Shoulder and elbow problems Flashcards
Who are upper limb fractures most often seen in?
Young- high energy injury
Elderly osteoporotic patient
What is the treatment of an upper limb fracture dependent on?
Fracture configuration
Patient biology
What is the most common type of shoulder dislocation?
Anterior
What are posterior shoulder dislocations associated with?
Seizures
What is the management of a shoulder dislocation?
Manipulation
Immobilisation
Physio
Surgery
What is subacromial impingement?
Pain and dysfunction resulting from any pathology which decreases the volume of subacromial space or increases size of its contents
What are the causes of subacromial impingement?
Bony outgrowth under acromion
Inflammation under supraspinatous
Inflammation under subacromial bursa
Who is subacromial impingement seen in?
30-50 year olds
What are the signs and symptoms of subacromial impingement?
Painful arc
What is the treatment of subacromial impingement?
Subacromual steroid injection
Physio
Arthroscopic subacromial decompression
What is adhesive capsulitis?
Frozen shoulder
What are the types of frozen shoulder?
Primary= idiopathic
Secondary
What are the factors that contribute to secondary frozen shoulder?
DM
Trauma
Previous shoulder surgery
Thyroid dysfunction
What are the signs and symptoms of frozen shoulder?
Early on- severe pain
Increasing stiffness
Thaws by 18-24 months
How is adhesive capsulitis diagnosed?
Clinical
Normal xray