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Shoulder pathologies
Orthopedic Pathologies of the shoulder
| Differential Diagnosis | Signs and Symptoms |
|---|---|
| Tendonitis | overuse injury, inflammation of a tendon, dull/chronic P!, weakness, sensitive to palpation, passive stretching discomfort through ROM |
| Shoulder Pointer | most common on tip of shoulder or AC jt, a contusion w/out ligament injury |
| Blockers Spur | repeated blows to the deltiod, bone spurs formation |
| Biceps strain | swelling, pt tenderness in the bicepital groove, loss ROM, may have discoloration |
| Inferior GH Sprain | from forced add/internal rotation, radiating P to top shoulder, head humerus in axilla, flattened delt, prominent coracoid/acromion process, pt tender |
| Impingement Syndrome | affects rotator cuff, overuse injury, swelling, P! while sleeping, shoulder feels weak, bursitis as a result of pinching in acromion, pt tenderness |
| Tenosynovitis | inflammation of the sheath surrounds the tendons, dificult ROM, P and pt tenderness around jt, swelling, stiffness |
| AC Sprain | results FOOSH, pain, crepitus, visual deformity, +O'Briens, AC sheer, Sulcus, need to r/o impingement |
| Glenohumeral Anterior Sprain | arm forced into abd/ext rotation, direct blow, P/decreased ROM, pt tenderness, relief with reduction, may have numbness/tingling |
| Posterior GH Sprain | rare, caused by forced abd, may cause the arm to be above head and unable to bring in down |
| Glenohumeral subluxation | incomplete dislocation, dead arm syndrome, pt tenderness, weakness, crepitus, + apprehension/relocation tests/impingement test, flattened shoulder, stabbing P, mm guarding, poor ROM, swelling |
| SC sprain | posterior very severe, FOOSH injury, direct trauma, pt tenderness, swelling, deformity, ant/med clavicular promerence, loss function/ROM, P with breathing |
| Labrum Tears: Bankart | usually w/ subluxation/dislocation, clicking/popping, P with any GH ROM, + clunk test, avulsion/damage to the ant lip of labrum from humerus slided forward ant. dislocation |
| Labrum Tears: SLAP lesion | clicking/popping, P with any GH ROM, + clunk test, sup labrum-ant to post, disrupting the longhead of biceps tendon attachment |
| Hill-Sachs deformity | associated with GH dislocations, repetitive impact, P, pt tenderness, swelling |
| Scapula Fx | very rare, swelling, pt tenderness, avulsion coracoid process, direct trauma, discoloration |
| Humeral head Fx | violet direct trauma, FOOSH, may resemble dislocation, P, pt tender, deformity, swelling, supporting arm, mm spasm, deceased ROM, may have compromised circ/neuro |
| Clavical Fx | 80% mid-shaft, direct trauma/FOOSH, P, pt tender, crepitus, deformity, swelling, bruising, +percussion/sheer, loss ROM |
| Multidirectional instability | "looseness" of shoulder w/ multiple directions, P, imflammation, irritation |
| Brachial Plexus injury | lat flex of head, numbness/burning, P in neck/shoulder, parethesia, mm weakness, swelling, loss circulation/neuro/sensation/ROM |
| Thoracic Outlet Syndrome | compression brachial plexus, cold sensitivity, palor appearance, distal swelling, numbness/tingling, Neuro problems, aching P in neck/shoulder/down arm |
| Adhesive Capsulitis "Frozen Shoulder" | inflammation about rotator cuff/capsular area, P!, loss ROM, idiopathic |
| Subacromial Bursitis | direct trauma, swelling, pt tenderness, localized heat, P around area, usually accompanied by other injuries |
Created by:
ATskg
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