Shoulder Pain Flashcards
How long does frozen shoulder usually take to resolve?
a year- despite treatment
What age group gets rotator cuff problems- esp. supraspinatus tendonitis?
35-65
What can cause impingement?
rotator cuff tendonitis; calcific tendonitis; subacromial bursitis
What is impingement?
pain from the aubacromial space
What is shoulder pain in the under 30s?
instability
What age group gets rotator cuff tears?
older/elderly patients
How can you differentiate between impingement and frozen shoulder?
impingement isnt painful all the time and is when abduct the arm whereas all movement is a struggle with a frozen shoulder
Where is impingement often felt?
in the mid arm- not local tenderness- referred pain
If the patient pin points their pain directly at the AC joint, what is the likely diagnosis?
OA
What is a painful arc?
pain from 60 to 120degreees but then pain-free at the top
Why is testing ER useful in terms of assessing range of movement?
eliminates scapular-thoracic movement which can compensate lack of shoulder movement
What conditions is ER reduced in?
frozen shoulder; OA; locked posterior dislocation
What does the scarf test cause in the shoudler?
axial compression on the AC joint
How do you carry out the Hawkins-Kennedy test?
arm and elbow are flexed to 90 degrees and then move the arm into IR
What causes subacromial pain in the Hawkins-Kennedy test?
the rubbing of the greater tuberosity against the AC joint
