3. Shoulder and Elbow Problems Flashcards Preview

3rd Year - MSK Diseases > 3. Shoulder and Elbow Problems > Flashcards

Flashcards in 3. Shoulder and Elbow Problems Deck (29):
1

What are the most common Shoulder / Elbow Injury types, for patients in their teens/20's?

Fractures and Instability

2

What are the most common Shoulder / Elbow Injury types, for patients in their 30/40's?

Rotator Cuff and Capsulitis

3

What are the most common Shoulder / Elbow Injury types, for patients in their 50/60's?

Impingement and AC Joint

4

What are the most common Shoulder / Elbow Injury types, for patients in their 70's +?

Degenerative Rotator Cuff and Joint

5

What is the Epidemiology of Upper Limb Fractures?

1. Young - High Energy Injuries
2. Elderly - Osetoporotic Injuries
Note - this is similar to the epidemiology of Hip Fracture

6

What is the management of Upper Limb Fractures dependent on?

1. Fracture Configuration
2. Patient Biology

7

What is the most mobile Joint in the body?

The Shoulder Joint

8

What is sacrificed in making the Shoulder Joint the most stable in the body?

Its stability is sacrificed for mobility

9

What is the shoulder predisposed to, due to its instability?

Traumatic Shoulder Dislocation

10

What are the different proportions of type of Traumatic Shoulder Dislocation?

1. Anterior - 90%
2. Posterior - 9%
3. Inferior - 1%

11

What is the treatment of Traumatic Shoulder Dislocation?

1. Manipulation
2. Immobilisation
3. Physiotherapy
4. Surgery

12

What is the investigation for a Traumatic Shoulder Dislocation?

X-Ray - Light Bulb Sign

13

What is the definition of Subacromial Impingement?

Pain and Dysfunction resulting from any pathology which:
1. Decreases the volume of the Subacromial Space
2. Increases the size of the Subacromial Contents

14

What are the treatments of Subacromial Impingement?

1. Subacromial Steroid Injection
2. Physiotherapy
3. Arthroscopic Subacromial Decompression

15

What is Adhesive Capsulitis known as?

A Frozen Shoulder

16

What are the 2 types of Adhesive Capsulitis (Frozen Shoulder)?

1. Primary (Idiopathic) Adhesive Capsulitis
2. Secondary Adhesive Capsulitis

17

How is Adhesive Capsulitis (Frozen Shoulder) diagnosed?

1. Clinically
2. Normal radiograph

18

What is the treatment of Adhesive Capsulitis (Frozen Shoulder)?

Early Presentation - Steroid Injection
Later - Surgery

19

How long can a case of Adhesive Capsulitis (Frozen Shoulder) go on for?

1. Pain - months 0-9 (peaking at 4.5 months)
2. Stiffness - months 4.5-14 (peaking at 14th month)
3. Thawing - months 14 - 24 (max)

20

What are the 2 types of Rotator Cuff Tear?

1. Traumatic
2. Degenerative

21

What is the treatment of an Acute Rotator Cuff Tear?

Early Surgery

22

What is the treatment of Chronic Degenerative Rotator Cuff Tears?

Surgery if Symptomatic

23

What is treatment for Rotator Cuff Tears dependent on?

1. Size of the Tear
2. Time (if chronic)
3. Age

24

What are the 3 types of Shoulder Arthritis?

1. Osteoarthritis
2. Inflammatory Arthritis
3. Post-traumatic Arthritis

25

What is paramount in Shoulder Arthritis?

Rotator Cuff Integrity

26

What are the common Elbow Problems in the Young?

Fractures and Dislocations

27

What are the common Elbow Problems in the Middle Aged?

Tendinopathies

28

What are the common Elbow Problems in the Elderly?

Degenerative Disease

29

At what age can Cubital Tunnel Syndrome occur?

At any age

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