Update of guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopedic Association Part 1: preventive measures, diagnostics, and non-surgical
11 hours ago
- #clinical guidelines
- #orthopedics
- #shoulder pain
- The guideline updates diagnosis and treatment for subacromial pain syndrome (SAPS), focusing on prevention, diagnostics, and non-surgical treatments.
- SAPS includes conditions like supraspinatus tendinosis and calcific tendinitis, affecting over 50,000 patients annually in the Netherlands.
- Recommendations include promoting a healthy lifestyle, using physical diagnostic tests, and considering ultrasonography or MRI for tendon ruptures.
- Treatment options suggest barbotage for calcific tendinosis, corticosteroid injections for severe cases, and suprascapular nerve blocks for therapy-resistant SAPS.
- The guideline was developed using AGREE and GRADE methods, ensuring evidence-based, multidisciplinary recommendations.