Non-Traumatic Shoulder Injuries - Revision history

Rossdonaldson1: Redirected page to Shoulder and upper arm diagnoses

2015-03-24T16:26:08Z

Redirected page to Shoulder and upper arm diagnoses

← Revisión anterior		Revisión del 16:26 24 mar 2015
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	#REDIRECT[[Shoulder diagnoses]]		#REDIRECT[[Shoulder and upper arm diagnoses]]

Rossdonaldson1: Redirected page to Shoulder diagnoses

2015-02-18T04:47:14Z

Redirected page to Shoulder diagnoses

← Revisión anterior		Revisión del 04:47 18 feb 2015
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	~~==Background==~~		#REDIRECT[[Shoulder diagnoses]]
	*Nontraumatic and chronic shoulder issues

	~~==Differential Diagnosis==~~
	#~~[[Rotator Cuff Tears]]~~
	~~#[[Impingement Syndrome]]~~
	~~#[[Calcific Tendinitis]]~~
	~~#[[Adhesive Capsulitis]]~~
	~~#[[Biceps Tendinitis]]~~

	~~==See Also==~~
	[[Shoulder ~~(Main)]]~~

	~~[[Category:Ortho~~]]

Rossdonaldson1: /* DDx */

2015-02-18T04:41:38Z

DDx

← Revisión anterior		Revisión del 04:41 18 feb 2015
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	*Nontraumatic and chronic shoulder issues		*Nontraumatic and chronic shoulder issues

	==~~DDx~~==		==Differential Diagnosis==
	#[[Rotator Cuff Tears]]		#[[Rotator Cuff Tears]]
	#[[Impingement Syndrome]]		#[[Impingement Syndrome]]

Rossdonaldson1: Rossdonaldson1 moved page Shoulder (Non-Trauma) to Non-Traumatic Shoulder Injuries

2014-01-03T07:12:23Z

Rossdonaldson1 moved page Shoulder (Non-Trauma) to Non-Traumatic Shoulder Injuries

← Revisión anterior	Revisión del 07:12 3 ene 2014
(Sin diferencias)

Rossdonaldson1 at 07:11, 3 January 2014

2014-01-03T07:11:34Z

← Revisión anterior		Revisión del 07:11 3 ene 2014
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			==Background==
			*Nontraumatic and chronic shoulder issues

			==DDx==
	#[[Rotator Cuff Tears]]		#[[Rotator Cuff Tears]]
	#[[Impingement Syndrome]]		#[[Impingement Syndrome]]
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	#[[Adhesive Capsulitis]]		#[[Adhesive Capsulitis]]
	#[[Biceps Tendinitis]]		#[[Biceps Tendinitis]]

			==See Also==
			[[Shoulder (Main)]]

	[[Category:Ortho]]		[[Category:Ortho]]

Jswartz at 05:25, 22 February 2012

2012-02-22T05:25:45Z

← Revisión anterior		Revisión del 05:25 22 feb 2012
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	#[[Calcific Tendinitis]]		#[[Calcific Tendinitis]]
	#[[Adhesive Capsulitis]]		#[[Adhesive Capsulitis]]
			#[[Biceps Tendinitis]]

	[[Category:Ortho]]		[[Category:Ortho]]

Jswartz at 04:21, 22 February 2012

2012-02-22T04:21:53Z

← Revisión anterior		Revisión del 04:21 22 feb 2012
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	#[[Impingement Syndrome]]		#[[Impingement Syndrome]]
	#[[Calcific Tendinitis]]		#[[Calcific Tendinitis]]
	#[[Adhesive Capsulitis		#[[Adhesive Capsulitis]]

	[[Category:Ortho]]		[[Category:Ortho]]

Jswartz: Replaced content with "#Rotator Cuff Tears #Impingement Syndrome #Calcific Tendinitis #Adhesive Capsulitis [[Category:Ortho"

