Shoulder snd elbow problems

Question 1

name the muscles of the rotator cuff

Answer 1

supraspinatus and infraspinatus, subscapularis, teres minor.

Question 2

what is seen in px of a rotator cuff tear?

Answer 2

muscular atrophy of the deltoid causing asymmarty, swelling

Question 3

sy ellicited during examination of a rotator cuff tear?

Answer 3

pain and weakness on extesnsion and abduction and on internal and external rotation of the arm. Crepitus over the shoulder joint.

Question 4

Special examination done?

Answer 4

Hawkin’s test, drop arm test for impingement.

Question 5

which 2 other joints would it impact?

Answer 5

neck and elbow

Question 6

shoulder arthritis…

Answer 6

most common is osteoarthritis, inflammatory arthritis, post-traumatic arthritis. Rotator cuff integrity is paramount. Tx - by 3d ct reconstruction

Question 7

define golfers elbow

Answer 7

area of pain on the inside of thhe forearm

Question 8

define tennis elbow

Answer 8

area of pain on the outside of the forearm

Question 9

what is the percentages of traumatic dislocation on the shoulder ant,post,inf

Answer 9

ant - 90, post-9, inf- 1

Question 10

what is the epidemiology of shoulder injuries?

Answer 10

Teens/20’s: Fractures and instability, 30’s & 40’s: Rotator cuff & capsulitis, 50’s & 60’s: Impingement and AC joint, 70’s + : Degenerative rotator cuff and joint

Question 11

subacromial impingement…

Answer 11

Pain and dysfunction resulting from any pathology which decreases the volume of the subacromial space or increases the size of the contents. Painful arc. Tx - steroid injection, phhysio, arthroscopic decompression

Question 12

frozen shoulder…

Answer 12

pain then stiffness then thawing, adhesive capsulitis, clinical diagnosis, early presentation shows hydrodilation, normal radiograph, later - surgery.

Question 13

rotator cuff tear…

Answer 13

traumatic or degenerative. Acute tear requires surgery, chhronic degenerative tears not always unless symptomatic. Superior capsular reconstruction is a tx option (uses a caderveric skin graft to reconstruct the capsule).