Shoulder disorders Flashcards
Symptoms of subacromial impingement syndrome?
- Anterior/Lateral Shoulder Pain
- Primary complaint is pain with overhead activity
- Gradual or sudden onset
- Night pain
Does SIS have a specific cause?
No. May be:
- Tendinopathy
- Bursitis
- Partial Tears
- Complete Tears
What are the risk factors for SIS?
-Smoking, hooked acromion, desk jobs, prone sleeping
What are some extrinsic causes of SIS?
- Acromial shape
- Occupation/sport
- Degenerative joing
- Instability
What are some intrinsic causes of SIS?
- Limited blood flow
- Microtrauma theory
What are prognostic indicators of SIS?
-Poor prognosis from high pain and longer duration
List the neer classifications for rotator cuff tear
- 1: Under age 25, reversible, swelling, tendonitis, no tear, conservative treatment
- 2: Age 25-40, permanent scarring, tendonitis, no tears, subacromial depression
- 3: Over age 40, small RC tear, SAD with debridement and repair
- 4: Over age 40, large tear, SAD with repair
What’s the difference between partial and full thickness tears
-Partial can heal,. full can’t heal
What is the difference between large and small tears
Large >1cm, small <1cm
Can asymptomatic tears become symptomatic?
Yes, 50% do in 3 yars.
What is the most common cause of traumatic tears?
FOOSH
In order, what RC muscles are most commonly torn
-Supraspinatus, subsccapularis, infraspinatus
Is conservative care indicated in traumatic tears?
Less effective, early surgery for large tears and young patients.
What are the risk factors for a degenerative RC tear?
Smoking, hypercholerterolemia, genetcics, age
What are the signs of poor prognosis in RC tears?
Greater pain and less motion, large full thickness,
