Shoulder and elbow problems

Question 1

teens/20’s - shoulder

Answer 1

fracture and instability

Question 2

30’s+40’s - shoulder

Answer 2

rotator cuff, capsulitis and frozen shoulder

Question 3

50’s+60’s - shoulder

Answer 3

impingement and AC joint

Question 4

70’s+ shoulder

Answer 4

degenerative

Question 5

upper limb fractures

Answer 5

young - high energy eg sport, RTA

elderly osteoporotic injury

Question 6

Traumatic shoulder dislocation - why is it common?

Answer 6

most mobile joint so stability is sacrificed

Question 7

anterior, posterior and inferior % of shoulder dislocation

Answer 7

anterior - 90%
posterior - 9%
inferior - 1%

Question 8

bankart lesion

Answer 8

torn labrum

Question 9

treatment of shoulder dislocation

Answer 9

manipulation, immobilisation, physio, arthroscopic surgery

Question 10

Subacromial impingement

Answer 10

middle age, painful arc in abduction

Question 11

Pathology of subacromial impingement

Answer 11

decreased volume of subacromial space eg spur on bone

increased size of contents eg bursa or swollen tendon

Question 12

3 treatment options for subacromial impingement

Answer 12

subacromial steroid injection
physio
arthroscopic subacromial decompression

Question 13

frozen shoulder

Answer 13

inject steroid –> surgery
inflamed synovium
PAIN - STIFFNESS - THAWING

Question 14

2 causes of rotator cuff tear

Answer 14

traumatic or degenerative

Question 15

Treatment of acute rotator cuff tear

Answer 15

early surgery

Question 16

treatment of chronic rotator cuff tear

Answer 16

surgery if symptoms

Question 17

3 types of shoulder arthritis

Answer 17

OA
inflammatory
post-traumatic

Question 18

young elbow injuries

Answer 18

fracture and dislocation

Question 19

middle aged elbow problems

Answer 19

tendinopathies

Question 20

elderly elbow problems

Answer 20

degenerative

Question 21

any age - elbow problems

Answer 21

cubital tunnel syndrome

Question 22

nerve involved in cubital tunnel syndrome

Answer 22

ulnar

Question 23

golfers elbow

Answer 23

inside of forearm pain, flexor muscles on medial epicondyle

Question 24

tennis elbow

Answer 24

outside of forearm pain, extensor muscles on lateral epicondyle

Question 25

Treatment for tendinopathies - golfer/tennis elbow

Answer 25

take bloods, centrifuge and inject platelet rich plasma

horse achilles tendon