Shoulder and Elbow Problems Flashcards
What shoulder problems are more common in the teens and 20s?
Fractures and instability
What shoulder problems are more common in the 30s and 40s?
Rotator cuff and capsulitis
What shoulder problems are more common in the 50s and 60s?
Impingement and AC joint
What shoulder problems are more common in the 70s+?
Degenerative rotator cuff and joint
How does the cause of upper limb fractures differ amongst age groups?
- Young usually high energy injury
- Elderly usually osteoporotic injury
What does management of upper limb fractures depend on?
Fracture configuration and patient biology
What is the most mobile joint in the body?
Shoulder, it sacrifices stability for mobility
What are the types of traumatic shoulder dislocation?
- Anterior 90%
- Posterior 9%
- Inferior 1%
How are shoulder dislocations treated?
- Manipulation
- Immobilisation
- Physiotherapy
- Surgery
Why does painful arc occur?
Subacromial impingement
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
How is subacromial impingement treated?
- Subacromial steroid injection
- Physiotherapy
- Arthroscopic subacromial decompression
What is another name for frozen shoulder?
Adhesive capsulitis
How is frozen shoulder diagnosed?
- Clinical diagnosis
- Normal radiograph
How is frozen shoulder treated?
- Early presentation= inject steroid
- Late presentation= surgery