Introduction to shoulder surgery Flashcards Preview

Module 204 Theme 2 > Introduction to shoulder surgery > Flashcards

Flashcards in Introduction to shoulder surgery Deck (47):
1

Why is shoulder pain important?

3rd most common MSK consultation in GP practice

1% adults each year visit GP with shoulder pain

25% of adults self reported prevalence of shoulder pain

2

List some risk factors for shoulder pain

Sports related injuries
Traumatic injuries
Degenerative conditions
Work related condition

3

List some common shoulder symptoms

Pain
Stiffness
Weakness
Instability

4

List some causes of shoulder pathology in the glenohumeral joint

Arthritis
Instability
Frozen Shoulder

5

List some causes of shoulder pathology in the rotator cuff muscles

Tears
Bursitis
impingement
calcific tendonitis

6

List some other causes of shoulder pathology

Bone trauma

7

Name the bones which form the shoulder region

Clavicle
Scapula
Humerus

8

What is the function of the shoulder?

Designed for a range of movement

9

Describe the stability of the shoulder joint

Inherently unstable

10

What stabilises the shoulder joint?

Rotator cuff (dynamic)
Capsule and labrum (static)

11

Name the rotator cuff muscles

Supraspinatus
Infraspinatus
Teres minor
Subscapularis

12

What do all the rotator cuff muscles form?

Rotator cable

13

What is the importance of the rotator cuff muscles forming the rotator cable?

Gives it more strength

14

Describe rotator cuff biomechanics

As the rotator cuff muscles fire they produce a force
Moves the humeral head towards the socket
Keeps it pressed against the socket

15

What is the function of the rotator cuff?

Stabilise the glenohumeral joint
Provide a fulcrum for power muscles to move the arm

16

Name the muscles which function with rotator cuff

Deltoid
Pectoralis minor
Pectoralis major
Latissimus dorsi
Teres major

17

Name the superficial power muscles

Deltoid
Pectoralis major
Latissimus dorsi

18

Name some rotator cuff disorders

Subacrominal impingement
Rotator cuff tears
Calcific tendonitis

19

Describe the prevalence of Subacrominal impingement

Common

20

What is Subacrominal impingement?

Pain on abduction and rotation of the arm
Felt over the deltoid

21

Name some extrinsic causes of Subacrominal impingement

Bony spurs

22

Name some intrinsic causes of Subacrominal impingement

Tendiopathy/cuff weakness

23

Give the non-surgical treatment of Subacrominal impingement

Activity modification
Physiotherapy

24

Give the surgical treatment of Subacrominal impingement

Subacromial decompression Debridement of bony and soft tissue impinging areas

25

Name the most common rotator cuff tears

Supraspinatus/infraspinatus

26

Give the symptom of rotator cuff tears

Weakness and pain

27

What percentage of people in their 60s have a full thickness tear?

15%

28

When would you repair a rotator cuff tear?

If it is symptomatic

29

List some glenohumeral disorders

Arthritis
Frozen shoulder
Instability

30

Name the 3 types of glenohumeral arthritis

Osteoarthritis
Rheumatoid arthritis
Post traumatic arthritis

31

List the symptoms of arthritis

Stiffness
Crepitus & grinding
Pain at rest and at night
Pain with activity

32

Name the two types of shoulder replacement

Anatomic
Reversed

33

Describe anatomic shoulder replacement

Fulcrum for power muscles provided by rotator cuff

34

Describe reversed anatomic shoulder replacement

Creates a mechanical fulcrum for power muscles

35

Give the symptoms of frozen shoulder

Stiffness
Pain

36

What motion is lost in frozen shoulder

Passive motion (external rotation)

37

Describe frozen shoulder on Xray

Normal

38

Which patients is frozen shoulder common in?

40-60 year olds
Women
Diabetics

39

What is frozen shoulder?

Inflammation and thickening of capsule

40

List the non-surgical treatments of frozen shoulder

Natural history is to resolve over 2 years
Injections
Hydro dilatation

41

List the surgical treatments of frozen shoulder

Capsular release and manipulation

42

What is the most common type of shoulder dislocation?

Anterior

43

What happens if the shoulder dislocation occurs at young age?

Higher chance of recurrence

44

List some risk factors of shoulder dislocation

Collision sports
Hyper laxity

45

Name some surgical treatments of shoulder dislocation

Arthroscopic stabilisation - labral repair
Open stabilisation - capsule tightening
Bony procedures - augmenting glenoid

46

Give the name of a bankart lesion

Anterior labral tear

47

What can shoulder trauma result in?

fractures
dislocation
soft tissue injuries