Introduction To Shoulder Surgery Flashcards

1
Q

What percent of adults visit GP each year with shoulder pain?

A

1%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What’s the prevalence of shoulder pain in adults?

A

25%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Rotator cuff muscles?

A

Subscapularis
Supraspinatus
Infraspinatus
Teres minor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Subacromial impingement, pain can be felt when?

A

On abduction and rotation,

Pain over deltoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Cause of subacromial impingement?

A

Extrinsic- bony spurs

Intrinsic-tedinopathy/cuff weakness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Treatment for subacromial impingement?

A

Activity modification
Physiotherapy
Subacromial decompression
Debridement of bony and soft tissue impinging areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Rotator cuff tears happen where?

A

Supraspinatus and infraspinatus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What percentage of 60 year olds have a full thickness tear?

A

15%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What kind of arthritis can you get in the glenohumeral joints?

A

Osteoarthritis
Rheumatoid arthritis
Post traumatic arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Symptoms of arthritis?

A

Stiffness
Pain with activity
Pain at rest and at night
Crepitus and Grinding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

In frozen shoulder what can’t you do?

A

External rotation, loss of passive movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Common signs of frozen shoulder (adhesive capsulitis)?

A

Stiffness and Pain

Loss of PASSIVE motion (EXTERNAL ROTATION)

X ray normal

40-60 years old

Females

Diabetics

Pathology

Inflamed thickened capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Frozen shoulder treatment?

A

Non surgical

Natural history is to resolve over 2 years

Injections

Hydrodilatation (steroids and fluid)

Surgical

Capsular release and manipulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What kind of dislocations happen in shoulder instability?

A

95% anterior dislocations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Where is the tear in shoulder instability?

A

Anterior Labral tear (bankart lesion)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Risk factors for shoulder instability?

A

Collision sports

Hyperlaxity

17
Q

How to treat shoulder instability?

A

Arthroscopic stabilisation- labral repair
Open stabilisation- capsule tightening
Bony procedures- augmenting glenoid

18
Q

What is shoulder pain the MSK consultation?

A

3rd most common

19
Q

Rotator cuff cable importance?

A

Muscles/ ligaments link into it and the force is transmitted in unity

20
Q

Subacromial problems?

A

ACJ arthritis
Calcium tendinitis
Rotator cuff tears

21
Q

Subacromial impingement?

A

Common, pain on abduction and rotation of arm, felt over deltoid

22
Q

What are causes of subacromial impingement?

A

Extrinsic bony spurs

Intrinsic- tendinopathy/cuff weakness