Shoulder

Question 1

What are risk factors for rotator cuff pathology?

Answer 1

> 40 years older
repetitive lifting/overhead activités
athletes
previous tear

Question 2

Describe rotator cuff tendinitis?

Answer 2

Inflammation of the tendon
Responds well to NSAID treatment
Sudden, acute injury
Usually resolves in 4-6 wks

Question 3

Describe rotator cuff tendinopathy?

Answer 3

Microtrauma
Degeneration of the collagen fibers that form the tendon
No true signs of inflammation
Long term recovery (months)

Question 4

What are the symptoms of calcific tendinitis?

Answer 4

Sudden onset of pain
Intense pain with shoulder movement
Stiffness of shoulder
Loss of shoulder range of motion
Pain that disrupts sleep
Tenderness over rotator cuff
Loss of muscle mass

Question 5

How will a patient present with bicep tendinitis?

Answer 5

Achy anterior shoulder pain exacerbated by lifting or elevated pushing or pulling
Pain with overhead activity or with lifting heavy objects
Location of the pain is vague
Symptoms may improve with rest

Question 6

What is the MOI for bicep tendinitis?

Answer 6

Repetitive motion
Partial traumatic biceps tendon ruptures have been described and may occur in combination with underlying tendinitis

Question 7

What are some common complaints of patients with biceps tendinopathy?

Answer 7

Deep, throbbing ache
Anterior shoulder pain
Localized to bicipital groove (may refer deltoid insertion)
More common complaints
Pain may be worse at night
Repetitive overhead motion → causes or aggravates sx
Lying on affected shoulder
Pulling or lifting
Follow-through of a throwing motion

Question 8

what are some potential MOI for biceps tear?

Answer 8

Trauma
FOOSH
Repetitive overhead motion

Question 9

what are some risk factors for biceps tear?

Answer 9

History of rotator cuff tear
Recurrent tendinitis
Contralateral biceps tendon rupture
Rheumatoid arthritis
Age older than 40 yrs
Poor conditioning

Question 10

what are some intrinsic factors of SAPS?

Answer 10

• degeneration
• vascular
• anatomic (shape of acromion)

Question 11

What may bursitis be caused by?

Answer 11

Repetitive motion
Muscle weakness or poor muscle coordination
Incorrect posture
Direct trauma
Shoulder surgery or replacement
Calcium deposits in the shoulder
Overgrowth or bone spurs in the acromion bone
Infection
Autoimmune diseases (such as rheumatoid arthritis, gout, psoriasis, or thyroid disease)
Muscles or tendons in the shoulder area rubbing the bursa & causing irritation

Question 12

What are some risk factors for adhesive capsulitis?

Answer 12

Age 40-65 y/o
Medical hx
Diabetes
Thyroid disease
Previous episode of adhesive capsulitis
Females > Males

Question 13

what is the patient presentation for adhesive capsulitis?

Answer 13

Gradual onset
Progressive worsening of pain & stiffness
Functional complaints of with sleeping, grooming, dressing, reaching activities
ROM loss active & passive → equal b/c capsule & ligament stops
Loss >25% in at least 2 planes & passive external rotation >50% of the involved shoulder
<30° of external rotation
Capsular Pattern

Question 14

What are some presentations of bankart?

Answer 14

Nonspecific shoulder pain/ache
Symptoms of instability
Catching sensation
Avoid FER 2 DF sensation of dislocation

Question 15

what are some presentations of SLAP tear?

Answer 15

Nonspecific shoulder pain with overhead or cross-body activities
Reports of popping, clicking, or catching at the shoulder joint
Deep, vague pain within the shoulder joint in association with weakness or stiffness

Question 16

how does a patient present with an AC sprain?

Answer 16

Anterosuperior shoulder pain
May describe pain radiating to the neck or shoulder
Often worse with movement or when they try to sleep on the affected shoulder
May observe swelling, bruising or a deformity of the AC joint
Piano key sign
Rule out clavicle fracture, or SC Joint injury & neurovascular injury