Rotator Cuff Related Pain Flashcards

1
Q

PTS is more common in which sex?

A

Males

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2
Q

This is unilateral shoulder girdle pain that is worse at night

A

Parsonage Turner Syndrome (idiopathic brachial pexopathy, brachial neuritis, neuralgic amyotrophy)

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3
Q

PTS will be different from TOS in what ways?

A

Constant pain and negative TOS tests

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4
Q

PTS is treated in PT by…

A

Focus on restoring strength seen in MMT

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5
Q

Multiple episodes of similar symptoms to parsonage turner is likely

A

Hereditary neuralgic amyotrphy

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6
Q

Calcific tendinitis typically affects what age group and sex?

A

40-60 yo and females

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7
Q

CT is likely due to what?

A

Metabolic issues like DM and hypothyroidism, genetics

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8
Q

What is the onset of CT like? What time of day is it worse? Where is pain?

A

Severe spontaneous pain
Worse in AM
Anterior shoulder like bicipital groove or posterior shoulder inferior to spine of the scapula

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9
Q

CT is different from AC in what ways?

A

Worse in the AM and AC has increasing ER limitations with increase should abduction

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10
Q

CT is different from biceps tendonopathy in what ways?

A

Biceps tendinopathy doesn’t have ROM impairments

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11
Q

What are conservative Tx for CT?

A

Extracorporeal shockwave therapy, steroid injection or percutaneous needling. Ionto is not effective

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12
Q

External impingement is when

A

Rotator cuff muscles, tendons and bursa rub against the anterior 1/3 of the acromion

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13
Q

Type one acromion is

A

Flat

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14
Q

Type 2 acromion is

A

Curved

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15
Q

Type 3 acromion is

A

Hooked (RCT are most common)

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16
Q

Internal impingement is when

A

The underside of the muscles are pinched between the humeral head and glenoid

17
Q

Bursal sided rotator cuff tears are due to

A

Impingement

18
Q

Articular sided tears are due to

A

Internal impingement

19
Q

Posterior impingement is the most common primary impingement. What motions cause this?

A

Shoulder abduction, ER and horizontal hyper abduction.

-tight posterior band of the GH ligament can contribute

20
Q

Secondary impingement is due to

A

Shoulder instability whether it is due to lax ligaments, poor dynamic control, or excessive demands due to overhead throwing

21
Q

Possible shoulder impingement CPR
4 items

A
  1. Positive Hawkins Kennedy
  2. Painful arc
    3 positive infraspinatus MMT for weakness or pain
    4 positive ER lag sign

Looking for 2 out of 3 for 90% probability

22
Q

What symptoms does posterior impingment have?

A

Location is posterior shoulder, pain with throwing, weakness and decreased throwing performance

23
Q

What are some intrinsic factors for RCT?

A
  1. Age: collagen thinning and decreased vascularity
  2. DM and smoking decrease vascularity and delivery of oxygen
  3. Hyperlipidemia: fatty deposits in tendons which can’t handle stress and loading as well
  4. Genetics
24
Q

Full thickness rotator cuff CPR

A

Age over 65
ER weakness
Night pain
-all three needed for tear

25
Q

Park et all rotator cuff CPR

A
  1. Painful arc
  2. Weakness or pain with infraspinatus MMT
  3. Positive drop arm test

3= 91%
2= 69%

26
Q

_% of people over the age of 65 have a RCT

A

55

27
Q

_% of asymptomatic people under the age of 65 have partial or full RCT

A

40