Flashcards in Introduction to shoulder surgery Deck (47):
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
List some risk factors for shoulder pain
Sports related injuries
Work related condition
List some common shoulder symptoms
List some causes of shoulder pathology in the glenohumeral joint
List some causes of shoulder pathology in the rotator cuff muscles
List some other causes of shoulder pathology
Name the bones which form the shoulder region
What is the function of the shoulder?
Designed for a range of movement
Describe the stability of the shoulder joint
What stabilises the shoulder joint?
Rotator cuff (dynamic)
Capsule and labrum (static)
Name the rotator cuff muscles
What do all the rotator cuff muscles form?
What is the importance of the rotator cuff muscles forming the rotator cable?
Gives it more strength
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
What is the function of the rotator cuff?
Stabilise the glenohumeral joint
Provide a fulcrum for power muscles to move the arm
Name the muscles which function with rotator cuff
Name the superficial power muscles
Name some rotator cuff disorders
Rotator cuff tears
Describe the prevalence of Subacrominal impingement
What is Subacrominal impingement?
Pain on abduction and rotation of the arm
Felt over the deltoid
Name some extrinsic causes of Subacrominal impingement
Name some intrinsic causes of Subacrominal impingement
Give the non-surgical treatment of Subacrominal impingement
Give the surgical treatment of Subacrominal impingement
Subacromial decompression Debridement of bony and soft tissue impinging areas
Name the most common rotator cuff tears
Give the symptom of rotator cuff tears
Weakness and pain
What percentage of people in their 60s have a full thickness tear?
When would you repair a rotator cuff tear?
If it is symptomatic
List some glenohumeral disorders
Name the 3 types of glenohumeral arthritis
Post traumatic arthritis
List the symptoms of arthritis
Crepitus & grinding
Pain at rest and at night
Pain with activity
Name the two types of shoulder replacement
Describe anatomic shoulder replacement
Fulcrum for power muscles provided by rotator cuff
Describe reversed anatomic shoulder replacement
Creates a mechanical fulcrum for power muscles
Give the symptoms of frozen shoulder
What motion is lost in frozen shoulder
Passive motion (external rotation)
Describe frozen shoulder on Xray
Which patients is frozen shoulder common in?
40-60 year olds
What is frozen shoulder?
Inflammation and thickening of capsule
List the non-surgical treatments of frozen shoulder
Natural history is to resolve over 2 years
List the surgical treatments of frozen shoulder
Capsular release and manipulation
What is the most common type of shoulder dislocation?
What happens if the shoulder dislocation occurs at young age?
Higher chance of recurrence
List some risk factors of shoulder dislocation
Name some surgical treatments of shoulder dislocation
Arthroscopic stabilisation - labral repair
Open stabilisation - capsule tightening
Bony procedures - augmenting glenoid
Give the name of a bankart lesion
Anterior labral tear