Injury to the shoulder as a result of the action of an external force or energy.
The most common causes are a fall, accident or blow with a blunt object.
It manifests with pain, inflammation and hematoma at the site of trauma.
Diagnosis is clinical by clinical history and physical examination. In most cases, the diagnosis will be completed with an imaging test to rule out underlying bone lesions: X-ray and/or magnetic resonance imaging.
Treatment is based on pain relief and reduction of inflammation with analgesics and anti-inflammatory drugs. Immediately after the trauma, the application of indirect local cold can prevent hematoma growth and inflammation. In the following days, the application of heat can reduce muscle pain, as well as rest and immobilization of the arm.
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- C. E. Ugalde, D. Z. Monge, R. Barrantes. Actualización del síndrome de hombro doloroso: lesiones del manguito rotador. Med Leg Costa Rica. 2013;30(1):63-71.
- UpToDate [Internet]. Waltham. 2017. Evaluation of the patient with shoulder complaints; [citado el 21 de junio de 2017]. Disponible en: http://www.uptodate.com/contents/evaluation-of-the-patient-with-shoulder-complaints?source=search_result&search=traumatismo+hombro&selectedTitle=1~150
