Shoulder Pathology - Background + Acute RC Tendonitis (calcific tendonitis)

Question 1

Shoulder pain is a common presenting symptom, so a good knowledge of common
differentials is important;

Acute (?) rotator cuff ?.
? rotator cuff tendonitis.
Rotator cuff ?.
? capsulitis.
? bursitis.
Cuff ?.
??.
??.
Poly? ?

Answer 1

calcific tendonitis
chronic
tear
adhesive
subacromial
arthropathy
RA
OA
polymyalgia rheumatica

Question 2

It is useful to first separate the presenting complaint into ?/? pathology.

? pathology presents with more global symptoms affecting all movements, and may be inflammatory (? ? that eases on movement) or ? (worse after repeated use).

Answer 2

articular/peri-articular
articular
morning stiffness
degenerative

Question 3

Acute Rotator Cuff Tendonitis (? tendonitis);

Deposition of ? (basic calcium phosphate) in the ? tendon, leading to an intense ? reaction and ?.

Answer 3

calcific
apatite
supraspinatus
inflam
swelling

Question 4

Presentation;
o ? patients, complaining of ? pain following ?
o Pain increases to an intense ?, before resolving in a few ?.

Answer 4

young
aching
overuse
climax
days

Question 5

Presentation
o The arm is held ?, and the joint is often too ? to palpate.
o XR will show ? just above the ? tuberosity.

Answer 5

immobile
tender
calcification
greater

Question 6

Management involves ? the arm in a ?, with ?s prescribed.
More severe pain may require intra-? corticosteroid/? injection.
The condition usually resolves over 1-3 ?

Answer 6

resting
sling
NSAIDs
capsular
lignocaine
weeks