Bursitis, RTC, Impingement, Labral - Hypothetical Patient Cases Flashcards
1
Q
Patient Profile:
- Sarah, a 35-year-old office worker, noticed shoulder pain after spending a weekend painting her living room.
Patient Reports:
- “I started feeling pain after I spent a whole day painting my living room. The repetitive overhead movements seemed to trigger this discomfort in my shoulder.”
Injury = ?
- (a) Bursitis
- (b) Rotator Cuff Tear
- (c) Instability
- (d) Labral Tear
A
Bursitis:
Patient Profile:
- Sarah, a 35-year-old office worker, noticed shoulder pain after spending a weekend painting her living room.
- She is moderately active, engaging in occasional workouts.
Additional Information:
- Sarah reports that the pain increases when she rests her arm on the armrest for an extended period.
Explanation:
- The pain worsening with prolonged armrest use suggests inflammation around the bursa, supporting a possible diagnosis of bursitis.
2
Q
Patient Profile:
- James, a 40-year-old construction worker, experienced a sharp pain in his shoulder while lifting a heavy box at work. He is highly active due to the physical demands of his job and plays tennis regularly.
Patient Reports:
- “I remember lifting a heavy box at work, and immediately I felt a sharp pain in my shoulder. Since then, I’ve noticed weakness and difficulty lifting my arm.”
Injury = ?
- (a) Bursitis
- (b) Rotator Cuff Tear
- (c) Instability
- (d) Labral Tear
A
Rotator Cuff Tear:
Patient Profile:
- James, a 40-year-old construction worker, experienced a sharp pain in his shoulder while lifting a heavy box at work. He is highly active due to the physical demands of his job and plays tennis regularly.
Additional Information:
- James struggles with serving strength in tennis since the incident.
Explanation:
- Persistent weakness during a specific activity (tennis serve) is indicative of a potential rotator cuff tear, especially given the history of a sudden onset of pain during heavy lifting.
3
Q
Patient Profile:
- Emily, a 28-year-old athlete, has a history of falling on an outstretched hand during a sports game.
- She experiences a sensation that her shoulder might pop out, especially during activities involving reaching behind her.
Patient Reports:
- “My shoulder feels like it’s going to pop out sometimes, especially when I reach behind me. It started happening after I fell on an outstretched hand during a sports game.”
Injury = ?
- (a) Bursitis
- (b) Rotator Cuff Tear
- (c) Instability
- (d) Labral Tear
A
Instability:
Patient Profile:
- Emily, a 28-year-old athlete, has a history of falling on an outstretched hand during a sports game.
- She experiences a sensation that her shoulder might pop out, especially during activities involving reaching behind her.
Additional Information:
- Emily feels the sensation of her shoulder potentially popping out when reaching behind her.
Explanation:
- The feeling of instability and the specific triggering of symptoms during certain movements suggest the possibility of shoulder instability.
4
Q
Patient Profile:
- Alex, a 30-year-old who had a car accident a few years ago, reports deep ache and clicking in the shoulder.
- He experiences pain, particularly during lifting and sudden movements.
Patient Reports:
- “I dislocated my shoulder a few years ago, and ever since, I’ve had this deep ache and a clicking sensation. The pain seems to be getting worse lately.”
Injury = ?
- (a) Bursitis
- (b) Rotator Cuff Tear
- (c) Instability
- (d) Labral Tear
A
Labral Tear:
Patient Profile:
- Alex, a 30-year-old who had a car accident a few years ago, reports deep ache and clicking in the shoulder.
- He experiences pain, particularly during lifting and sudden movements.
Additional Information:
- Alex has noticed a decline in shoulder function since the car accident.
Explanation:
- The deep ache, clicking sensation, and functional decline after a car accident are consistent with symptoms of a labral tear.
5
Q
Patient Profile:
- Lisa, a 32-year-old graphic designer, noticed shoulder pain after adopting a new workout routine that involves a lot of shoulder exercises.
- She spends a significant amount of time at her desk.
Patient Reports:
- “I work at a desk all day, and recently I noticed pain in my shoulder. It seems to get worse when I rest my arm on the armrest for an extended period.”
Injury = ?
- (a) Bursitis
- (b) Rotator Cuff Tear
- (c) Instability
- (d) Labral Tear
A
Bursitis:
Patient Profile:
- Lisa, a 32-year-old graphic designer, noticed shoulder pain after adopting a new workout routine that involves a lot of shoulder exercises.
- She spends a significant amount of time at her desk.
Additional Information:
- Lisa’s pain increases with shoulder exercises.
Explanation:
- Experiencing pain specifically with shoulder exercises suggests potential inflammation around the bursa, supporting a diagnosis of bursitis.
