Chronic Shoulder Flashcards
frozen shoulder
Adhesive Capsulitis
In over 90% of patients this pain lasts ______ before subsiding
1-2 years
what type of person is likely to get frozen shoulder
old ladies and diabetics
3 stages of AC
painful (freezing)
adhesive (frozen)
recovery (thawing)
painful (freezing) stage lasts how long
between 3 and 8 months
adhesive (frozen) stage lasts how long
4 to 6 months.
recovery (thawing) stage lasts how long
1 to 3 months
best medical rx
steroid injection plus physical
therapy.
is an
inflammatory process of the long
head of the biceps tendon and is a
common cause of shoulder pain.
Bicipital tendinitis
constant pain
-itis
intermittent pain
derangement
Degeneration without inflammation is
known as
tendonosis
Ruptures of the proximal biceps
tendon make up 90-97% of all
biceps ruptures and almost
exclusively involve the
long head
following bicep ruptures, patients lose up to ___ % of their supination strength
20
involves a tear of the superior labrum, which starts posteriorly and extends anteriorly to include the anchor of the biceps tendon to the superior labrum.
SLAP lesion
dead arm syndrome in throwing
athletes
SLAP lesion
3 ways to develop SLAP lesion
traction
compression
repetitive traction
Patients with SLAP lesions often
present describing a poorly defined
pain that is _____ in location
posterior
gold standard in imaging SLAP lesion
arthroscopic eval
Aute onset of intense shoulder
pain that is neither position- nor
activity-dependent.
Calcific Tendonitis
_______ of calcific tendinitis
clearly differentiates it from impingement
syndrome and adhesive capsulitis.
rapid onset
The highest incidence of calcific tendinitis in adults
aged _____ years.
30-50
4 phases of calcific tendinitis
formative phase
resting phase
resorptive phase
postcalcific phase
MRI, which may be used to rule out
a rotator cuff tear, is ______ for
demonstrating calcification.
unreliable
medical rx for calcific tendinitis
extracorporeal shock wave therapy
SITS
✱ Suprapinatus ✱ Infraspinatus ✱ Teres Minor ✱ Subscapularis
4 types of SITS
primary impingement (genetic) secondary impingement (instability) tensile failure (throwing) internal or posterior superior glenoid impingement (repetitive overhead activities)
NEER stages
stage I (strengthen rotator) stage II (might need medical or rehab) stage III (hurt all time, surgery)
