Provides a simple, structured four-category approach to classifying shoulder presentations in clinical practice.

Supports diagnostic reasoning, investigation planning, and referral decision-making across diverse shoulder conditions.

Provides a shared language for classification across primary and specialist practice.

A simple, four-category diagnostic framework for shoulder presentations.

Authorship and Development

This diagnostic framework was developed by Dr Angela Cadogan, Specialist Shoulder Physiotherapist and researcher in musculoskeletal diagnosis, in collaboration with Professor Jeremy Lewis. The framework reflects research and clinical work focused on diagnostic reasoning, classification, and decision-making in shoulder pain.

Access the Shoulder Classification Framework

Download the one-page Shoulder Classification Framework for clinical reference and application.

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