6
Q
Patient Profile:
- Mike, a 45-year-old avid tennis player, felt a sudden pain in his shoulder while serving during a game.
- He struggles with serving strength since the incident.
Patient Reports:
- “I play tennis regularly, and a few weeks ago, I felt a sudden pain in my shoulder while serving. Since then, I struggle to serve with the same strength.”
Injury = ?
- (a) Bursitis
- (b) Rotator Cuff Tear
- (c) Instability
- (d) Labral Tear
A
Rotator Cuff Tear:
Patient Profile:
- Mike, a 45-year-old avid tennis player, felt a sudden pain in his shoulder while serving during a game.
- He struggles with serving strength since the incident.
Additional Information:
- Mike has persistent weakness during serving in tennis.
Explanation:
- The persistence of weakness during a specific activity (tennis serve) is indicative of a potential rotator cuff tear, especially given the history of a sudden onset of pain during the serve.
7
Q
Patient Profile:
- Jessica, a 26-year-old with a history of multiple shoulder dislocations, experiences a constant fear of her shoulder popping out. Everyday activities, such as reaching for high shelves, make her nervous.
Patient Reports:
- “I’ve dislocated my shoulder multiple times, and now it feels like it might happen again any moment. Simple activities like reaching for a high shelf make me nervous.”
Injury = ?
- (a) Bursitis
- (b) Rotator Cuff Tear
- (c) Instability
- (d) Labral Tear
A
Instability:
Patient Profile:
- Jessica, a 26-year-old with a history of multiple shoulder dislocations, experiences a constant fear of her shoulder popping out.
- Everyday activities, such as reaching for high shelves, make her nervous.
Additional Information:
- Jessica has a constant fear of her shoulder popping out and feels nervous during certain movements.
Explanation:
- The history of multiple shoulder dislocations, along with the constant fear and nervousness during certain movements, supports a diagnosis of shoulder instability.
8
Q
Patient Profile:
- Daniel, a 38-year-old who was in a car accident, reports shoulder pain, especially during lifting and sudden movements. He has noticed a decline in shoulder function since the incident.
Patient Reports:
- “I had a car accident a while back, and ever since, my shoulder hurts, especially when I try to lift something heavy or make sudden movements.”
Injury = ?
- (a) Bursitis
- (b) Rotator Cuff Tear
- (c) Instability
- (d) Labral Tear
A
Labral Tear:
Patient Profile:
- Daniel, a 38-year-old who was in a car accident, reports shoulder pain, especially during lifting and sudden movements.
- He has noticed a decline in shoulder function since the incident.
Additional Information:
- Daniel has noticed a decline in shoulder function since the car accident.
Explanation:
- The combination of pain during specific movements, such as lifting, and a decline in function after a car accident suggests a potential labral tear.
9
Q
Patient Profile:
- Ryan, a 29-year-old fitness enthusiast, developed shoulder tenderness and swelling after starting a new workout routine. He engages in regular high-intensity exercises.
Patient Reports:
- “I started a new workout routine that involves a lot of shoulder exercises. Lately, I’ve noticed swelling and tenderness in my shoulder, especially on the side.”
Injury = ?
- (a) Bursitis
- (b) Rotator Cuff Tear
- (c) Instability
- (d) Labral Tear
A
Bursitis:
Patient Profile:
- Ryan, a 29-year-old fitness enthusiast, developed shoulder tenderness and swelling after starting a new workout routine.
- He engages in regular high-intensity exercises.
Additional Information:
- Ryan engages in regular high-intensity exercises.
Explanation:
- The development of tenderness and swelling in the shoulder after high-intensity exercises is indicative of potential bursitis.
10
Q
Patient Profile:
- Amanda, a 42-year-old construction worker, experienced persistent pain and weakness in her shoulder after lifting a heavy load over her head at work. She engages in moderate physical activity on the job.
Patient Reports:
- “I work in construction, and a few days ago, I had to lift a heavy load over my head. Since then, I’ve been experiencing persistent pain, and my shoulder feels weak.”
Injury = ?
- (a) Bursitis
- (b) Rotator Cuff Tear
- (c) Instability
- (d) Labral Tear
A
Rotator Cuff Tear:
Patient Profile:
- Amanda, a 42-year-old construction worker, experienced persistent pain and weakness in her shoulder after lifting a heavy load over her head at work.
- She engages in moderate physical activity on the job.
Additional Information:
- Amanda has persistent pain and weakness after lifting heavy loads at work.
Explanation:
- The combination of persistent pain and weakness after lifting heavy loads is suggestive of a potential rotator cuff tear, especially in a physically demanding job like construction.
