Nontraumatic shoulder injuries

Question 1

MOI for adhesive capsulitis (Frozen shoulder)

Answer 1

insidious onset

females, fair skin > male

Question 2

Tx of adhesive capsulitis

Answer 2

PT (gentle or aggressive)
injection therapy
lasts about 12 months

Question 3

Eval of GH joint degeneration

Answer 3

ROM, decrease in strength, crepitus

Question 4

If a male presents with a “frozen shoulder” what should you suspect? What about a female?

Answer 4

Male: suspect osteoarthritis, get x-ray
Female: suspect adhesive capsulitis

Question 5

Tx of GH joint degeneration

Answer 5

goal is early detection
PT to maintain ROM and strength
potential surgery if >60

Question 6

What is calcific tendinitis, it’s sx, and tx

Answer 6

Calcium leaks into tendon and causes an inflammatory reaction
Extremely painful and sudden onset
Tx;L Indomethicin for 7-10 days

Question 7

What is AC Joint osteolysis, its sx, and tx

Answer 7

Clavicle is breaking down away from acromion
No trauma, repetitive stress
Pt will point to AC joint for pain
Tx: PT, injection, surgery

Question 8

What is thoracic outlet syndrome

Answer 8

anterior scalene tightness causing neurovasculature getting pinched