Shoulder Pain

Question 1

Adhesive capsulitis

• also known as?
• common in whom?
• features?
• loss of which movements in 50% of patients?

Answer 1

Frozen shoulder

Common in middle-age females and diabetics

Characterised by painful, stiff movement
Limited movement in all directions,

with loss of external rotation and abduction in about 50% of patients

Question 2

Supraspinatus tendonitis

• what is it?
• painful arc abduction between which degrees?
• tenderness over what part of acromion?

Answer 2

Rotator cuff injury

Painful arc of abduction between 60 and 120 degrees

Tenderness over anterior acromion

Question 3

what % of diabetics may have an episode of frozen shoulder

Answer 3

20%

Question 4

Mx of Frozen Shoulder

Answer 4

no single intervention has been shown to improve outcome in the long-term

treatment options include NSAIDs, physiotherapy, oral corticosteroids and intra-articular corticosteroids

Question 5

Acromioclavicular joint (ACJ) dislocation

key features:

• normally secondary to direct injury?
• is the clavicle prominent?

Answer 5

Acromioclavicular joint (ACJ) dislocation normally occurs secondary to direct injury to the superior aspect of the acromion. Loss of shoulder contour and prominent clavicle are key features.

Question 6

Glenohumeral dislocation

About 50% of anterior glenohumeral dislocations are associated with this lesion?

Answer 6

A Hill-Sachs lesion - when the cartilage surface of the humerus is in contact with the rim of the glenoid

Question 7

Supraspinatus tear

most common of rotator cuff tears

• occurs in whom?

Answer 7

t occurs as a result of degeneration and is rare in younger adults