Common Shoulder Pathologies

Question 1

Adhesive Capsulitis

Answer 1

Pain and stiffness
ADL difficulty
Lifting increases pain
Insidious onset
P described as deep, often referred to deltoid
Age >40yrs

*increased likelihood in diabetic pt

Question 2

OA

Answer 2

AM stiffness
Eases with gentle movement and heat
As day continues, increase in pain and stiffness with activity/prolonged rest
P increases when lying on it in bed
Observe - thickened joint on palp, protective posture, atrophy, adaptions, stiffness

Question 3

Instability

Answer 3

Post traumatic injury/incident
Anterior/inferior dislocation normal
C/o sharp pain and locking
C/o dead arm feeling on occasion

Question 4

Impingement

Answer 4

P at certain ranges and often eases through these
Painful arc - abduction/flexion
May be labrum or contractile

Question 5

Bursitis

Answer 5

Often sub acromial
Gradual onset - normally to lateral area
Age >30yrs
P with overhead lifting
Difficulty sleeping at night