Shoulder and elbow problems 2018 Flashcards
Most common epidemiology of shoulder and elbow issues in teens/20s?
Fracture and instability
Most common epidemiology of shoulder and elbow issues in 30s/40s?
Rotator cuff and capsulitis
Most common epidemiology of shoulder and elbow issues in 50s and 60s?
Impingement and AC joint
Most common epidemiology of shoulder and elbow issues in 7-s+?
Degenerative rotator cuff and joint
Epidemiology upper limb fractures?
> Young high energy injuries
> Elderly osteoporotic injuries
Which joint in the body has the most mobility?
Shoulder joint
What is the issue with the shoulder joints high mobility?
Stability sacrificed which increases the risk of traumatic shoulder dislocation
Most common type of traumatic shoulder dislocation?
> Anterior = 90%
Posterior = 9%
Inferior = 1%
Management of traumatic shoulder dislocation?
> Manipulation
Immobilisation
Physiotherapy
Surgery
What is subacromial impingement?
Bigliani Definition (1991): > Pain and dysfunction resulting from any pathology which decreases the volume of the subacromial space or increases the size of the contents
Management of subacromial impingement?
> Subacromial steroid injection
Physiotherapy
Arthroscopic subacromial decompression
Epidemiology of a frozen shoulder?
> Adhesive capsulitis
Primary (Idiopathic)
Secondary
Diagnosis of a frozen shoulder?
> Clinical diagnosis
> Normal radiograph
Management of a frozen shoulder?
> Early presentation - inject steroid
> Later - Surgery
The clinical progression of a frozen shoulder?
1) Initially pain
2) Stiffness occurs
3) Thawing
4) Resolution around 18-24 months
