Non-articular Rheumatism Flashcards
Diagnosis?
Pain with abduction 60-120 degrees
-Pain increased when add resistance
- Impingement sign positive
less pain with passive than active motionimpingement/tendonitis
rotator cuff
Diagnosis?
+ drop arm test = cannot hold arm abducted at 90 degrees for very long
rotator cuff tear
what causes a rotator cuff tear?
trauma or gradual degradation
shoulder injury more common in younger pts and more likely to be assc with a calcific deposit at the insertion of the supraspinatius tendon
impingement/tendonitis
rotator cuff
Seen with prolonged immobilization of arm
Severe loss of active and passive ROM in ALL places
Adesive Capsulitis (Frozen shoulder)
Adesive Capsulitis (Frozen shoulder) is assc with what condition
DM
Diagnosis?
Yergason’s sign: supination against resistance elicits pain
Speed test: shoulder flexion against resitance elicits pain
Bicipical Tendonitis:
What can prolonged bicipical tendoniti lead to?
rupture –> popeye sign
What happens if you paplate the long head of the biceps tendon when a pt has bicipical tendonitis
it hurts
Numbness and parathesis in dermatomal pattern
pain in a dermatomal pattern
numb: Nerve Entrapment Syndromes
pain: cervical radiculopathy
median N entrapment syndrome name
carpel tunnel
Nerve is compressed at suprascapualr notch by suprascapular ligament or the spinoglenoid notch by the transverse ligament
Suprascapular N entrapment syndrome
*due to overhead activities
ulnar N entrapment syndrome name
cubital tunnel
axillary N entrapment syndrome name
quadralateral space syndrome
diagnosis
SWELLING, pain, increased vascularity and XR evidence of demineralization
–> atrophy of SKIN and muscles (skin my become cool and shiny)
–> irreversible flexion CONTRACTURES with pale, cool extremity
Reflex Sympathetic Dystrophy/Complex Regional Pain Syndrome
*follows minor trauma
cervical radiculopathy, normal or abnormal EMG?
abnormal
May be assc with viral infection, post viral syndrome, or vaccination
Brachial Neuritis:
Long term hemodialysis pts with shoulder pain, weakness, loss of ROM, functional limitation
Dialysis Shoulder Arthropathy
Diagnosis (2 diff)
- pain then atrophy of muscles
- swelling and pain then atrophy of skin and muscles –> flexion contractures
- brachial neuritis
2. Reflex Sympathetic Dystrophy/Complex Regional Pain Syndrome
What muscles will atrophy in brachial neuritis
Deltoid, supraspinatus, infraspinatus, biceps, triceps, DIAPRAGM
BT SIDD
Neoplasms that could cause shoulder pain in a younger pt? What part of the bone would they involve?
Chondroblastoma (epiphysis) Osteogenic Sarcoma (metaphysis)
Neoplasms that could cause shoulder pain in an older pt?
METASTASES
Multiple Myeloma
Pancoast
Apical Ling tumor
Mets MAP
Fractured anatomical neck of Humerus can lead to…
osteonecrosis
Long term steroid use, SLE, hemaglobinopathies, pancreitis, hyperbarism all pre-dispose a person to
osteonecrosis
