Shoulder stuff Flashcards
what is impingement syndrome
tendons of rotator cuff are compressed in tight subacromial space
what are the symptoms/signs of impingement syndrome
painful arc from 60-120 degrees
pain radiated to deltoid and upper arm
tender below lateral edge of acromion
Hawkins sign
what is the treatment for impingement syndrome
NSAIDs, analgesics, Physio, subacromial steroid injection
decompression surgery if conservative treatment doesn’t work
how does acute calcific tendonitis present, cause and treatment
acute sudden onset of severe shoulder pain
calcium deposition in the supraspinatous tendon
subacromial steroid and local anaesthetic injection - self limiting - pain resolves as calcification reabsorbs
how do rotator cuff tears occur
sudden jerk in over 40 yr olds
young and anterior shoulder dislocation
degenerate tears can occur in the elderly - 20% over 60s
what kind of tears occur in rotator cuff tears
and how are these confirmed
can be partial or full thickness and usually involve supraspinatous
MRI
what are the symptoms of rotator cuff tears
weakness of initiation of abduction - supra
weakness of internal rotation - sub
weakness of external rotation - infra
how does adhesive capsulitis present and what are its risk factors
progressive pain and stiffness 40-60s rest;yes over 18-24 months
pain subsides after 2-9 months then stiffness increases for 4-12 months then that slowly resolves
risk factors - dupytrons, DM, cholesterol
what are the clinical signs of adhesive capsulitis, who does it occur in, how long does it last and how is it treated?
loss of external rotation
physio, analgesics, intra articular glenohumeral injection
Treatment and recurrence of traumatic shoulder instability
anterior dislocation settles with physic after reduction
80% redislocation rate in
