Wk 2: Conditions of the GH jt

Question 1

what are the common conditions in the weak shoulder

Answer 1

1. primary RC muscle pathology (Stages 1-3)
2. RCRSP
3. calcific tendonitis

Question 2

what are the common conditions in the stiff shoulder

Answer 2

1. OA
2. FS
3. post proximal humeral fractures

Question 3

what are the common conditions in the unstable shoulder

Answer 3

1. GHJ dislocation/ subluxation
2. GHJ instability (traumatic and atraumatic)
3. SLAP lesion

Question 4

PAIN + WEAKNESS
what are the main pathologies?

Answer 4

1. RC tendon pathology continuum
2. RCRSP
   - related pathologies
   - GIRD
3. calcific tendonitis

Question 5

is an underloaded tendon a problem?

Answer 5

yes

Question 6

what are some qualities of a normal tendon?

Answer 6

pain free & can absorb load

Question 7

what does a reactive tendinopathy have?

Answer 7

possible bursal involvement

Question 8

what is a component of tendon disrepair?

Answer 8

• possible bursal involvement
• may also include element of reactive tendinopathy

Question 9

components of degenerated tendon

Answer 9

• possible bursal involvement
• may also include element of reactive tendinopathy

Question 10

what does a frayed RC tendon look like?

Answer 10

fairy floss

Question 11

what muscle tendon attaches to the anterior surface of labrum/ capsule ?

Answer 11

LHB tendon

Question 12

what happens to the LHB tendon in RC pathology?

Answer 12

swelling, thick

Question 13

what are the factors that contribute/ predispose RC tendon tears?

Answer 13

• age
• bony architecture
• cuff orientation
• risk factors

Question 14

what happens with tendons over time?

Answer 14

degenerate (not always painful)

Question 15

what are the 3 spaces the cuff tendons are bound by?

Answer 15

1. sub-acromial space
2. sub- coracoid space
3. postero-superior space

Question 16

how does the cuff orientation contribute to RC pathology

Answer 16

tendons are not distinguishable

Question 17

what happens to the SA space as shoulder goes into elevation

Answer 17

decreases by 2-3mm

Question 18

what is the postero-superior space made up of

Answer 18

glenoid rim & musculotendinous junction of IS & Ter Min