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AJGP Clinical Challenge November 2019: Upper limb

Speciality Classification
General Practice ( GP ) / Family Medicine
2 hrs

To discuss the assessment and management of upper limb conditions in general practice in Australia.

Relevance to General Practice

Upper limb, cervical and thoracic conditions are a common and burdensome problem in Australia that affects people of all ages. People working in computer- and office-based occupations have the highest incidence of neck and shoulder pain, with almost half of these workers experiencing neck pain in a 12-month period. Shoulder pain, aching or stiffness is a daily problem for almost a quarter of the Australian population. The prevalence of De Quervain’s tenosynovitis is a condition of the wrist that occurs in adults aged 18–65 years, with peak prevalence at the age of 40–60 years. Fibromatosis colli is a benign mass of the sternocleidomastoid muscle that affects infants at an estimated prevalence of 0.4%. Despite clinical practice guidelines, management of neck and upper body pain in primary care practice varies. The majority of patients with shoulder pain are seen and treated in primary care settings, placing the GP in a pivotal role for the management of these conditions.

Learning outcomes
  • Outline the role of active, patient-centred therapies in the management of shoulder pain
  • Describe patients at risk of developing idiopathic frozen shoulder and outline an evidence-based approach to management
  • Outline key principles in the assessment and treatment of De Quervain’s tenosynovitis
  • Summarise the diagnosis and management of fibromatosis colli
  • Domains of General Practice

    D1. Communication skills and the patient-doctor relationship

    • Complaints and concerns are managed effectively

    D2. Applied professional knowledge and skills

    • Diagnosis and management is evidence-based and relevant to the needs of the patient

    D3. Population health and the context of general practice

    D4. Professional and ethical role

    D5. Organisational and legal dimensions

    Curriculum Contextual Units
    • Residential care
    • Musculoskeletal and sports medicine
    • Pain management
    AJGP Clinical Challenge November 2019: Upper limb
    2 hrs
    Start Date
    End Date
    CPD Points
    4 cpd