Clinical Lectures Flashcards
who are common patients with shoulder pain
common, 20-30% in elderly with 70% being rotator cuff disease
who are more affected by shoulder pain
women due to lack of testosterone
what kinds of people have common shoulder injury
javelin
martial arts
rugby
elderly
what is the difference between active and passive movement and what do they test
active - they move themselves to test muscles and tendons
passive - performed by doctor to test capsules and joints
what causes common impingement injuries in the shoulder
tendon becomes inflamed and rubs against bone within sub-acromial space
what is frozen shoulder, who is more susceptible
adhesive capsulitis - pain in all movements in GH cavity
2-3% of non-diabetics, rare and usually in people older than 40
what are the clinical features of frozen shoulder
10-20% have DM
associated with thyroid disease, lung disease, cardiac or surgery
ache, night pain
restriction and stiffness
how would you examine for frozen shoulder
tender trapezius - global decreased rate of movement both active and passive
atrophy due to non-use
what is a good recovery method drug for frozen shoulder
corticosteroid reduce symptoms but not duration of the disease
how do you manage frozen shoulder
pain reduction and minimise restriction physio corticosteroids capsular distention rehab
what is rotator cuff tendopthy
common cause of shoulder pain which leads to dysfunction and impingement
what are the common features of rotator cuff tendonopathy
better passive movement, instability and fatigue, night pain and painful arc
what is the management of rotator cuff tendonpothy
poor in elderly emphasis on cuff strengthening corticosteroid for pain surgical decompression pain and instability in biceps tendon
what is arthritis
joint inflammation
what is synovitis
reddening and inflammation of synovial joints - causes releases of inflammatory factors such as cytokines
how many types of arthritis are there and what is most common
septic arthtris and over 30
what is the standard management of arthritis
reduce inflammation - blood tests, treat associated symptoms
what i the most common type of arthritis
osteoarthritis
common for knee and hip replacement
what are the characteristic of OA
no cure
inflammation, cartilage loss and pint swelling / weaker muscles
what are diagnosing symptoms and tests of OA
morning stiffness (30 mins) raised inflammatory markers inflammatory back pain
what is RA
rheumatoid arthritis which is autoimmune
common age 40-50 and higher in females 3:1 ( mainly hands and feet)
how do you test for RA
blood test for antibodies
what are the associated dangers of RA
can affect other organs and have MI or stroke risk
