Introduction to shoulder surgery Flashcards
Why is shoulder pain important?
3rd most common MSK consultation in GP practice
1% adults each year visit GP with shoulder pain
25% of adults self reported prevalence of shoulder pain
List some risk factors for shoulder pain
Sports related injuries
Traumatic injuries
Degenerative conditions
Work related condition
List some common shoulder symptoms
Pain
Stiffness
Weakness
Instability
List some causes of shoulder pathology in the glenohumeral joint
Arthritis
Instability
Frozen Shoulder
List some causes of shoulder pathology in the rotator cuff muscles
Tears
Bursitis
impingement
calcific tendonitis
List some other causes of shoulder pathology
Bone trauma
Name the bones which form the shoulder region
Clavicle
Scapula
Humerus
What is the function of the shoulder?
Designed for a range of movement
Describe the stability of the shoulder joint
Inherently unstable
What stabilises the shoulder joint?
Rotator cuff (dynamic) Capsule and labrum (static)
Name the rotator cuff muscles
Supraspinatus
Infraspinatus
Teres minor
Subscapularis
What do all the rotator cuff muscles form?
Rotator cable
What is the importance of the rotator cuff muscles forming the rotator cable?
Gives it more strength
Describe rotator cuff biomechanics
As the rotator cuff muscles fire they produce a force
Moves the humeral head towards the socket
Keeps it pressed against the socket
What is the function of the rotator cuff?
Stabilise the glenohumeral joint
Provide a fulcrum for power muscles to move the arm
Name the muscles which function with rotator cuff
Deltoid Pectoralis minor Pectoralis major Latissimus dorsi Teres major
Name the superficial power muscles
Deltoid
Pectoralis major
Latissimus dorsi
Name some rotator cuff disorders
Subacrominal impingement
Rotator cuff tears
Calcific tendonitis