Mehlman shoulder conditions Flashcards
Subacromial bursitis vs
rotator cuff tendonitis.
vignette can be same in both, difficult to differentiate.
what says vignette?
In NBME vignettes, I’ve seen both can give Hx of patient doing
frequent overhead movement (i.e., painting a fence) + pain with palpation + pain that’s
worse when lying on one’s shoulder in bed at night, making differentiating these
difficult
Subacromial bursitis vs
rotator cuff tendonitis.
when present only subacromial bursitis?
Will only present with findings in previously mentioned vignette, which collectively are
known as impingement syndrome.
Subacromial bursitis vs
rotator cuff tendonitis.
when present rotator cuff tendonitis?
Rotator cuff tendonitis will present with weakness when performing exam
maneuvers (as described in prior table).
Subacromial bursitis vs
rotator cuff tendonitis.
which painful in rest?
bursitis can be painful even during rest
Subacromial bursitis vs
rotator cuff tendonitis.
which painful only in movement??
tendonitis causes pain during movement
Biceps tendonitis. CP?
Presents as anterior shoulder pain with focal tenderness over the biceps tendon
(i.e., when pressing on anterior shoulder).
Presents as anterior shoulder pain with focal tenderness over the biceps tendon
(i.e., when pressing on anterior shoulder).?
Biceps tendonitis.
Adhesive capsulitis.
Aka?
,,frozen shoulder” or arthrofibrosis
,,frozen shoulder” or arthrofibrosis?
Adhesive capsulitis.
Adhesive capsulitis.
Cp?
Decreased passive and active motion of shoulder in all directions.
Decreased passive and active motion of shoulder in all directions.?
Adhesive capsulitis.
Adhesive capsulitis. etiology?
Idiopathic, but increased risk in diabetes
Adhesive capsulitis.
Tx?
Tx = range of motion exercises / physiotherapy.
Winged scapula.
what nerve injury?
long thoracic nerve injury
Long thoracic nerve injury leads to what?
Winged scapula.
