Shoulder Pathologies

Question 1

Adhesive Capsulitis

Answer 1

Restricted AROM and PROM; dense
adhesive fibrosis and scarring in
capsule; chronic inflammation may be
seen in rotator cuff, biceps tendon, and
synovial tissue

Question 2

Adhesive Capsulitis -presentation

Answer 2

Ages 40–65 years; females; commonly
associated with DM and thyroid disease,
self-limiting, resolves on its own;
capsular pattern loss

Question 3

Adhesive Capsulitis Treatment

Answer 3

Increase ROM with GH mobilizations; may
need closed manipulation under
anesthesia

Question 4

Impingement syndrome characteristics

Answer 4

Throwing, swimming, and/or racquet
sports; humeral head and rotator cuff
tendons moving proximal and becoming
impinged under acromion and
coracoacromial arch

Question 5

Impingement syndrome presentation

Answer 5

Painful arc of motion in the range
60°–120°; +ve special tests

Question 6

Impingement syndrome treatment

Answer 6

RICE; NSAIDs; rotator cuff strengthening;
scapular stability; improved biomechanics

Question 7

rotator cuff tear

Answer 7

Impaired blood supply to tendon,
microtrauma, resulting in degeneration

Question 8

rotator cuff tear presentation

Answer 8

Night or resting pain; limitation of abduction and lateral rotation; +ve special tests

Question 9

rotator cuff tear treatment

Answer 9

RICE; NSAIDs; PROM, AAROM, and AROM;
isometrics; strengthen upper limb
muscles; wait to return to light functional
activities: 6 wk for arthroscopic or
mini-open repair and 12 wk for
traditional repair; avoid return to
functional activities with heavy resistance
for 6–12 mo after repair