Shoulder Problems Flashcards

1
Q

what four muscles make up the rotator cuff?

A

supraspinatus
infraspinatus
teres minor
subscapularis

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2
Q

what are the four extrinsic muscles of the shoulder joint?

A

deltoid
trapezium
pec major
latissimus dorsi

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3
Q

who is most commonly affected by shoulder instability?

A

young, sporty people

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4
Q

what is the most common cause of shoulder instability?

A

trauma

can also be due to rotator cuff tears

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5
Q

what are the two types of shoulder instability?

A

anterior dislocation

posterior dislocation

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6
Q

which type of shoulder dislocation is most common?

A

anterior

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7
Q

what can cause posterior shoulder dislocation?

A

epilepsy

electrocution

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8
Q

what sign is seen on x-ray in a posterior shoulder dislocation?

A

light bulb sign = internally rotated humeral head

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9
Q

how is acute shoulder instability managed?

A

closed reduction
analgesia + sedation
sling

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10
Q

how is chronic shoulder instability managed?

A

physiotherapy

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11
Q

name three possible methods for reducing an anterior shoulder dislocation

A

kocher method
hippocratic method
stimson method

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12
Q

what is the post reduction treatment of shoulder instability?

A

2-3 weeks rest in a sling
analgesia
gradual early mobilisation
physio

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13
Q

what investigations are done for shoulder instability?

A

radiographs - AP and garth views

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14
Q

what is a garth view radiograph?

A

apical oblique view

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15
Q

name four possible associated injuries with shoulder instability

A

labral lesion
fracture of the humeral head
fracture of glenoid
rotator cuff tear

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16
Q

how does impingement syndrome present?

A

pain originating from the sub-acromial space

17
Q

what special tests can be done for impingement syndrome?

A

hawkins
jobes
painful arc

18
Q

what is the conservative management for impingement syndrome?

A

rest
activity modification
physio

19
Q

what is the medical management for impingement syndrome?

A

corticosteroid injections - up to twice

20
Q

when is surgery done for impingement syndrome and what surgery is done?

A

after min 6 months non operative treatment

arthroscopic or open subacromial decompression

21
Q

how does a rotator cuff tear present?

A

weakness
acute trauma
pain