2012-02-22T04:21:42Z

Replaced content with "#Rotator Cuff Tears #Impingement Syndrome #Calcific Tendinitis #[[Adhesive Capsulitis Category:Ortho"

Show changes

Jswartz: moved Shoulder (Chronic - Non-Trauma) to Shoulder (Non-Trauma)

2012-02-22T04:19:14Z

moved Shoulder (Chronic - Non-Trauma) to Shoulder (Non-Trauma)

← Revisión anterior	Revisión del 04:19 22 feb 2012
(Sin diferencias)

Robot: Created page with "==I. Normal Shoulder Exam== A. Referred Pain i. Cervical radiculopathy -Suggested by pain radiating below shoulder or to upper back -decreased range of motion in neck due..."

2010-10-29T23:21:31Z

Created page with "==I. Normal Shoulder Exam== A. Referred Pain i. Cervical radiculopathy -Suggested by pain radiating below shoulder or to upper back -decreased range of motion in neck due..."

Página nueva

==I. Normal Shoulder Exam==

A. Referred Pain

i. Cervical radiculopathy

-Suggested by pain radiating below shoulder or to upper back

-decreased range of motion in neck due to pain,

-positive Spurling's test (radicular pain with head compression)

-normal shoulder exam

ii. Lung (apical lung tumor, pleural disease)

iii. Heart (MI)

iv. Subdiaphragmatic (gallbladder disease)

v. Vascular (Thoracic Outlet Sy)

==II. Point Tenderness==

1. Rotator Cuff

Injury: 90% chronic arms overhead

Diag:

-result of extreme overuse in young adults (e.g. pitchers) or minor

trauma in older adults

-sudden "pop" while lifting overhead

-lateral pain

-worse at night

-abduct arm pain after 20deg

-relief of pain w/ lido inject

(pain free weakness = full tear)

PE: -loss of active BUT NOT passive ROM (due to pain)

-positive impingement signs

-weakness with drop arm test

Rx: Acute --> sling, PT, ortho f/u

Chronic --> PT, ortho

Next: MRI, surgery for younger pts with big tear, rehab

PT: arm dangle at side, circle 5-10wt

2. Adhesive Capulitis (Frozen Shoulder)

Diag:

-diffuse/dull ache

-result of prolonged immobilization of shoulder

-loss of active AND passive ROM

-pain at extremes of motion

Rx: PT, ortho f/u

-rehab for 18 mo, manipulation under anesthesia if no improvement

3. Bicipital Tendinitis

-result of repetitive flexion-extension or pronation-supination of elbow

-PE: anterior shoulder pain with flexion at elbow (curling) or

resisted forearm supination, tenderness over bicipital groove

4. Subacromial Bursitis and Supraspinatus Tendinitis

-result from repetitive overhead arm movement (e.g. serving in tennis

or throwing baseball), gradual onset

-PE: positive impingement signs, pain but no weakness with drop arm test

5. Impingement Syndrome

-definition: narrowing of impingement interval (space between superior

aspect of humeral head and inferior aspect of acromion)

(supraspinatus tendon runs through this space, also subacromial and

subdeltoid bursae are there)

Diag:

-pain exacerbated by overhead arm movements

-nocturnal pain exacerbated by sleeping on affected shoulder

-weakness

-loss of motion

PE:

-positive impingement signs

-pain with elevation of arm with elbow flexed (like military salute)

against resistance

-positive drop arm test

-point tenderness at impingement interval

causes: abduction of arm (normal), structural variations of acromion

(types II and III), osteoarthritic spurs of acromioclavicular (AC)

joint, calcification and thickening of coracoacromial ligament, loss

of rotator cuff strength resulting in superior migration of humerus,

among others

Other

-osteoarthritis (usually acromioclavicular joint), rheumatoid

arthritis, septic arthritis, gout, lyme disease, SLE,

spondyloarthropathy

==Source==

8/07 DONALDSON (adapted from Miller, Mistry)

[[Category:Ortho]]