 years old annually consult their general practitioners (GPs) for shoulder pain and the number of consultations in primary care for shoulder pain appears to be increasing. Shoulder pain increases with age and is higher in women than in men. […] From a population health perspective, having insight into the frequency of shoulder pain in the UK will help to understand the disease burden and the population at risk, and provide effective management for patients in primary care. Therefore, this research aims to investigate the current frequency of shoulder pain, the trend in the past 21 years, variation between different areas and related risk factors in the UK population.

• #61 Chronic Shoulder Pain | Concise Medical Knowledge

  https://www.lecturio.com/concepts/chronic-shoulder-pain/

  Shoulder pain is responsible for approximately 10%20% of all musculoskeletal complaints. […] Annual incidence is 15 per 1,000 individuals in the primary care setting. […] In 2000, shoulder complaints in the United States totaled $7,000,000,000.

• #62 Epidemiology and the Shoulder

  https://www.whatswrongwithmyshoulder.com/post/epidemiology-and-the-shoulder

  Epidemiological studies of people with shoulder pain were scarce prior to the 1980s, but today (August 2023), A Pub Med search using the keywords Shoulder + Epidemiology will cite 8,236 papers. […] Shoulder pain and disability have likely always been a source of significant morbidity but it has only been since the 1980s that epidemiologists have started to investigate this condition. […] Shoulder complaints are the third most common musculoskeletal complaint in primary care. […] The prognosis for shoulder complaints is unfavourable. Chronicity and reoccurrence are common. […] Shoulder problems are prevalent and, despite not always being reported to a primary health care professional, shoulder conditions are the source of significant pain and disability. […] Prevalence data provides clinicians with information that helps them identify individual risk factors that may be important for the classification, diagnosis, and management of their patients.

• #63 Swimmer’s Shoulder/Impingement Syndrome Market Size 2025-2035

  https://www.imarcgroup.com/swimmers-shoulder-impingement-syndrome-market

  According to the report, the United States has the largest patient pool for swimmers shoulder/impingement syndrome and also represents the largest market for its treatment. […] What are the key factors driving the epidemiological trend of swimmer’s shoulder/impingement syndrome? […] What would be the forecasted patient pool (2025-2035) across the seven major markets?

• #64 Swimmer’s Shoulder/Impingement Syndrome Market Size 2025-2035

  https://www.imarcgroup.com/swimmers-shoulder-impingement-syndrome-market

  The swimmer’s shoulder/impingement syndrome market has been comprehensively analyzed in IMARC’s new report titled „Swimmer’s Shoulder/Impingement Syndrome Market: Epidemiology, Industry Trends, Share, Size, Growth, Opportunity, and Forecast 2025-2035”. […] The rising prevalence of sports-related shoulder injuries across all age groups owing to the growing health consciousness and the elevating importance of physical activities is primarily driving the swimmer’s shoulder/impingement syndrome market. […] IMARC Group’s new report provides an exhaustive analysis of the swimmers shoulder/impingement syndrome market in the United States, EU4 (Germany, Spain, Italy, and France), United Kingdom, and Japan. This includes treatment practices, in-market, and pipeline drugs, share of individual therapies, market performance across the seven major markets, market performance of key companies and their drugs, etc.

• #65 Epidemiology and the Shoulder

  https://www.whatswrongwithmyshoulder.com/post/epidemiology-and-the-shoulder

  Epidemiological studies of people with shoulder pain were scarce prior to the 1980s, but today (August 2023), A Pub Med search using the keywords Shoulder + Epidemiology will cite 8,236 papers. […] Shoulder pain and disability have likely always been a source of significant morbidity but it has only been since the 1980s that epidemiologists have started to investigate this condition. […] Shoulder complaints are the third most common musculoskeletal complaint in primary care. […] The prognosis for shoulder complaints is unfavourable. Chronicity and reoccurrence are common. […] Shoulder problems are prevalent and, despite not always being reported to a primary health care professional, shoulder conditions are the source of significant pain and disability. […] Prevalence data provides clinicians with information that helps them identify individual risk factors that may be important for the classification, diagnosis, and management of their patients.

• #66 Epidemiology, common diagnoses, treatments and prognosis of shoulder pain: A narrative review – Murdoch University

  https://researchportal.murdoch.edu.au/esploro/outputs/journalArticle/Epidemiology-common-diagnoses-treatments-and-prognosis/991005543844307891

  Shoulder pain is the third most common musculoskeletal complaint and several cost of illness studies suggest it is of significance. […] Common diagnoses can be categorised on the anatomic region such as ‘intra-articular’, ‘anterior shoulder’ and ‘subacromial’. […] Several studies have revealed that only 50% of all new cases of shoulder pain completely recovery after six months, and 60% after 12 months. […] Shoulder pain is a relatively common musculoskeletal complaint and costs associated appear reasonably high.

