shoulder soft tissue

Question 1

adhesive capsulitis associations

Answer 1

diabetics !
- up to 20% of diabetics have frozen shoulder

common in middle aged females

Question 2

adhesive capsulitis presentation

Answer 2

external rotation affected more than internal or abduction

active AND passive movement affected

phases - freezing (pain), adhesive (stiff) then recovery (lasts 6mnths-2yrs)

pain + stiffness

Question 3

diagnosis of adhesive capsulitis

Answer 3

clinical

image if atypical/persistent sx

Question 4

adhesive capsulitis management

Answer 4

nothing shown to improve outcome long term

• NSAIDs
• physio
• oral corticosteroids
• intra-articular corticosteroids

Question 5

4 muscles that make up the rotator cuff and what movement they control

Answer 5

Supraspinatus -> abducts

infraspinatus -> externally rotates

Teres minor -> externally rotates

Subscapularis -> internally rotates

Question 6

rotator cuff injury presentation

Answer 6

pain
weakness + pain with specific movement relating to site of tear

(pain on abduction -> supraspinatus)