Shoulder and Elbow Problems Flashcards

1
Q

What shoulder problems are more common in the teens and 20s?

A

Fractures and instability

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2
Q

What shoulder problems are more common in the 30s and 40s?

A

Rotator cuff and capsulitis

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3
Q

What shoulder problems are more common in the 50s and 60s?

A

Impingement and AC joint

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4
Q

What shoulder problems are more common in the 70s+?

A

Degenerative rotator cuff and joint

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5
Q

How does the cause of upper limb fractures differ amongst age groups?

A
  • Young usually high energy injury

- Elderly usually osteoporotic injury

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6
Q

What does management of upper limb fractures depend on?

A

Fracture configuration and patient biology

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7
Q

What is the most mobile joint in the body?

A

Shoulder, it sacrifices stability for mobility

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8
Q

What are the types of traumatic shoulder dislocation?

A
  • Anterior 90%
  • Posterior 9%
  • Inferior 1%
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9
Q

How are shoulder dislocations treated?

A
  • Manipulation
  • Immobilisation
  • Physiotherapy
  • Surgery
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10
Q

Why does painful arc occur?

A

Subacromial impingement

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11
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

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12
Q

How is subacromial impingement treated?

A
  • Subacromial steroid injection
  • Physiotherapy
  • Arthroscopic subacromial decompression
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13
Q

What is another name for frozen shoulder?

A

Adhesive capsulitis

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14
Q

How is frozen shoulder diagnosed?

A
  • Clinical diagnosis

- Normal radiograph

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15
Q

How is frozen shoulder treated?

A
  • Early presentation= inject steroid

- Late presentation= surgery

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16
Q

What are the 2 types of frozen shoulder?

A
  • Primary (idiopathic)

- Secondary

17
Q

What is the course of frozen shoulder?

A
  • Pain
  • Stiffness
  • Thawing
  • Pain and stiffness can overlap
  • Can be around 18-24 months
18
Q

What are the 2 causes of rotator cuff tear?

A
  • Traumatic

- Degenerative

19
Q

What does persistent pain despite clear x-ray suggest?

A

Rotator cuff tear

20
Q

What is the treatment for rotator cuff tear?

A
  • Acute= early surgery

- Chronic degenerative= surgery if symptomatic

21
Q

What does treatment for rotator cuff tear depend on?

A
  • Size
  • Age
  • Time
22
Q

What types of shoulder arthritis are there?

A
  • Osteoarthritis
  • Inflammatory arthritis
  • Post-traumatic arthritis
23
Q

What is paramount in shoulder arthritis?

A

Rotator cuff integrity

24
Q

What elbow problems commonly occur in the young?

A

Fractures and dislocations

25
Q

What elbow problems commonly occur during middle age?

A

Tendinopathies

26
Q

What elbow problems occur in the elderly?

A

Degenerative diseases

27
Q

What elbow syndrome occurs at any age?

A

Cubital tunnel syndrome

28
Q

Where is the pain in golfer’s elbow

A

Medial epicondyle

29
Q

Where is the pain in tennis elbow?

A

Lateral epicondyle