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

Question 1

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

Answer 1

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

Question 2

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

Answer 2

Rotator cuff impingement or tendinopathy.

Question 3

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

Answer 3

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

Question 4

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

Answer 4

Rotator cuff tear.

Question 5

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

Answer 5

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

Question 6

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

Answer 6

Adhesive capsulitis (frozen shoulder).

Question 7

Shoulder pain table. Biceps tendinopathy/rupture. Pain?

Answer 7

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

Question 8

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

Answer 8

Biceps tendinopathy/rupture.

Question 9

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

Answer 9

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

Question 10

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??????

Answer 10

Glenohumeral osteoarthritis.

Question 11

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

Answer 11

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

Question 12

Adhesive capsulitis table. CP? initial phase

Answer 12

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

Question 13

Adhesive capsulitis table. CP? Secondary phase

Answer 13

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

Question 14

Adhesive capsulitis table. CP? Recovery phase

Answer 14

Gradual return of motion (months to years)

Question 15

Adhesive capsulitis table. Dx?

Answer 15

CLINICAL Dx!!!!!!

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

Question 16

Adhesive capsulitis table. Tx?

Answer 16

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

Question 17

Q. Calcific tendinopathy. Crystals?

Answer 17

hydroxyapatite deposits in rotator cuff tendons

Question 18

Q. Calcific tendinopathy. CP?

Answer 18

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

Question 19

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

Answer 19

Q. Calcific tendinopathy

Question 20

Q. Biceps tendinopathy CP?

Answer 20

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

Question 21

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

Answer 21

Q. Biceps tendinopathy CP?

Question 22

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

Answer 22

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.

Question 23

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.
???

Answer 23

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

Question 24

Rotator cuff tears = Full thickness tears cause weakness

Answer 24

.

Question 25

Q. Osteoarthritis of glenohumeral joints CP? Xray?

Answer 25

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

Question 26

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

Answer 26

Osteoarthritis of glenohumeral joints