Shoulder and Elbow Problems

Question 1

Shoulder dislocation

Answer 1

Anterior dislocation most common

Treatment - manipulation, immobilisation, physio, surgery

Question 2

Subacromial impingement

Answer 2

Narrow of bony tunnel which tendon pass through

Pain and dysfunction due to pathology that decreases subacromial space or increases size of contents

Question 3

Symptoms of subacromial impingment

Answer 3

Pain radiating to chest, traps or elbow
Can't sleep on affected side
Painful arc of abduction
Hawkins test 
Power normal

Question 4

Management of subacromial impingement

Answer 4

X-ray, US, MRI
Subacromial steroid injection
Phsyio
Arthroscopic subacromial decompression

Question 5

Frozen shoulder

Answer 5

Acutely painful to stiff frozen shoulder
Primary or secondary 
Clinical diagnosis 
Early, inject steroid
Late, surgery

Question 6

Rotator cuff tear

Answer 6

Traumatic
Degenerative
Acute - early surgery
Chronic - surgery if symptomatic

Question 7

Shoulder arthritis

Answer 7

Osteoarthritis
Inflammatory arthritis
Post-traumatic arthritis
Rotator cuff integrity paramount

Question 8

Calfcific/tendonitis of shoulder

Answer 8

Calcium phosphate deposits lead to ischaemia decreased movement, hot and swelling, severe pain
Deposits can be seen on x-ray
Treat with injection of corticosteroids, NDAIDs, analgesics, phsyio

Question 9

Most common direction of dislocation of elbow?

Answer 9

Posterior