Differential Diagnosis of Shoulder Flashcards
1
Q
Rotator Cuff Lesion Hx AROM/PROM MMT ST Radiograph
A
30-50yo; pain and weakness with eccentric load
Weakness with abduction or rotation
PROM - pain if impingement occurs
Pain and weakness with abd and LR
+ drop arm and empty can
X-ray shows upward displacement of humeral head; acromial spurring
2
Q
Frozen shoulder Hx AROM/PROM MMT ST Radiograph
A
45+; insidious onset or after trauma LR, abduction, MR limited MMT: normal when arm by side Arthrography: decreased capsular side ST: none
3
Q
Atraumatic Instability Hx AROM/PROM MMT ST Radiograph
A
10-35 yo with pain and instability with activity
Full or excessive ROM
Normal MMT
+ Load and shift, apprehension, relocation, augmentation
TTP: anterior or posterior
4
Q
Cervical spondylosis Hx AROM/PROM MMT ST Sensory Reflexes Radiograph
A
50+; acute or chronic A/PROM limited with pain MMT: myotome may be affected ST: + spurlings, ULTT, shoulder abduction test; sensory (dermatomes) + Reflexes affected TTP Facet/vertebra Xray reveals narrowing osteophytes
5
Q
Instability
Anterior versus Posterior
A
Anterior: apprehension with HAB/LR
Posterior: FF and MR with compression
