Abstract
Management of Occupational Shoulder Injuries in Primary Care
Highlights
The shoulder joint is the most mobile joint in the human body but sacrifices stability as a result
Shoulder injuries are one of the most debilitating disorders commonly found in the workplace. They have been categorized as “high impact” claims, along with lower back injuries and fractures, by the workplace safety and insurance board (WSIB) based on long recovery and return to work (RTW) times
Arm position and movement greatly effects humeral head movement as shown by Massimini et al This study demonstrated large anterior/ posterior shifts and ligament elongation during 90° shoulder abduction with and without external rotation [17]
Summary
The shoulder joint is the most mobile joint in the human body but sacrifices stability as a result. Shoulder injuries are one of the most debilitating disorders commonly found in the workplace They have been categorized as “high impact” claims, along with lower back injuries and fractures, by the WSIB based on long recovery and RTW times. Physical factors – manual materials handling, vibration, static postures, work involving hands above shoulders, repetitive motions – are common, well known risks associated with occupational shoulder pain [4,5]. These factors can lead to shoulder pain due to the stress on the muscles and tendons from increased ischemia and inadequate time for rest [6]. As the factors affecting the patient at work are multifactorial, a proper RTW plan should take daily activities into account and check
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