Nonarticular rheumatism Flashcards
Functions of the rotator cuff?
- internal and external rotation
- fixes humeral head in the glenoid fossa
What is the mst common cause of shoulder pain?
Rotator cuff tendinitis…this is actually an impingement syndrome
A calcific deposit is more likely to be seen at the insertion point of the supraspinatus tendon in what type of rotator cuff tendinitis?
Acute
Acute rotator cuff tendinitis is more common in whom?
younger pts
Key finding of ratoator cuff tendinitis is?
pain with abduction, esp in the 60-120 degree range
Bicipital tendonitis
Anterior shoulder pain, palpation will elicit pain, in prolonged cases full tendon rupture can occur producing popeyes sign
Adhesive capsulitis most often seen when
prolonged immobilization of the arm.
Adhesive capsulitis is often associated with?
Diabetes
What is a cervical radiculopathy
basically just a pinched nerve in the cervical region. can present with shoulder symptoms
Brachial Neuritis
usually presents post viral.
Very painful and after the pain subsides it generally leaves atrophy and weakness
nerve entrapment syndromes
produce referred pain
olecranon bursitis
often infection
- may be secondary to gout or trauma
- note that the olecranon bursa does not generally communicate with the true elbow joint
Lateral epicodylitis also called
tennis elbow
tennis elbow is generally due to?
degeneration of the common extensor tendon, particularly the extensor carpi radialis brevis
medial epicondylitis
golfers elbow
medial epicondylitis generally involves what tendon?
the flexor carpi radialis
Ulnar nerve entrapment produces
tenderness on the medial side of the elbow and numbness and paresthesia of the little finger and medial side of the fourth digit
If a pt has pain in the palm with flexion start thinking about?
flexor tenosynovitis
What are ganglia?
Muin filled cysts arising from joint capsules
Why is tendinitis of the extensor pollicis longus worrisome?
Risk of tendon rupture
What is De Quervain’s disease?
inflammation of the extensor pollicis brevis and abductor pollicis longus
De Quervain’s disease is most common in who
WOMEN
Carpal Tunnel involves compression of what nerve?
Median
What systemic conditions is CTS associated with>
heart failure, multiple myeloma, tuberculosis, pregnancy, diabets, obesity, RA, gout
In the hip, trochanteric bursitis is often associated with what findings?
Lateral thign pain ending in the knee
Meralgia paresthetica
L2-L3 entrapment, lateral femoral cutaneous nerve. Causes diffuse lateral thigh pain
Common causes of meralgia paresthtica?
pregnancy obesity diabetes
Achilles Tendinitis
know it
Plantar fascitis
know
pes planus
flat foot, loss of the arch on the medial side of the foot, hereditary
What tendon may rupture as a result of pes planus?
posterior tibialis
What is Morton’s Neuroma
entrapment of the interdigital plantar nerves
WHere does morton’s neuroma most commonly occur?
in between the 3rd and 4th digits
Fibromyalgia
widespread pain for more than 3 mos, it is bilateral and upper and lower
