Shoulder and Hip Complaints (Exam 2)

Question 1

What is subacromial bursitis?

Answer 1

-acute or chronic inflammation of the synovial fluid filled sac that lies between a tendon and either skin or bone to act as a friction buffer
-may result from repetitive stress, infection, autoimmune disease, or trauma
-pain at site of bursa and tenderness to palpation and decreased AROM (especially painful arc on shoulder abduction with subacromial bursitis)*****

Question 2

What is known as frozen shoulder?

Answer 2

adhesive capsulitis

Question 3

What is adhesive capsulitis?

Answer 3

-chronic fibrosing condition characterized by insidious, progressive, and severe restriction of both AROM and PROM
-more common in patients 40-70 y/o

Question 4

What are the risk factors for adhesive capsulitis/frozen shoulder?

Answer 4

-traumatic shoulder injury
-prior shoulder surgery
-DM
-thyroid disease
-previous hx of adhesive capsulitis/frozen shoulder

Question 5

What is one of the most common shoulder conditions?

Answer 5

rotator cuff pathology

Question 6

What does rotator cuff pathology include?

Answer 6

-traumatic tears
-tendinitis with repetitive overhead activities
-impingement and chronic degeneration

Question 7

What would the history look like for someone with rotator cuff pathology?

Answer 7

-shoulder pain and weakness
-loss of AROM

Question 8

Impingement shoulder syndrome is worse with what?

Answer 8

overhead activity

Question 9

What is biceps (bicipital) tendonitis?

Answer 9

-impingement or inflammatory injury of the long head of the biceps tendon
-achy anterior shoulder pain exacerbated by lifting heavy objects or overhead activity
-may be present with tenderness at the bicipital groove

Question 10

What is glenohumeral or acromioclavicular arthritis?

Answer 10

-joint degeneration with limited PROM and AROM
-AC joint arthritis pain is usually over the superior aspect of shoulder
-joint pain and stiffness typically increases with activity

Question 11

Arthritis is more common where- glenohumeral or acromioclavicular joint?

Answer 11

AC joint

Question 12

Acute/traumatic hip and groin pathology includes what?

test q

Answer 12

-muscle strains
-contusions
-hip dislocations
-intra-articular pathology (labral tear or chondral injury)
-fracture (the affected side may be shortened and externally rotated if the hip fracture is displaced**)

Question 13

Chronic/overuse hip and groin pathology includes what?

test q

Answer 13

insidious onset of pain, no mechanism of injury, frequently seen in high demand competitive athletes
-muscle and or tendon related
-bursitis (trochanteric bursitis)
-inguinal related hernia
-osteitis pubis (inflammation of pubic symphysis)
-snapping hip (iliopsoas tendonitis, makes pop sound)
-stress fracture (can be secondary to steroid therapy, deficiencies of calcium, vit D, or estrogen)

Question 14

Degenerative hip and groin pathology has insidious onset of pain with decreased ROM and commonly includes osteoarthritis. Osteoarthritis of the hip can also be predisposed by what condition?

Answer 14

legg-calve-perthes disease (childhood hip disorder caused by the disruption of blood flow to the femur heard, femur head will die)

Question 15

Congenital/anatomical hip and groin pathology includes what?

test q

Answer 15

-hip dysplasia
-slipped capital femoral epiphysis (fracture through the growth plate with separation of head from femur)

Question 16

Referred pain from GI includes what?

Answer 16

-appendicitis
-diverticulosis
-IBS

Question 17

Referred pain from GU includes what?

Answer 17

-UTI
-prostatitis
-nephrolithiasis

Question 18

Which nerves are commonly entrapped in the hip/groin area?

Answer 18

obturator or lateral femoral cutaneous nerve

Question 19

What is this condition called?
-compression of lateral femoral cutaneous nerve causing numbness and burning pain over outside of thigh
-caused by obesity, weight gain, pregnancy, tight clothes, local trauma, DM

test q

Answer 19

meralgia paresthetica