The Shoulder Flashcards
Subacromial bursitis clinical features
Impingement of supra spinsters under the acromion
Insidious onset night pain
Exacerbated by overhead activities
Pain in abduction 45-100 degrees
Subacromial bursitis impingement tests
Neer sign-> forward flexion greater than 90 = pain
Hawkins-> pain on forced flexed and internal rotation
Jobe-> pain on resists pronation and 90 flexion
Subacromial bursitis investigations
X Ray
- calcific tendinitis
- traction osteophytes
- hooked acromion
Subacromial bursitis management
Conservative
- physiotherapy
- NSAIDs
- steroid injection
Surgery
-acromioplasty
Rotator cuff tear risk factors
Age Overhead throwing Shoulder dislocation Impingement Fall on to arm
Rotator cuff tear clinical features
Insidious onset pain
Pain and weakness during over head activities
Night pain
Rotator cuff tear special tests
Empty can test-> supra spinets
Resisted external rotation-> there’s minor and infra spinatus
Resisted internal rotation/belly press-> subscapularis
Rotator cuff tear investigations
X Ray
-calcific tendinitis
-proximal migration of the humerous
MRI/USS for diagnosis
Rotator cuff tear management
Conservative
- physiotherapy
- NSAID’s
- subacromial injection
Surgical
-repair
Biceps tendinitis clinical features
Anterior should pain
Worse when lifting weights in front of the body
Injury or insidious
Biceps tendinitis specific tests
Tender on palpation
Speed test-> pain in bicipital groove on resisted shoulder elevation with extended elbow and supinate forearm
Yegason’s test-> pain in bicipital groove on resisted supination with elbow 90 flexion
Biceps tendinitis investigations
USS
-tendon thickening
MRI
Biceps tendinitis management
Conservative
- NSAIDs
- physiotherapy
NO steroid injections
Surgery
-release
Shoulder dislocation clinical features
Anteriorly directed ford on the arm when the shoulder is abducted and externally rotated Trauma Feeling of instability Shoulder pain Shoulder lower on injured side
Shoulder dislocation specific tests
Apprehension test-> fear on 90 flexion and abduction
Relocation sign -> comfortable with anterior force
Sulcus sign
