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MSK Revision > Shoulder Problems > Flashcards

Shoulder Problems Flashcards

1
Q

What are the 3 things that can cause pain in the neck to shoulder region?

A

Muscular pain
Nerve root entrapment
Whiplash Injury

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2
Q

What movement causes a whiplash injury?

A

Hyperextension

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3
Q

What is the cause of nerve root entrapment in the neck? (2)

A

Acute cervical disc prolapse

Pressure from spondyolictic osteophytes

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4
Q

What are symptoms of nerve root entrapment?

A

Unilateral pain in the neck and the shoulder that is acute

Pins and needles, numbness and decreased reflexes

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5
Q

What is the treatment for nerve root entrapment?

A

Boarding, physiological, analgesia and corrective surgery

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6
Q

What structure deepens the socket in the shoulder count?

A

Glenoid labrum

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7
Q

What 3 muscles are responsible for shoulder extension?

DLT

A

Posterior Deltoid
Latissimus dorati
Teres major

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8
Q

What 4 muscles are responsible for shoulder flexion?

BDPC

A

Biceps brachii
Anteroir deltoid
Pectoralis major
Coracobrachialis

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9
Q

What muscles are responsible for abduction?

STDS

A

Supraspinatus
Teres major
Deltoid
Serratus anteroir

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10
Q

What 3 muscles are responsible for shoulder adduction?

PLT

A

Pectoralis major
Latissimus dorsi
Teres major

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11
Q

What muscles are responsible for shoulder medial rotation?

SPLTD

A 
Subscapularies
Pectoralis major
Latissimus dorsi
Teres major
Deltoid
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12
Q

What 2 muscles are responsible for shoulder lateral rotation?
IT

A

Infraspinatus

Teres minor

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13
Q

What is the most common cause of shoulder pain?

A

Rotator cuff tendinosis

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14
Q

What symptoms does someone with rotator cuff tendinitis have?

A

Painful arc syndrome

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15
Q

What is the treatment for rotator cuff tendinosis?

A

Analgesia, Physik and corticosteroid injection

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16
Q

What is the classic presentation of a rotator cuff tear?

A

They cannot Abduct their arm, they passively pick it up and then hold it in place with the deltoid muscle

17
Q

What dislocation is the most common?

A

Anterior

18
Q

What are the clinical features of a dislocated shoulder?

A 
Asymmetry 
Pain
Loss of range of movement 
Clear abnormality 
Hx of trauma
19
Q

What is the diagnostic investigation for a dislocated shoulder?

A

X-ray

20
Q

What is the management of a dislocated shoulder?

A

Manual manipulation
Physio Strength training
Analgesia
Surgery to correct

21
Q

What is subacromial impingement? And what causes it?

A

This is loss of the SA joint space due to either loss of volume of increase in the volume of contents ie inflammation

22
Q

What are the symptoms of subacromial impingement?

A

Painful arc syndrome

Cannot abduct over the horizontal plane(Hawkin’s test)

23
Q

What is the diagnostic investigation in SI?

A

X-ray

24
Q

What is the management of a subacromial impingement?

A

Steroid injection, Physiotherapy

Arthroscopic subacromial decompression

25
Q

Which muscle tendon is usually involved in this?

A

Supraspinatus muscle

26
Q

What is the other name for a frozen shoulder?

A

Adhesive Capsulitis

27
Q

What is the cause of pain in a frozen shoulder?

A

Inflammation and thickening of the joint capsule

28
Q

What are the symptoms in frozen shoulder?

A

Pain initially but this clears up and becomes stiffness

29
Q

What is the management of a frozen shoulder?

A

Steroid injection if early presentation

30
Q

What is bicep tendinopathy?

A

Where the head of the biceps tendon becomes inflamed

31
Q

What are the symptoms of BT?

A

Anterior pain that is worse at night or an pulling/straining

32
Q

What is the management of BP?

A

Surgical repair if it ruptures oththeriwse PT and analgesia

33
Q

What causes a clavicle fracture?

A

Fall on an outstretched arm

34
Q

where is the most common site fo fracture?

A

Middle 1/3

35
Q

What is the management of a fractures clavicle?

A

Immobilisation for 2 weeks
Collar sling
May need surgery if open or poor healing

MSK Revision (14 decks)

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