Soft Tissue Rheumatism Lecture Powerpoint

Question 1

Rotator Cuff Syndrome and treatment

Answer 1

Repetitive strain with gradual tendon deterioration occurring over years manifesting as pain in anterior and lateral aspect of shoulder especially with abduction and extremes of rotation, presents with tenderness over rotator cuff, pain on active and passive abduction and extremes of rotation
Treated with rest, ROM, exercise, NSAIDS, corticosteroid injection, or physical therapy

Question 2

Bicipital tendinitis and treatment

Answer 2

Repetitive strain occurring over days to weeks, pain in anterior aspect of shoulder especially with biceps contracture, tender over anterior aspecet of shoulder worsened with biceps contracture
-treated with rest, NSAIDS, and sometimes a steroid injection

Question 3

Yergason maneuver

Answer 3

Resisted supination to test for pain that is indicative of bicipital tendonitis if pain is elicited

Question 4

Adhesive casulitis and treatment

Answer 4

Frozen shoulder, associated with tendonitis/arthritis in shoulder, associated with diabetes, lung cancer, pulmonary TB, MI, subacute pain course with pain and limitation of ROM, abduction, and rotation, physical decreased ROM, abduction and rotation, with pain, no synovitis
-treated with corticosteroid injection and PT, NSAIDS

Question 5

Olecranon bursitis

Answer 5

Usually due to trauma, sometimes due to inflammation like RA or gout, typically as history of pain and swelling over olecranon, swelling and tenderness over olecranon, ROM of elbow is normal, synovial fluid is noninflammatory, treated with aspiration and corticosteroid injection

Question 6

Epicondylitis and treatment

Answer 6

Repetitive strain injury (lateral tennis, medial golf), history of elbow pain with shaking hands or other activities involving turning hand or wrist,

treated with rest, NSAIDS, corticosteroid injection, physical therapy

Question 7

Phalen sign

Answer 7

Flexion of wrists for 20-30 seconds against each other and checking for tingling up wrist indicative of carpal tunnel syndrome alongside other tests like tinels test

Question 8

Underlying conditions with carpal tunnel syndrome (3)

Answer 8

• metabolic diseases such as diabetes or hypothyroidism
• pregnancy (self limiting)
• RA

Question 9

Carpal tunnel syndrome treatment options (4)

Answer 9

• treat underlying condition
• NSAIDS
• corticosteroid injection
• carpal tunnel release

Question 10

Trochanteric bursitis and treatment

Answer 10

Pain in hip actually over trochanteric region, nocturnal pain, tenderness of trochanteric region, ROM of hip is normal, radiographs normal,
treated with corticosteroid injection or NSAIDS

Question 11

Anserine bursitis

Answer 11

Located at the pes anserine lateral and inferior to the kneecap, may be associated with osteoarthritis

Question 12

Retrocalcaneal bursitis

Answer 12

Condition causing heel pain, spreads between achilles tendon and calcaneus, treated with steroid injection, have to monitor not to inject the achilles tendon on accident