4- Shoulder Conditions

Question 1

List the 4 rotator cuff muscles

Answer 1

Supraspinatus
Infraspinatus
Teres minor
Subscapularis

Question 2

What happens in shoudler impingement?

Answer 2

Tendons of rotator cuff are compressed in the tight subacromial space

Question 3

What is the clinical sign of shoulder impingement?

Answer 3

Painful arc on abduction between 60-120 degrees

Question 4

Outline treatment for shoulder impingement

Answer 4

NSAIDs, analgesia
Physiotherapy
Subacromial steroid injection
Surgical decompression

Question 5

Give a classic history surrounding a rotator cuff tear

Answer 5

Sudden jerk e.g. holding a rail when a bus suddenly stops

Question 6

Give another name for adhesive capsulitis affecting the shoulder

Answer 6

Frozen shoulder

Question 7

Define adhesive capsulitis

Answer 7

Progressive pain + stiffness in the shoulder that resolves after 18-24mths

Question 8

What is the principle clinical sign of adhesive capsulitis?

Answer 8

Loss of external rotation + restricted other movements

Question 9

Which diseases are assoc. with frozen shoulder?

Answer 9

Diabetes
Hypercholesterolemia
Dupuytren’s disease

Question 10

What characterizes acute calcific tendonitis in the shoulder?

Answer 10

Acute severe shoulder pain

Calcium deposits on supraspinatus tendon

Question 11

Which shoulder dislocation is more common - anterior or posterior?

Answer 11

Anterior

Question 12

What is involved in Bankart repair for recurrent shoulder dislocations?

Answer 12

Stabilise shoulder by reattaching labrum and capsule to the anterior glenoid