Diferencia entre revisiones de «Biceps tendinitis»
(Text replacement - "==Diagnosis==" to "==Evaluation==") |
Sin resumen de edición |
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**Palpate bicipital groove as patient patient attempts forearm supination against resistance | **Palpate bicipital groove as patient patient attempts forearm supination against resistance | ||
**Pain/instability at prox bicipital groove indicates tendinitis or tendon subluxation | **Pain/instability at prox bicipital groove indicates tendinitis or tendon subluxation | ||
*Speed's test | |||
**Shoulder raised 60 degrees in front flexion | |||
**With forearm supinated and elbow fully extended | |||
**Examiner presses down on forearm and patient resists pressure | |||
**Pain/instability at bicipital groove where long head inserts indicates tendinitis or instability | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revisión del 17:17 7 oct 2016
Background
- Results from progressive impingement or isolated tendon injury
Clinical Features
- Pain
- Acute, intense, localized to anterior aspect of shoulder
- May occur at rest and be worse at night
Evaluation
- Palpation of tendon within bicipital groove reproduces pain
- Forearm supination, especially against resistance, reproduces pain
- Yergason Test
- Flex patient's elbow to 90'
- Palpate bicipital groove as patient patient attempts forearm supination against resistance
- Pain/instability at prox bicipital groove indicates tendinitis or tendon subluxation
- Speed's test
- Shoulder raised 60 degrees in front flexion
- With forearm supinated and elbow fully extended
- Examiner presses down on forearm and patient resists pressure
- Pain/instability at bicipital groove where long head inserts indicates tendinitis or instability
Differential Diagnosis
Shoulder and Upper Arm Diagnoses
Traumatic/Acute:
- Shoulder Dislocation
- Clavicle fracture
- Humerus fracture
- Scapula fracture
- Acromioclavicular joint injury
- Glenohumeral instability
- Rotator cuff tear
- Biceps tendon rupture
- Triceps tendon rupture
- Septic joint
Nontraumatic/Chronic:
- Rotator cuff tear
- Impingement syndrome
- Calcific tendinitis
- Adhesive capsulitis
- Biceps tendinitis
- Subacromial bursitis
- Cervical radiculopathy
Refered pain & non-orthopedic causes:
- Referred pain from
- Neck
- Diaphragm (e.g. gallbladder disease)
- Brachial plexus injury
- Axillary artery thrombosis
- Thoracic outlet syndrome
- Subclavian steal syndrome
- Pancoast tumor
- Myocardial infarction
- Pneumonia
- Pulmonary embolism
Management
- Analgesia
- Relative rest
- Ice 10-15min TID
- Early mobilization with stretching exercises
Disposition
- Follow-up with primary care provider within 1wk