Shoulder and Elbow Problems Flashcards
What are the commonest shoulder and elbow problems in teens-20s?
Fractures and instability
What are the commonest shoulder and elbow problems in 30s-40s?
Rotator cuff injury and capsulitis
What are the commonest shoulder and elbow problems in 50s-60s?
Impingement and AC joint
What are the commonest shoulder and elbow problems in 70s+?
Degenerative rotator cuff and joint
What does management of upper limb fractures depend on?
Fracture configuration and patient biology
What is the most mobile joint in the body?
Shoulder joint - stability is sacrificed for mobility
What percentage of traumatic shoulder dislocations are anterior, posterior and inferior?
90% anterior
9% posterior
1% inferior
What is the treatment of traumatic shoulder dislocation?
Manipulation
Immobilisation
Physiotherapy
Surgery
What is subacromial impingement?
Pain and dysfunction resulting from any pathology which decreases the volume of the subacromial space or increases the size of the contents
What is the treatment of subacromial impingement?
Subacromial steroid injection
Physiotherapy
Arthroscopic subacromial decompression
What are the causes of frozen shoulder?
Adhesive capsulitis
Primary or secondary
How is frozen shoulder diagnosed?
Clinically - normal radiography
What is the treatment of frozen shoulder?
Early presentation - steroid injection
Late presentation - surgery
What are the causes of rotator cuff tear?
Traumatic
Degenerative
What is the treatment of rotator cuff tear?
Acute rotator cuff tears - early surgery
Chronic degenerative tears - surgery if symptomatic
Dependent on size, time and age