• #67 Population-based consultation patterns in patients with shoulder pain diagnoses | BMC Musculoskeletal Disorders | Full Text

  https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-13-238

  Annual consultation prevalence was 103/10 000 women and 98/10 000 men. […] New onset consultation rate was 80/10 000 women (peak in age 5059 at 129/10 000) and 74/10 000 men (peak in age 6069 at 116/10 000). […] Impingement and rotator cuff syndromes were the most frequent diagnoses. […] The annual consultation prevalence for shoulder pain diagnoses was about 1% of the adult population and similar in both women and men. […] The new onset consultation rate was 80/10 000 per year for women and 74/10 000 per year for men. […] The consultations for shoulder pain diagnoses increased by age and peaked for women at age 5059 and for men at age 6069. […] In concordance with previous studies, tendinitis, bursitis and impingement syndrome, were the most frequent group of diagnoses for both women and men. […] Most patients with a new onset shoulder pain diagnosis consulted a doctor only once. […] Prevalence and new onset consultation rate were about equal in women and men.

• #68 Subacromial impingement syndrome: management challenges | ORR

  https://www.dovepress.com/subacromial-impingement-syndrome-management-challenges-peer-reviewed-fulltext-article-ORR

  Today, the uncertainty regarding the pathogenesis of SAIS is reflected by the confusion regarding its treatment. […] In the last years, authors challenged the need for surgery in SAIS. […] Conservative treatment yields satisfactory results within 2 years in 60% of cases. […] Studies showed that conservative management of shoulder impingement syndrome resolves the problem in 70%90% of patients. […] In the absence of major structural damage, conservative multimodal treatment for 36 months is the initial therapy of choice. […] Today, acromioplasty has left space to arthroscopic subacromial decompression (ASD) procedure, which is the gold standard to surgically treat SAIS. […] This review of the literature describes the historically accepted methods of treatment of SAIS and wants to discuss if acromioplasty (open or arthroscopic) is to be considered as an out-of-date procedure today and hence is not necessary in patients who have failed to improve with conservative management.

• #69 Shoulder Impingement Syndrome – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK554518/

  Shoulder impingement syndrome is most commonly seen in individuals who participate in sports and activities that require repetitive overhead activities, including but not limited to handball, volleyball, swimming, carpenters, painters, and hairdressers. Other extrinsic risk factors that may predispose to the development of impingement syndrome include bearing heavy loads, infection, smoking, and fluoroquinolone antibiotics. The incidence of shoulder impingement syndrome rises with age, with peak incidence occurring in the sixth decade of life. […] The estimated prevalence of shoulder complaints is 7% to 34%, often with shoulder impingement syndrome as the underlying etiology. Since it was first described in 1852, shoulder impingement syndrome is believed to be the most common cause of shoulder pain, accounting for 44% to 65% of all shoulder complaints. Similarly, of the 20% to 50% of people within the United Kingdom who seek shoulder pain treatment from a general practitioner, 25% of these individuals are then diagnosed with shoulder impingement syndrome.

• #70 Subacromial (shoulder) impingement syndrome – UpToDate

  https://www.uptodate.com/contents/subacromial-shoulder-impingement-syndrome

  Subacromial impingement syndrome (SIS; commonly referred to as shoulder impingement) refers to a combination of shoulder symptoms, examination findings, and radiologic signs attributable to the compression of structures around the glenohumeral joint that occurs with shoulder elevation. Such compression causes persistent pain and dysfunction. Shoulder pain is a common presenting complaint in primary care clinics, and SIS is likely the most common cause of shoulder pain in this setting. […] Studies suggest that SIS is the most common cause of shoulder pain, accounting for approximately 30 to 35 percent of shoulder disorders. However, epidemiologic calculations can vary depending upon how SIS is defined. […] Repetitive activity at or above the shoulder during work or sports represents the main risk factor for SIS. As with many shoulder disorders, increasing age also predisposes to SIS. SIS is common among athletes who participate in overhead sports. These sports may include swimming, throwing, tennis, weightlifting, golf, volleyball, and gymnastics. Overhead work activities that can increase risk for developing SIS include painting, stocking shelves, and mechanical repair.

• #71 Impingement Syndromes of the Shoulder | PM&R KnowledgeNow

  https://now.aapmr.org/impingement-syndromes-of-the-shoulder/

  Primary external impingement is the most common cause of shoulder pain and accounts for 40% of shoulder disorders. […] It primarily affects persons forty years or older but can present in younger patients. […] Secondary external impingement predominantly affects athletes who participate in overhead sports including baseball, softball, volleyball, tennis, and swimming. These athletes are younger, typically less than 35 years old at the development of symptoms. Secondary external impingement is less common than primary external impingement. […] Additional epidemiologic information would be beneficial, including contributing social factors to the development of shoulder impingement such as the effect of tobacco use and alcohol consumption. […] While a few cases suggest that down-sloped Type II and hooked Type III acromion may have higher incidence than expected in younger patients, including asymptomatic cases in overhead athletes, more studies are necessary to understand the correlation between anatomical variations and the development of shoulder impingement syndrome.

