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STEP 2 dermal/MSK > UW revision adhesive capsulitis and other shoulder 12-26 (1) > Flashcards

UW revision adhesive capsulitis and other shoulder 12-26 (1) Flashcards

1
Q

Shoulder pain table. Rotator cuff impingement or tendinopathy. CP? pain, rotation, tenderness.

A

Pain with abduction, external rotation
Subacromial tenderness
Normal ROM with positive impingement tests (Neer, Hawkins)

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2
Q

Shoulder pain table.
Pain with abduction, external rotation
Subacromial tenderness
Normal ROM with positive impingement tests (Neer, Hawkins)?????

A

Rotator cuff impingement or tendinopathy.

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3
Q

Shoulder pain table. Rotator cuff tear. CP, age?

A

Similar to rotator cuff tendinopathy
Weakness with abduction and external rotation
Age >40 yo

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4
Q

Shoulder pain table.
Similar to rotator cuff tendinopathy
Weakness with abduction and external rotation
Age >40 yo?????

A

Rotator cuff tear.

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5
Q

Shoulder pain table. Adhesive capsulitis (frozen shoulder). CP, pain, ROM?

A

Decr. PASSIVE AND ACTIVE ROM
Initial painful phase followed by stiffness > pain

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6
Q

Shoulder pain table.
Decr. PASSIVE AND ACTIVE ROM
Initial painful phase followed by stiffness > pain????

A

Adhesive capsulitis (frozen shoulder).

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7
Q

Shoulder pain table. Biceps tendinopathy/rupture. Pain?

A

ANTERIOR shoulder pain
Pain with lifting, carrying, or overhead reaching
Weakness (less common)

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8
Q

Shoulder pain table.
ANTERIOR shoulder pain
Pain with lifting, carrying, or overhead reaching
Weakness (less common)?????

A

Biceps tendinopathy/rupture.

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9
Q

Shoulder pain table. Glenohumeral osteoarthritis. cause, pain, moves.

A

Uncommon and usually caused by trauma
Gradual onset of anterior or deep shoulder pain
Decr. active and passive abduction and external rotation

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10
Q

Shoulder pain table.
Uncommon and usually caused by trauma
Gradual onset of anterior or deep shoulder pain
Decr. active and passive abduction and external rotation??????

A

Glenohumeral osteoarthritis.

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11
Q

Adhesive capsulitis table. Pathogenesis (aka causes, risks)?

A

Glenohumeral capsule contracture
Idiopathic or secondary to shoulder trauma (eg surgery, fracture)
Risk factors: DM, hypothyroidism

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12
Q

Adhesive capsulitis table. CP? initial phase

A

Acute (often severe) pain with incr. stiffness (~2-9 months)

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13
Q

Adhesive capsulitis table. CP? Secondary phase

A

Incr. stiffness, but decr. pain (~4-12 months)

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14
Q

Adhesive capsulitis table. CP? Recovery phase

A

Gradual return of motion (months to years)

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15
Q

Adhesive capsulitis table. Dx?

A

CLINICAL Dx!!!!!!

xray - to rule out other pain causes
other methods (UG, MRI) - also to rule out other causes

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16
Q

Adhesive capsulitis table. Tx?

A

Range of motion exercises
NSAIDs
Intraarticular corticosteroid injection
Surgery - eg manipulation, arthroscopic capsular release

17
Q

Q. Calcific tendinopathy. Crystals?

A

hydroxyapatite deposits in rotator cuff tendons

18
Q

Q. Calcific tendinopathy. CP?

A

Pain during abduction, which may be severe. Active ROM limited due to pain. Passive ROM intact.

19
Q

Pain during abduction, which may be severe. Active ROM limited due to pain. Passive ROM intact.????

A

Q. Calcific tendinopathy

20
Q

Q. Biceps tendinopathy CP?

A

Gradual onset of pain that is aggravated by daily activities (esp. lifting and pulling) + normal ROM.

21
Q

Gradual onset of pain that is aggravated by daily activities (esp. lifting and pulling) + normal ROM.??

A

Q. Biceps tendinopathy CP?

22
Q

Q. Calcific tendinitis (Ca crystals), rotator cuff tendinopathy, rotator cuff tears, CP? What happens when lidocaine in subacromial space?

A

Pain with shoulder abduction and external rotation along with limited active ROM.

Relieves pain and restore passive ROM – because rotator cuff tendon travels through the subacromial space.

23
Q

Pain with shoulder abduction and external rotation along with limited active ROM.

Relieves pain and restore passive ROM – because rotator cuff tendon travels through the subacromial space.
???

A

Q. Calcific tendinitis (Ca crystals), rotator cuff tendinopathy, rotator cuff tears, CP? What happens when lidocaine in subacromial space

24
Q

Rotator cuff tears = Full thickness tears cause weakness

A

.

25
Q

Q. Osteoarthritis of glenohumeral joints CP? Xray?

A

Decr. both active and passive ROM.
Xray shows findings – decr. joint space, bony changes (eg subchondrial sclerosis), or osteophytes

26
Q

Decr. both active and passive ROM.
Xray shows findings – decr. joint space, bony changes (eg subchondrial sclerosis), or osteophytes????

A

Osteoarthritis of glenohumeral joints

STEP 2 dermal/MSK (33 decks)

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