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MSK > Shoulder and elbow problems > Flashcards

Shoulder and elbow problems Flashcards

1
Q

what is the most common injuries in teens and 20s ?

A

fractures and instability

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2
Q

what are the most conditions in 30-40 ?

A

rotator cuff tears

capsulitis

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3
Q

what are the most common conditions in 50s-60s ?

A

impingement

AC joint

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4
Q

what are the most common injuries in 70+ ?

A

degenerative rotator cuff and joint

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5
Q

who gets upper limb fractures ?

A

young, high energy injury

elderly osteoporotic injuries

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6
Q

what is the most common type of traumatic shoulder dislocation ?

A

anterior 90%

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7
Q

how do you treat a traumatic shoulder dislocation ?

A

manipulation
immobilisation
physio
surgery

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8
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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9
Q

how do you treat subacromial impingement ?

A

subacromial steroid injection
physiotherapy
arthroscopic subacromial decompression

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10
Q

what is frozen shoulder ?

A

adhesive capsulitis

primary or secondary

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11
Q

what are signs of frozen shoulder ?

A 
pain 
stiffness
decreased ROM passive and active
positive coracoid pain test
positive shoulder shrug test
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12
Q

what are the phases of frozen shoulder ?

A

pain
stiffness
thawing

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13
Q

what is the treatment for frozen shoulder ?

A 
rest
physio
NSAIDs
hydrodilation
surgery
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14
Q

what causes rotator cuff tear ?

A

traumatic

degenerative

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15
Q

what are signs of rotator cuff tear ?

A

shoulder pain - minimal arc, above head
shoulder weakness
loss of active ROM

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16
Q

how do you treat rotator cuff tear ?

A

acute - early surgery

chronic degenerative - surgery if symptomatic

17
Q

what is superior capsular reconstruction ?

A

option for massive irreparable rotator cuff tears

cadaveric skin graft, not tendon

18
Q

what are the types of shoulder arthritis ?

A

osteoarthritis
inflammatory arthritis
post-traumatic arthritis

19
Q

what is most important in regard to shoulder arthritis ?

A

maintaining the integrity of the rotator cuff

20
Q

what are the different elbow conditions in each age group ?

A

young - fractures and dislocations
middle age - tendinopathies
elderly - degenerative disease
cubital tunnel syndrome at any age

MSK (29 decks)

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