Soft Tissue Orthopedics- Not done

Question 1

what is overuse syndrome?

Answer 1

syndrome caused by repetitive motion or sustained exertion of a particular body part and results in microtrauma to a musculotendonous unit

Question 2

what does overuse syndrome encompass?

Answer 2

CTS, epicondylitis, DeQuervain’s, Achilles tendonitis, and stress fractures of lower extremity

Question 3

what is tendinitis? what is it usually caused by?

Answer 3

inflammation of the tendon, usually caused by overuse or trauma

Question 4

where does bicipital tendonitis localize? achilles tendinitis?

Answer 4

bicipital- anterior shoulder pain
achilles- posterior hell
*both- pain increases with pactivity

Question 5

what test do you do for tendinitis? why?

Answer 5

radiograph to rule out bony abnormalities

Question 6

tendinitis tx

Answer 6

NSAIDs, ice, activity modification, PT

Question 7

presentation of rotator cuff disorders

Answer 7

recurrent shoulder pain for several months, with or without injury

Question 8

symptoms of rotator cuff DOs (plus things pt cant do)

Answer 8

night pain, weakness, catching and grating (esp when lifting arm overhead)
*patient has trouble doing hair, clasping bra/tucking in shirt, lying on affected side

Question 9

PE for rotator cuff DOs: back of shoulder? ROM? what happens with abduction? TTP over what area?

Answer 9

• back of shoulder appears shrunken in (indicating muscle atrophy)
• Passive ROM is normal, ACTIVE is limited
• shrug motion with abduction
• over greater tuberosity

Question 10

positive test for rotator cuff DO?

Answer 10

drop arm test

Question 11

3 possible tests for rotator cuff DO

Answer 11

1) . outlet view of shoulder reveals a hooked acromion
2) . AP radiograph- high riding humerus
3) . MRI if high suspicion of RTC tear

Question 12

tx for rotator cuff DO

Answer 12

NSAIDs, PT, subacromial steroid injection, arthroscopy or surgery (best done within 6 weeks of injury)

Question 13

frozen shoulder: what age group and gender most affected? pain with what three activities? where does pain localize?

Answer 13

middle aged females
1). pain w overhead activities
2). reaching behind back
3). at night
localizes to shoulder

Question 14

frozen shoulder PE: ROM?

Answer 14

decreased active AND passive ROM (may or may ot have RTC or impingement findings

Question 15

frozen shoulder xrays negative for what?

Answer 15

degenerative joint disease