Upper Limb Injuries

Question 1

Name rotator cuff muscles

Answer 1

Internal rotator- supraspinatous,
Infraspinatous, teres minor,
External rotator- subscapularis muscle

Question 2

What are the commonest cause of pain around the shoulder

Answer 2

The disorders of rotator cuff

Question 3

Name symptoms associated with rotator cuff syndrome

Answer 3

1. supraspinatus impingement and tendinitis
2. rotates cuff tears
3. Biceps tendinitis
4. Acromioclavicular joint (osteoarthritis)

Question 4

What is sub-acromial bursitis

Answer 4

Inflammation of bursa that lies over deltoid muscle in sub-acromial space.

Question 5

Prevalence of SUB

Answer 5

• Repetitive microtrauma - over head action = shotput
• inflammation of bursa = 3th, 4th decades
• impingement pain = neutral position to abduction

Question 6

What is impingement syndrome

Answer 6

• Pain in shoulder abduction from 60° - 120°= The sub acromial bursa is engaged within the sub acromial space so as the bursa moves out of it the pain is relieved

Question 7

Name 4 test that test impingement

Answer 7

1. painful arc
   2 neer’s is impingement sign
   ③ neer’s impingement test
   4 hawkins-kennedy test

Question 8

Explain the neer’s Test

Answer 8

• Patient in standing position, shoulder s flexed to 20° and fully medial rotation, arm is passively moved through, flexion positive test = pain anterolateral between 80º140°