Shoulder and elbow problems Flashcards
Main issues seen in teens
Fractures and instability
main issues seen in 30’s and 40’s
Rotator cuff & capsulitis
main issues seen in 50’s and 60’s
Impingement and AC joint
often felt on the abduction of deltoid region
main issues seen in 70’s
Degenerative rotator cuff and joint
Most mobile joint in the body?
shoulder joint
where can the shoulder dislocate (3) - give some examples
anteriorly 90%
posterior 9%, - electric shocks, epileptic fits
inferior 1% - often when people fall over long distances on outstretched arms over head
Where should the labrum attach
anterior part of glenoid
Treatment for dislocations (4)S
Manipulation
Immobilisation
Physiotherapy
Surgery
Subacromial Impingement is pain when…?
pain when they abduct
osteophytes - rotator cuff, bursae that separates comes inflamed
Impingement is defined as?
Pain and dysfunction resulting from any pathology which decreases the volume of the subacromial space or increases the size of the contents
Subacromial Impingement - how can you improve (3)
Subacromial Steroid injection - calms inflammation
Physiotherapy - protract the shoulder joints
Arthroscopic subacromial decompression
Frozen shoulder is often known as
Adhesive Capsulitis?
2 types of Frozen shoulder
Primary (Idiopathic) - starts itself
secondary - post traumatic (dislocation) - secondary to this patient develops a stiff joint
Frozen Shoulder - early presentation
manipulation
hydrodialtion - liquid in to stretch capsule
Frozen shoulder - treatment
– inject steroid
Later - surgery
