en شانه / آرنج Shoulder / Elbow پژوهشی Research Article <strong>Background</strong>: Choose a proper therapeutic approach for various shoulder joint involvements is still a significant challenge.&nbsp;<br> <strong>Objectives</strong>: The study aimed to assess the knowledge and attitude of orthopedic surgeons in managing patients with shoulder problems.<br> <strong>Methods</strong>: In a cross-sectional survey, a questionnaire consisted of 2 different parts was directly presented to orthopedic surgeons. Part 1 investigated the experience of shoulder surgeries, and part 2 evaluated their knowledge and attitude toward 4 patients with different scenarios.<br> <strong>Results</strong>: The surgeons were divided into 2 groups: shoulder surgeons (n=17) and general orthopedic surgeons (n=192). The first scenario is about a 21-year-old male with first anterior shoulder dislocation. In this scenario, shoulder surgeons chose surgical intervention more than general surgeons (88.21% vs 33.54%, P<0.05). The second scenario presents a 55-year-old male with shoulder osteoarthritis and complete and repairable rupture of supraspinatus and rupture of the long head of the biceps tendon. Shoulder surgeons chose total shoulder arthroplasty (43.8%) and arthroscopic rotator cuff repair (37.5%). But, only 21.87% of general orthopedic surgeons choose these two items together. The third scenario is a 65-year-old male with supraspinatus and infraspinatus tendon rupture. Sixteen of 17 shoulder surgeons answered this case, and 100% chose surgical interventions (62.5% arthroscopic and 37.5% open repair). On the other hand, 180 general surgeons of 192 answered this case scenario, and only 41.11% chose surgical treatment. The fourth scenario presents a 52-year-old female with refractor adhesive capsulitis. Arthroscopic capsular release and manipulation was the most frequent answer among shoulder surgeons compared to general surgeons (64.71% vs 31.38%).&nbsp;<br> <strong>Conclusion</strong>: It seems that an advanced course of shoulder surgeries is necessary to improve the knowledge of general orthopedic surgeons about shoulder diseases and treatment choices. Shoulder Injuries, Orthopedic surgeons, Shoulder 83 94 http://jros.iums.ac.ir/browse.php?a_code=A-10-769-1&slc_lang=en&sid=1 Mohsen Mardani-Kivi mardani.kivi@gmail.com 10031947532846005003 10031947532846005003 No Orthopaedic Research Center, Department of Orthopaedic, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. Ardeshir Shirangi mmdraz1234@gmail.com 10031947532846005004 10031947532846005004 No Department of Orthopedic, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. Aryan Mardani-Kivi moh.rasool2021@gmail.com 10031947532846005005 10031947532846005005 No Student Research Committee, School of Medicine, Tehran Medical Branch, Islamic Azad University, Tehran, Iran. Zahra Haghparast Ghadim-Limudahi dr.zahra.haghparast@gmail.com 10031947532846005006 10031947532846005006 No Department of Obstetrics and Gynecology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. Amin Izadi aminizadi1374@yahoo.com 10031947532846005007 10031947532846005007 Yes Department of Orthopedic, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.