Shoulder and Elbow Problems Flashcards
What shoulder and elbow problems are most commonly seen in patients in their teens/20s?
Fractures and Instability
What shoulder and elbow problems are most commonly seen in patients in their 30s - 40s?
Rotator cuff & capsulitis
What shoulder and elbow problems are most commonly seen in patients in their 50s & 60s?
Impingement and AC joint problems
What shoulder and elbow problems are most commonly seen in patients in their 70s+?
Degenerative rotator cuff and joint
What is the breakdown of traumatic shoulder dislocation areas?
Anterior - 90%
Posterior - 9%
Inferior - 1%
What are the treatment options for shoulder dislocation?
Manipulation
Immobilisation
Physiotherapy
Surgery
What is the definition of 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 managed?
Subacromial steroid injection
Physiotherapy
Arthroscopic subacromial decompression
What are the causes of “frozen shoulder”?
Adhesive capsulitis
Primary or secondary
How is early presenting frozen shoulder treated?
Hydrodilation
How is late presenting frozen shoulder treated?
Surgery
What is the presentation of frozen shoulder over time?
Initially - increasing pain
Increasing stiffness over months which progresses to thawing
What are the main types of rotator cuff tear?
Traumatic
Degenerative
How are acute rotator cuff tears managed?
Early surgery
How are chronic degenerative rotator cuff tears managed?
Surgery if symptomatic