Shoulder and elbow problems 2018 Flashcards
Most common epidemiology of shoulder and elbow issues in teens/20s?
Fracture and instability
Most common epidemiology of shoulder and elbow issues in 30s/40s?
Rotator cuff and capsulitis
Most common epidemiology of shoulder and elbow issues in 50s and 60s?
Impingement and AC joint
Most common epidemiology of shoulder and elbow issues in 7-s+?
Degenerative rotator cuff and joint
Epidemiology upper limb fractures?
> Young high energy injuries
> Elderly osteoporotic injuries
Which joint in the body has the most mobility?
Shoulder joint
What is the issue with the shoulder joints high mobility?
Stability sacrificed which increases the risk of traumatic shoulder dislocation
Most common type of traumatic shoulder dislocation?
> Anterior = 90%
Posterior = 9%
Inferior = 1%
Management of traumatic shoulder dislocation?
> Manipulation
Immobilisation
Physiotherapy
Surgery
What is subacromial impingement?
Bigliani Definition (1991): > Pain and dysfunction resulting from any pathology which decreases the volume of the subacromial space or increases the size of the contents
Management of subacromial impingement?
> Subacromial steroid injection
Physiotherapy
Arthroscopic subacromial decompression
Epidemiology of a frozen shoulder?
> Adhesive capsulitis
Primary (Idiopathic)
Secondary
Diagnosis of a frozen shoulder?
> Clinical diagnosis
> Normal radiograph
Management of a frozen shoulder?
> Early presentation - inject steroid
> Later - Surgery
The clinical progression of a frozen shoulder?
1) Initially pain
2) Stiffness occurs
3) Thawing
4) Resolution around 18-24 months
Epidemiology of a rotator cuff tear?
> Traumatic
> Degenerative
Management of a rotator cuff tear?
> Acute (Traumatic) tear = Early surgery
> Chronic (degenerative) tear = Surgery if symptomatic
What factors are considered in deciding whether to perform surgery in rotator cuff injury?
> Size
Time
Age
Types of shoulder arthritis?
> Osteoarthritis
Inflammatory arthritis
Post-traumatic arthritis
If there is loss of the rotator cuff integrity what is likely to occur?
Shoulder arthritis
Most common epidemiology elbow issues in the young?
> Fractures and dislocations
> Cubital tunnel syndrome
Most common epidemiology elbow issues in the middle age?
> Tendinopathies
> Cubital tunnel syndrome
Most common epidemiology elbow issues in the elderly?
> Degenerative disease
> Cubital tunnel syndrome
Which aspect of the elbow experiences pain in Golfer’s elbow?
The flexor aspect, inside of the forearm
Which aspect of the elbow experiences pain in Tennis elbow?
The extensor aspect, the outside of the forearm
