Rotator Cuff & Biceps tendinopathy Flashcards
what groups of people are rotator cuff tendinopathies most common in
athletes that throw things and manual workers that reach overhead(eg painter)
what is the most common rotator cuff muscle to be involved in a tendinopathy
supraspinatous
what are some of the intrinsic factors that contribute to rotator cuff tendinopathy
degeneration and tendon vascularity
what clinical features are seen in patients with rotator cuff tendinopathy
pain, tenderness around shoulder, difficulty sleeping on affected side/reaching overhead
describe the pain in rotator cuff tendinopathy
dull achy pain which gradually increases, pain presents in all 4 tendons of rotator cuff
what is typically seen on examination in rotator cuff tendinopathy
painful arc with rotator cuff weakness, may have +ve impingements such as Hawkins-Kennedy, as well as Jobe’s and Scarf tests
what is involved in the conservative management of rotator cuff tendinopathy
rest, physio, steroid and local anaesthetic injections
what is involved in the surgical management of rotator cuff tendinopathies
arthroscopic or open subacromial decompression, and rotator cuff repair
what is the gold standard of imaging for rotator cuff tendinopathy
USS
what different tendinopathies can be seen in biceps
tendonitis, tendonosis, rupture or tenosynovitis
what are some causes of bicep tendinopathy
overuse, instability, impingement, trauma
what groups of people are bicep tendinopathies often seen in
occupation with heavy lifting or overhead use, also athletes that throw, swim or gymnasts
what part of the bicep are tendinopathies most often seen in
although can be any part
predominantly long head of biceps
describe the pain felt in bicep tendinopathy
anterior to shoulder, radiating to elbow. aggravated by; shoulder flexion, forearm pronation, elbow flexion
what clinical signs are seen in bicep tendon rupture
popeye sign(lump on bicep), extensive bruising