• #72 Impingement Syndromes of the Shoulder | PM&R KnowledgeNow

  https://now.aapmr.org/impingement-syndromes-of-the-shoulder/

  Primary external impingement is the most common cause of shoulder pain and accounts for 40% of shoulder disorders. […] It primarily affects persons forty years or older but can present in younger patients. […] Secondary external impingement predominantly affects athletes who participate in overhead sports including baseball, softball, volleyball, tennis, and swimming. These athletes are younger, typically less than 35 years old at the development of symptoms. Secondary external impingement is less common than primary external impingement. […] Additional epidemiologic information would be beneficial, including contributing social factors to the development of shoulder impingement such as the effect of tobacco use and alcohol consumption. […] While a few cases suggest that down-sloped Type II and hooked Type III acromion may have higher incidence than expected in younger patients, including asymptomatic cases in overhead athletes, more studies are necessary to understand the correlation between anatomical variations and the development of shoulder impingement syndrome.

• #73 Subacromial impingement syndrome: management challenges | ORR

  https://www.dovepress.com/subacromial-impingement-syndrome-management-challenges-peer-reviewed-fulltext-article-ORR

  The aim of the study was to analyze and describe the current concepts linked to SAIS and shoulder pain and clarify the role of subacromial decompression in the treatment of SAIS. […] The results from seven RCTs, mainly comparing conservative treatment and surgical treatment, were collected and analyzed. […] The results of an RCT comparing ASD and bursectomy alone were analyzed as it was considered to add value to the discussion. […] The results of RCT studies published in the last 1520 years reflect the progress made in understanding the pathogenesis of shoulder pain; the impingement concept, as Neer described it, looks antiquate today. […] Better understanding of the intrinsic mechanisms as causes of the pain and disability experienced by the patients have emphasized the importance of rotator cuff tendons state in the natural history of the subacromial pain.

• #74 Subacromial impingement syndrome: management challenges | ORR

  https://www.dovepress.com/subacromial-impingement-syndrome-management-challenges-peer-reviewed-fulltext-article-ORR

  Hence, shoulder pain is not necessarily caused by the contact between the acromion and the cuff, but originates from the rotator cuff tendons and is mediated by the free nerve endings in the bursa. […] This new concept is supported by a number of RCTs that haven’t observed the supremacy of surgery on conservative treatment. […] Despite the number of RCTs challenging the need for surgery in SAIS, it is necessary to critically analyze the data and avoid confusion. […] An RCT published by Farfaras et al reported the good results of ASD at 10-year follow-up. […] Further studies are necessary to separately analyze in different groups, patients with signs of intrinsic failure of the rotator cuff and involvement of the acromial arch, considered as structural changes in the subacromial space, from patients with no abnormality. […] This might explain well why some patients often struggle to regain good shoulder function with conservative treatment only and hence they are often referred to secondary care centers to consider surgical intervention.

• #75

  https://www.jneonatalsurg.com/index.php/jns/article/view/2838

  Shoulder impingement syndrome (SIS) occurs when the rotator cuff tendons become compressed during shoulder movements, leading to pain and reduced range of motion. […] Understanding the prevalence of SIS among cricketers is essential for developing preventive strategies and effective rehabilitation programs tailored to this specific population. […] This study concluded that there is prevalence of Shoulder Impingement syndrome among cricketers.

• #76 Epidemiology and pain in elementary school-aged players: a survey of Japanese badminton players participating in the national tournament | Scientific Reports

  https://www.nature.com/articles/s41598-021-85937-5

  Therefore, to identify risk factors of shoulder pain could be a better way to implement early intervention for preventing shoulder pain. […] There are currently no studies on risk factors of shoulder pain in badminton players. […] The purpose of this study was to identify risk factors for shoulder pain, and the association between shoulder pain, lower back pain and knee pain among elementary school-aged badminton players so that injury prevention and intervention can be implemented as early as possible. […] Training hours per day was significantly associated with shoulder pain that elementary school-aged badminton players with training time per day >2.5 h were 2.64 times more likely to sustain shoulder pain than those with training time per day ≤2.5 h. […] The presence of shoulder pain was significantly associated with knee pain. […] The presence of lower back pain was significantly associated with shoulder pain. […] This study is the first to identify risk factors for shoulder pain and associations of pain at different anatomical sites in elementary school badminton players aged 7-12 years.

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