Shoulder Pathology - Chronic RC Tendonitis + Adhesive Capsulitis + Subacromial Bursitis

Question 1

Chronic RC Tendonitis

Over-use or minor ? of the rotator cuff initiate a subacute / chronic
? response leading to ? and ?.

Answer 1

tears
vascular
pain
stiffness

Question 2

Chronic RC Tendonitis

Presentation;
o Pain in the shoulder, characteristically worse when? and when
?/? the arm.
o There is tenderness just ? the ? edge of the acromion.
o ? ? present (60-? degrees), with less pain when ?
abducted.

Answer 2

at night
abducting
elevating
beneath
anterior
painful arc
120
passively

Question 3

Chronic RC Tendonitis
o ? is normal despite the pain (separates it from a ?).
o XR may show ? from former events, but MRI / ?are diagnostic.

Answer 3

power
tear
calcification
USS

Question 4

Chronic RC Tendonitis

Management is ? analgesia, with ? ? and physiotherapy if severe.
If this fails to control symptoms, ? ‘decompression’ of the rotator cuff can take place;
o Excision of the ?-?ligament and any ?

Answer 4

NSAID
ster inj
arthroscopic
coraco-acromial
osteophytes

Question 5

Adhesive Capsulitis;

True ‘frozen shoulder’ is ?, more common in ?

There are limited signs on examination as the joint cannot be moved due to
?, with limited ? ? classic.

Mx - reassurance, NSAIDs and ? steroid injections

Answer 5

rare
diabetics
pain
external rotation
intrarticular

Question 6

Adhesive Capsulitis

Presentation;
o Initial progressive ‘?’ pain that stops the patient ? on the affected side, but starts to subside after a few ?.
o Increasing ?, worsening as the ? subsides, and may last 6-12 ?.
o The process tends to resolve ? after about ?months.

Answer 6

deep
sleeping
months
stiffness
pain
months
spontaneously
18

Question 7

Subacromial Bursitis;

Often due to ? overhead lifting, ? or trauma.
Classically causes a ‘?’ pain rather than the ? ? of cuff pathology, worse pain when lifting ? the ? and stiffness when passively
? the arm.

Answer 7

repetitive
pulling
burning
dull ache
above the head
abducting

Question 8

Subacromial Bursitis

Diagnosis is with ?/? to separate from ? pathology.
Treatment is non-?, primarily NSAIDs and avoiding ? movements.

Answer 8

USS/MRI
cuff
surgical
exacerbating