5- Shoulder Problems Flashcards
What is the proper name for the shoulder joint
Gleno-humeral joint
What forms the shoulder girdle
Scapula
Clavicle
Proximal humerus
Supporting muscles
Which rotator cuff muscles attach to the greater tuberosity of the humerus
Supraspinatus
Infraspinatus
Teres minor
Which rotator cuff muscles attach to the lesser tuberosity of the humerus
Subscapularis
What is the function of the rotator cuff muscles
Pulls the humeral head into the glenoid cavity to stabilise it
Aids abduction
What is the most common source of shoulder pain in the younger age group
Instability
What is the most common source of shoulder pain in middle aged people
Rotator cuff tears
Frozen shoulder
What is the most common source of shoulder pain in the elderly
Glenohumeral OA
What are some potential causes of impingement syndrome
Tendonitis Subacromial bursitis
Acromioclavicular OA with inferior osteophyte
A hooked acromion Rotator cuff tear
How does pain from impingement syndrome present
Radiates to deltoid and upper arm
Tenderness may be felt below the acromion
Hawkin’s-Kennedy positive
What rotator cuff muscle is usually involved in tears
Supraspinatus
What is the surgical treatment for rotator cuff tears
Open or arthroscopic repair
Attempts to maintain strength and prevent OA
1/3 aren’t successful and some cases are irreparable
What are the non-operative treatments of rotator cuff tears
Physio - strengthen muscles
Subacromial injection
What are the symptoms of adhesive capsulitis
Initially pain which subsides
Stiffness which increases then thaws out gradually
Loss of movement
Which conditions is adhesive capsulitis associated with
Diabetes - particularly prone
Hypercholesterolaemia
Dupuytren’s disease
