Introduction To Shoulder Surgery Flashcards
What percent of adults visit GP each year with shoulder pain?
1%
What’s the prevalence of shoulder pain in adults?
25%
Rotator cuff muscles?
Subscapularis
Supraspinatus
Infraspinatus
Teres minor
Subacromial impingement, pain can be felt when?
On abduction and rotation,
Pain over deltoid
Cause of subacromial impingement?
Extrinsic- bony spurs
Intrinsic-tedinopathy/cuff weakness
Treatment for subacromial impingement?
Activity modification
Physiotherapy
Subacromial decompression
Debridement of bony and soft tissue impinging areas
Rotator cuff tears happen where?
Supraspinatus and infraspinatus
What percentage of 60 year olds have a full thickness tear?
15%
What kind of arthritis can you get in the glenohumeral joints?
Osteoarthritis
Rheumatoid arthritis
Post traumatic arthritis
Symptoms of arthritis?
Stiffness
Pain with activity
Pain at rest and at night
Crepitus and Grinding
In frozen shoulder what can’t you do?
External rotation, loss of passive movement
Common signs of frozen shoulder (adhesive capsulitis)?
Stiffness and Pain
Loss of PASSIVE motion (EXTERNAL ROTATION)
X ray normal
40-60 years old
Females
Diabetics
Pathology
Inflamed thickened capsule
Frozen shoulder treatment?
Non surgical
Natural history is to resolve over 2 years
Injections
Hydrodilatation (steroids and fluid)
Surgical
Capsular release and manipulation
What kind of dislocations happen in shoulder instability?
95% anterior dislocations
Where is the tear in shoulder instability?
Anterior Labral tear (bankart lesion)
Risk factors for shoulder instability?
Collision sports
Hyperlaxity
How to treat shoulder instability?
Arthroscopic stabilisation- labral repair
Open stabilisation- capsule tightening
Bony procedures- augmenting glenoid
What is shoulder pain the MSK consultation?
3rd most common
Rotator cuff cable importance?
Muscles/ ligaments link into it and the force is transmitted in unity
Subacromial problems?
ACJ arthritis
Calcium tendinitis
Rotator cuff tears
Subacromial impingement?
Common, pain on abduction and rotation of arm, felt over deltoid
What are causes of subacromial impingement?
Extrinsic bony spurs
Intrinsic- tendinopathy/cuff weakness
