Shoulder and elbow problems Flashcards
1
Q
What is the general epidemiology for shoulder and elbow problems?
A
- Teens/20’s: Fractures and instability
- 30’s & 40’s: Rotator cuff & capsulitis
- 50’s & 60’s: Impingement and AC joint
- 70’s + : Degenerative rotator cuff and joint
2
Q
What is Subacromial Impingement?
A
Pain and dysfunction resulting from any pathology which decreases the volume of the subacromial space or increases the size of the contents
3
Q
What is the treatment for subacromial impingement?
A
- Subacromial Steroid injection
- Physiotherapy
- Arthroscopic subacromial decompression
4
Q
What is “frozen shoulder”? aka Adhesive capsulitis
A
Painful and disabling disorder of unclear cause in which the shoulder capsule, the connective tissue surrounding the glenohumeral joint of the shoulder, becomes inflamed and stiff, greatly restricting motion and causing chronic pain
5
Q
How is a diagnosis of frozen shoulder made?
A
- Clinical diagnosis
- Normal Radiograph
- Early presentation – inject steroid
- Later - surgery
6
Q
What are the two types of rotator cuff tear?
A
- Traumatic
- Degenerative
7
Q
Treatment of rotator cuff tear?
A
- Acute rotator cuff tears = early surgery
- Chronic degenerative tears = surgery if symptomatic
8
Q
What are some common pathologies of the elbow joint?
A
- Fractures & dislocations in young
- Tendinopathies in middle age
- Degenerative disease in elderly
- Cubital Tunnel syndrome at any age
