Exam 2 - Shoulder pain Flashcards
What mneumonic can be used to determine cause of shoulder pain? What does each letter stand for?
V: vascular
I: inflammation
N: neoplasm
D: degenerative/deficiency
I: intoxication/idiopathic
C: congenital
A: autoimmune
T: trauma
E: endocrine
Examples of inflammation with shoulder pain
- Tendonitis
- Bursitis
- Osteomyelitis
Examples of neoplasms with shoulder pain
- Metastatic or primary tumor
Examples of trauma with shoulder pain
- Fractures
- Dislocation
Examples of degeneration in shoulder pain
Osteoarthritis
Examples of intoxication with shoulder pain
- Gout
- Frozen shoulder
Examples of congenital causes of shoulder pain
- Hemophilia
Examples of endocrine causes of shoulder pain
- Pseudo gout
Examples of autoimmune causes of shoulder pain
- Dermatomyositis
- Rheumatoid arthritis
- Lupus
Examples of vascular causes of shoulder pain
- Osteonecrosis
What muscles make up the rotator cuff?
- Supraspinatus
- Infraspinatus
- Subscapularis
- Teres minor
Patient presentation with rotator cuff tear
Patient won’t be able to lift up their arm above 90 degrees
- More abduction = more pain
- Pain worse at night if they sleep on affected side
Physical exam tests the provider can use to assess rotator cuff tear
Test internal and external rotation
- Ask patient to put palm of hand on back and bend elbow
- Raise hand up, bend elbow, put hand at upper back
Imaging to determine rotator cuff tear
MRI without contrast
Rotator cuff tear vs frozen shoulder
Rotator cuff tear - pain with active ROM, but no pain with passive ROM
Frozen shoulder - pain with active and passive ROM
