SHOULDER rotator cuff tendonitus Flashcards
1
Q
SHOULDER rotator cuff tendonitis classic presentation
A
- older patient comes in complaining of gradual onset over the past 2 years (can be both traumatic and non-traumatic)
- when asked to raise arm they lean 15 degrees, then stands upright and is able to abduct his arm to 70 degrees before he complains about inc. pain (supraspinatus injury)
2
Q
similar DDX’s
A
- subacromial bursitis
- osteoarthritis
3
Q
supporting factors
A
- tenderness on greater tubercle of humerus
- painful at acromion process
- “painful arc” of 50-130 degrees
4
Q
refuting factors
A
- no pain or difficulty with first 15 degrees of arm abduction
5
Q
relevant orthos
A
- neers test
- empty can/jobes tests
- +ve drop arm - leads to patient’s arm at approximately 90 degree abduction
6
Q
referrals
A
- ultrasound to determine grade of tear
- long term MRI
7
Q
contraindications
A
- avoid side postures and pressure on the injured shoulder
- avoid toggle table
8
Q
technique
A
- prone diversified
9
Q
care plan
A
2 x a week for 4 weeks then progress
10
Q
recommendations
A
- modify work (no lifting overhead)
- steroid treatments
11
Q
prognosis
A
- good with proper rest
