Shoulder and Elbow Problems Flashcards Preview

Systems: MSK AB > Shoulder and Elbow Problems > Flashcards

Flashcards in Shoulder and Elbow Problems Deck (29)
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1

What shoulder problems are more common in the teens and 20s?

Fractures and instability

2

What shoulder problems are more common in the 30s and 40s?

Rotator cuff and capsulitis

3

What shoulder problems are more common in the 50s and 60s?

Impingement and AC joint

4

What shoulder problems are more common in the 70s+?

Degenerative rotator cuff and joint

5

How does the cause of upper limb fractures differ amongst age groups?

-Young usually high energy injury
-Elderly usually osteoporotic injury

6

What does management of upper limb fractures depend on?

Fracture configuration and patient biology

7

What is the most mobile joint in the body?

Shoulder, it sacrifices stability for mobility

8

What are the types of traumatic shoulder dislocation?

-Anterior 90%
-Posterior 9%
-Inferior 1%

9

How are shoulder dislocations treated?

-Manipulation
-Immobilisation
-Physiotherapy
-Surgery

10

Why does painful arc occur?

Subacromial impingement

11

What is subacromial impingement?

Pain and dysfunction resulting from any pathology which decreases the volume of the subacromial space or increases the size of the contents

12

How is subacromial impingement treated?

-Subacromial steroid injection
-Physiotherapy
-Arthroscopic subacromial decompression

13

What is another name for frozen shoulder?

Adhesive capsulitis

14

How is frozen shoulder diagnosed?

-Clinical diagnosis
-Normal radiograph

15

How is frozen shoulder treated?

-Early presentation= inject steroid
-Late presentation= surgery

16

What are the 2 types of frozen shoulder?

-Primary (idiopathic)
-Secondary

17

What is the course of frozen shoulder?

-Pain
-Stiffness
-Thawing

-Pain and stiffness can overlap
-Can be around 18-24 months

18

What are the 2 causes of rotator cuff tear?

-Traumatic
-Degenerative

19

What does persistent pain despite clear x-ray suggest?

Rotator cuff tear

20

What is the treatment for rotator cuff tear?

-Acute= early surgery
-Chronic degenerative= surgery if symptomatic

21

What does treatment for rotator cuff tear depend on?

-Size
-Age
-Time

22

What types of shoulder arthritis are there?

-Osteoarthritis
-Inflammatory arthritis
-Post-traumatic arthritis

23

What is paramount in shoulder arthritis?

Rotator cuff integrity

24

What elbow problems commonly occur in the young?

Fractures and dislocations

25

What elbow problems commonly occur during middle age?

Tendinopathies

26

What elbow problems occur in the elderly?

Degenerative diseases

27

What elbow syndrome occurs at any age?

Cubital tunnel syndrome

28

Where is the pain in golfer's elbow

Medial epicondyle

29

Where is the pain in tennis elbow?

Lateral epicondyle