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Centre for Evidence-
Based Medicine

Systematic Reviews: Clinical Scenario

A 58 year old male presented with right shoulder pain developing over the past two weeks, with no history of trauma. Movements were generally painful and restricted, in particular abduction. X-ray was normal. We formulate the question, is corticosteroid injection or physiotherapy more effective in patients with rotator cuff tendinitis?

Searching terms and evidence source: Cochrane Library was searched for "shoulder pain" (Title only) giving a Cochrane review and 39 CCTR "hits".

Read the article and decide:

  1. Is the evidence from this study valid?
  2. If valid, is this evidence important?
  3. If valid and important, can you apply this evidence in caring for your patient?

Continue to completed worksheet