The paper aims to research on the image modalities of shoulder pathology and obtain relevant facts in order to justify evidence based practices in the medical field. The pathology of the rotator cuff is the main source of shoulder pain and despite recent advances in imaging of the shoulder, the clinical examination is a fundamental step in the evaluation of pain in the region scapular. The rotator cuff of the shoulder consists of the humeral insertion tendons of the muscles subscapularis, supraspinatus, infraspinatus, and teres minor, which are associated intra-articular portion of the biceps.
Rationale of the Study
Painful shoulder is a common clinical problem in musculoskeletal disease. Imaging studies play an important role in the etiology. Conventional radiography is usually the first test and is sometimes sufficient for diagnosis. Tendon calcifications are clearly visible and in the diagnosis of bone neoplasms tomographic techniques have not replaced. The tendon pathology is the most common cause of shoulder pain, and both ultrasound and magnetic resonance imaging (MRI) are effective tools for study. The emphasis is specifically on critical analysis of the structured search through evidence based practice. The journals selected for this assignment are both quantitative papers.
EBP
Evidence Based Practice (EBP) is defined as "the use conscious, explicit and judicious use of current and current evidence in making decisions in the care of individual patients. The EBP aims to combine the experience of methodologically health professional with the most current information on the clinical situation it faces. The advantage is obvious; the young professional can make better decisions despite a lack of enough years in clinical practice, while veteran can make decisions to date despite having several years of graduation. PBE offers a method in clinical practice independent of theoretical inclinations. Finally, a PBE that is not geared towards the production of new evidence and investigate exceptions on the majority, tend to fall into ideological authoritarianism, where the end only the health needs of the statistical majority will have clinical evidence, while extreme minority of the curve will have no studies that investigate their health needs. A real EBP not only aims to identify the best possible practice available, but finding the whys of the inefficiencies identified and needs not yet covered by the available evidence.
Structured Search and Using PICO elements
A search is efficient when you know what kind of information is that the clinician can find. For this step is required to acquire and maintain skills through daily practice, since at present the clinician may be overwhelmed with a sea of medical data.
Ideally, information to be useful, it must submit three characteristics: 1) validity, i.e. that is reliable and unbiased, 2) must be relevant, that is important for the health professional and patients, and 3) should be quick to find, that the clinician will take the least time possible to find the information with the qualities 1 and 2.
Building a structured clinical question (PCE) is a skill that we handle in everyday clinical practice, either pure or educational ...