Common Shoulder Problems

Question 1

Outline a traumatic anterior dislocation

Answer 1

Most common type of dislocation and usually results from forced abduction, external rotation and extension. The humeral head comes to lie anterior, medial and somewhat inferior to its normal location and glenoid fossa

Question 2

Outline a posterior dislocation

Answer 2

far less common than anterior shoulder dislocations and can be tricky to identify clinically and on x-ray. Causes = epileptic seizures, high energy trauma, electrocution

Question 3

How can an acromioclavicular joint dislocation be classified?

Answer 3

rockwood classification = 6 diff ways – damage to the ligament or torn ligament

Question 4

What is a fracture?

Answer 4

Broken bone, may be completely fractured or partially fractured, 80% undisplaced, 20% displaced

Question 5

What is calcific tendinitis?

Answer 5

deposits of hydroxyapatite (crystalline calcium phosphate) in any tendon of the body, but most commonly in the tendons of the rotator cuff (shoulder), causing pain and inflam

Question 6

What is shoulder impingement?

Answer 6

tendons of the rotator cuff muscles become irritated and inflamed as they pass through the subacromial space, the passage beneath the acromion, can = pain, weakness and loss of movement

Question 7

How can rotator cuff ligament tears be repaired?

Answer 7

allograft

Question 8

What is acromioclavicular osteoarthritis?

Answer 8

osteoarthritis at the AC joint, progressively degenerative disease that cannot be reversed, high painful arc, joint tender

Question 9

Outline glenohumeral osteoarthritis?

Answer 9

osteoarthritis at the glenohumeral joint between proximal humerus, scapular

Question 10

Describe adhesive capsulitis

Answer 10

painful and disabling disorder of unclear cause in which the shoulder capsule, the connective tissue surrounding the glenohumeral joint of the shoulder, becomes inflamed and stiff, greatly restricting motion and causing chronic pain