Chronic Shoulder Flashcards Preview

Tri 6 - MSK 2 > Chronic Shoulder > Flashcards

Flashcards in Chronic Shoulder Deck (28)
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1
Q

frozen shoulder

A

Adhesive Capsulitis

2
Q

In over 90% of patients this pain lasts ______ before subsiding

A

1-2 years

3
Q

what type of person is likely to get frozen shoulder

A

old ladies and diabetics

4
Q

3 stages of AC

A

painful (freezing)
adhesive (frozen)
recovery (thawing)

5
Q

painful (freezing) stage lasts how long

A

between 3 and 8 months

6
Q

adhesive (frozen) stage lasts how long

A

4 to 6 months.

7
Q

recovery (thawing) stage lasts how long

A

1 to 3 months

8
Q

best medical rx

A

steroid injection plus physical

therapy.

9
Q

is an
inflammatory process of the long
head of the biceps tendon and is a
common cause of shoulder pain.

A

Bicipital tendinitis

10
Q

constant pain

A

-itis

11
Q

intermittent pain

A

derangement

12
Q

Degeneration without inflammation is

known as

A

tendonosis

13
Q

Ruptures of the proximal biceps
tendon make up 90-97% of all
biceps ruptures and almost
exclusively involve the

A

long head

14
Q

following bicep ruptures, patients lose up to ___ % of their supination strength

A

20

15
Q
involves a tear of the
superior labrum, which starts
posteriorly and extends anteriorly to
include the anchor of the biceps
tendon to the superior labrum.
A

SLAP lesion

16
Q

dead arm syndrome in throwing

athletes

A

SLAP lesion

17
Q

3 ways to develop SLAP lesion

A

traction
compression
repetitive traction

18
Q

Patients with SLAP lesions often
present describing a poorly defined
pain that is _____ in location

A

posterior

19
Q

gold standard in imaging SLAP lesion

A

arthroscopic eval

20
Q

Aute onset of intense shoulder
pain that is neither position- nor
activity-dependent.

A

Calcific Tendonitis

21
Q

_______ of calcific tendinitis
clearly differentiates it from impingement
syndrome and adhesive capsulitis.

A

rapid onset

22
Q

The highest incidence of calcific tendinitis in adults

aged _____ years.

A

30-50

23
Q

4 phases of calcific tendinitis

A

formative phase
resting phase
resorptive phase
postcalcific phase

24
Q

MRI, which may be used to rule out
a rotator cuff tear, is ______ for
demonstrating calcification.

A

unreliable

25
Q

medical rx for calcific tendinitis

A

extracorporeal shock wave therapy

26
Q

SITS

A

✱ Suprapinatus ✱ Infraspinatus ✱ Teres Minor ✱ Subscapularis

27
Q

4 types of SITS

A
primary impingement (genetic)
secondary impingement (instability)
tensile failure (throwing)
internal or posterior superior glenoid impingement (repetitive overhead activities)
28
Q

NEER stages

A
stage I (strengthen rotator)
stage II (might need medical or rehab)
stage III (hurt all time, surgery)