Shoulder pain

Question 1

“frozen shoulder”

adhesive capsulitis

Answer 1

shoulder remains stiff for 18-24 months
more common in diabetics
cannot externally rotate or abduct shoulder

tx: painkillers, NSAIDs, corticosteroid injections, exercise, physiotherapy

Question 2

Subacromial impingement

Answer 2

degree of movement

painful on abduction

Question 3

Rotator cuff tendonitis

Answer 3

some degree of abduction (up to 120 degrees)

Question 4

medial epicondylitis

Answer 4

golfers elbow

Question 5

shoulder dislocation

Answer 5

acute presentation
emergency
very painful

Question 6

anterior glenohumeral shoulder dislocation

Answer 6

humeral head is not lying in the gelnoid fossa. neuropraxia to axillary nerve

immediate manipulation and reduction under the sedation in ED resus. if this fails then undergo closed reduction under GA.