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Backgrou 18
Backgrou 18
Conditions causing shoulder pain are common and contribute substantially to the
musculoskeletal morbidity of the community (Bjelle 1989). The prevalence of shoulder disorders
has been reported to range from seven to 36% of the general population (Lundberg 1969).
Shoulder disorders account for 1.2% of all general practice encounters in Australia, being third
only to back and neck complaints as musculoskeletal reasons for primary care consultation
(Bridges‐Webb 1992). In Dutch general practice the incidence of shoulder disorders has been
estimated to be 11.2 per 1000 registered patients per year (van der Windt 1995). The shoulder is
frequently injured, particularly in competitive sports with eight to 13% of athletic injuries
Prevalence of shoulder disorders has been shown to increase with age (Badley 1992). This
finding has implications for the provision of health care in view of the aging of the population as
a whole. Others however (Allander 1974; Ingemar 1993) have demonstrated a decline in both the
prevalence and incidence of shoulder pain with age, the peak prevalence occurring in the 56 ‐ 60
year age group. As this section of the community is likely to be in paid employment, such peak
prevalence has impact on the direct and indirect cost of shoulder disorders to the community.