Cmn Path of UE Flashcards
Frozen shoulder aka
Over ____ of cases in ppl (age)
Capsule adheres to____ causing ____ in (ROM), P) in ____ jt
Adhesive capsulitis
70% cases >50yr
Head of humerus, stiff in all ROM, (P) in AC
Frozen shoulder phases
1) aka _____
2) aka _____
3) aka _____
1) Freezing aka RED - (P) around shoulder, loss of ROM
2) Frozen aka PINK- no pain or further ROM loss
3) Thaw aka White phase - return of ROM
Adhesive Capsullitis
Intrinsic (local) causes:
Itis (2), prolonged ____, (rupture)
Extrinsic cause
___ hernia, systemic organs
Calcific supraspinatus tendinitis
Partial tear of rotator
Bcicipital tendintiis
Prolonged immobil
Cervical hernia
Myocardial infar
Pleurisy
Cholescitis, spleen rupture
Adhesive Capsulitis: Risk incr if recovering form ____.
Thus goal but do not____. Usuall resolves
procedure post prolonged immobil (injury, stroke, masec)
Maintain ROM, w/o forcing motion.
Resolves 12-24 mths
Calcific supraspinatus tendi
aka _____ or ____
Can be ____
rotator cuff tenditis, Impingmt syndrome
Asymomatic, acute or chornic
Acute Calc supra tend: irritates the ____ causing 2ndry ____
More often in ____(popn)
____ onset of ____ after ____
Rapid deposition - high (P)
Irritate subacr bursa - itis
Middle aged/older men
Rapid of severe (P) after excess or unusual use of ghj
Acute Cacl supra enditis: clinical feature for both chornic and acute
___ syndrome
Tx
Chornic ____ after removal
local tenderness lat to acromion
Abd (P) (btw 60-120 deg) - think where bursa starts trap)
Aspiration of semi-fluid calc, hydrocortisone inj
Recur, (P) mgmt
Rotator cuff tear: Most cmn during____
Ratio sexes
Partial most cmn in (Mm)
Middle age +
Men 2:1 women
Supraspinatus
Complete Rotator cuff tear: Occurs after ___
Demo
If shoulder passive abd to ____ degrees then can hold
Surgery often
Fall on shoudler
Men> 60
90 degrees - delts
Unsuccessful (rehab compensatory Mm to take over)
Bicipital tenditis is more cmn in ____ (sex)
(P) in ____ (location) fo shoulder, worsened by (action) ____
Women
Anterior shoulder, resisted supination
Bicipital tendinitis sign:
Local ______
Tx
Palm-up(Yergason’s sign)
Tenderness in bicipital groove
Rest, NSAID, hydrocortisone inj
Lat Epicondylitis
Active ____ aggravates
Possible ___ in x-ray
Braces
Premat degen of flat tendon of forearm extensors
Extension
Calcific
Not v. effective
Med Epicondylitis: most cmn injury in____
Caused by ____
golf, rock climb, pitcher
Repetitive/forceful flx of hand + pronation
De Quervain is:
After excessive
Tx
Stenosis re: Excess frction of tendon of abductor pollicis longs and extensor pollicis on sheath
Typing, grip, wringing
Hydrocortisone, splinting, surgery to split stenosed sheath
De Quervain more cmn in ____(sex)
Test:
Sign
Women
Finklestein’s (passive adduction w/ thumb flx reproduces (P)
firm local tenderess over styloid process of radius
