Bicep Tendon Case Study

This paper is going to be over rotator cuff injuries and what to do if this occurs to an athlete. The rotator cuff consists of four muscles which are the Subscapularis, infraspinatus, teres minor, and the supraspinatus and their associated tendons that insert into the Humerus. These groups of muscles are responsible for rotating the arm internally and externally as well as abducting the shoulder. The acronym for the four muscles of the rotator cuff is known as SITS. The best treatment for symptomatic, nontraumatic rotator cuff tears is unknown. The purpose of this trial was to compare the effectiveness of physiotherapy, acromioplasty, and rotator cuff repair for this injury. The way this trial worked was that 180 shoulders with the symptomatic,

Dynamic scapular dyskinesis is detected by asking the patient to raise and/or abduct both arms repeatedly in a rhythmic motion, until fatigue of the scapular stabilizers results in failure to keep the scapula well positioned in relation to the thoracic wall. Active scapular retraction and elevation are checked. The next step is to look for muscle atrophy and remember active and passive range of motion should be examined and compared with the non-injured shoulder. It is easy to detect muscle atrophy of the infraspinatus viewing from the back of the patient, whereas the supraspinatus is covered by the trapezius. Atrophy of the shoulder muscles is a common finding in patients with rotator cuff tears.

What structure passes through the region outlined by the yellow arrow and how does it contribute to the pain experienced in the anterior compartment of the arm by Bruce? (3 marks) The structure passing through the yellow arrow is the humerus. It contributes to the pain at the anterior compartment of the arm by the long head tendon of the biceps muscle grinding against the scapular muscle. This leads to the ongoing instability of the humerus giving Bruce a large chance of a subluxated humerus. The superior labrum will also grind up against his inflamed bursa which is why Bruce has decreased range of motion and lots of

Treatment depends on the damage done to the tendon. By having an accurate diagnosis, a careful physical examination of the shoulder and x-ray examination of the shoulder can help

Supraspinatus tendonitis typically occurs when there is an impingement of the supraspinatus muscle of the shoulder joint between the acromion as it passes by the acromion and humerus head. In response, the supraspinatus tendon and the contiguous peritendinous soft tissues become inflamed. The supraspinatus is a muscle located in the supraspinatus fossa of the scapula located in the shoulder and is largely affected by supraspinatus tendonitis. The supraspinatus allows for the abduction of the shoulder and its insertion is the greater tuberosity of the humerus. Tendonitis is the inflammation of a tendon and commonly occurs in the elbows, knees, and shoulders. Therefore, supraspinatus tendonitis is the inflammation of the supraspinatus. This condition is a very common inflammatory problem because it can be caused by the abduction of the arm, which is involved in many sports and activities.

Biceps tenodesis is common after arthroscopic surgery of a SLAP lesion. This is when the reattachment of the labro-bicipital complex is rigid and disables at the glenoid. Physiological medial rolling of the biceps tendon anchor during abduction and external rotation can cause the labro-bicipital complex to become rigid. ^5 This is due to a failure of a SLAP repair and traction to the labro-bicipital complex. Pain is felt in the shoulder due to the shoulder being innervated by sensory sympathetic fibers which are irritated by the displacement of the glenoid.

*insert article *attachedBesides being able to see the inside of a shoulder, doctors use different physical tests to evaluate the shoulder in order to determine what type of injury and how severe an injury may be. One such test was recently developed by Dr. Carl J. Basamania at the Womack Army Medical center in Fort Bragg, N.C. The test was developed to evaluate shoulder instability in a patient. During the test the Dr. or examiner stands next to the patient who is to lay flat on his/her back. The hand of the examined should is held firmly by the examiner. The examiner then pushes against the clavicle to stabilize th scapula, while they also gently hold the pectoral muscle with their thumb in order to be able to assess relaxation. The examiner then rotates the arm form neutral to full external rotation. If the patient has AIGHL incompetence there is a lack of tightening as the arm reaches full external rotation. The test has appeared to be highly accurate and may be of value to Dr.'s and surgeons alike. After doctors have determined what type and what degree of injury a patient has sustained using various tests it is on to the next step, rehabilitation.

Many injuries result from the shoulder as it in an area that is used often. Since I am a physical therapist, a client came to me with the issues that they were having with their shoulder. This is a report of my interaction with the patient, as well as informing the patient as they showed an interest in my profession. Covering all the aspects of the education and certifications required to be a physical therapist, as well as an overview and a salary median, and then moving on to the injury by naming and explaining the anatomy and diagnosing the injury, and the treatment and recovery plan.

On 3/15/17 due to a schedule conflict Laurie Wawrzyniak met Mr. Rife at the office of Dr. Wines. Mr. Rife has made positive gain in range of motion with physical therapy. He still reports pain when raising the left arm. A cortisone injection was recommended along with a MRI. The injection was done under ultra sound in the office. While performing the injection under ultra sound Dr. Wines noted the rotator cuff was thinning and he was concerned there was a tear. Dr. Wines recommended a MRI of the shoulder. Physical therapy will continue and treatment options will be. The MRI will be done on 3/15/17. I have advised Mr. Rife to obtain a copy of the MRI CD to bring to the appointment on 3/23/17 with Dr. Wines.

A Distal Biceps Rupture occurs when the tendon attaching the biceps muscle to the elbow is torn from the bone. The Distal Biceps Rupture is attached to a small bump on the radius bone of the forearm. This small bony bump is called the radial tuberosity. The radius is the smaller of the two bones between the elbow and the wrist that make up the forearm. The radius goes from the outside edge of the elbow to the thumb side of the wrist.

S: TM completed a total of 5 ESI visits. S/p Right shoulder surgery and his upper bicep tendon were reattached to his shoulder about 6 months ago. TM reports biceps have been sore, 4/10. TM report aching like pain in his right shoulder; 2-3/10. TM reports increased pain with bending at his right elbow, and lifting of items. TM denies tingling, numbness, or loss of movement in his right arm. TM is currently taking Celebrex 200 mg QD. TM reports his PCP told him not to take any acetaminophen related to his elevated liver enzyme.

Tendons are a flexable by inelastic cord of strong fivrous collagen tisse which attacha a muscles to bones within the human body. Out of all the tendons within the body, the Achilles tendon is ruptured more frequently than any other. Though there are methods to repare this tendon, re-ruptures still occure in over 5% of patients[1] The aim of this experiment is to explore the use of a polyurethane based tissue adhesive as a potential treatment option in Achilles tendon repair. This was done through the comparison of partially transected bovine Achilles tendons with and without adhesive repair to the tissue and then when loaded until failure. This data was than analysised into a stress vs. strain comparision to test the hyposthisis

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The term Achilles tendon is named after the great warrior, Achilles, of the Trojan War. In Greek mythology, Achilles was known to have one weakness - his left heel. When a poisoned arrow hit this area, he succumbed to death.

The Achilles tendon is the thickest and strongest tendon in human body. It connects with the gastrocnemius muscle proximally in the mid calf. It inserts in calcaneus in complicated manner. There is an osteotendinous junction between Achilles tendon and calcaneum with a sesamoid fibrocartilage above the junction. Other nearby structure includes a layer of periosteal fibrocartilage covering the tuberosity of calcaneum and pre-calcaneal fat pad. The fat pad stabilizes the Achilles tendon proximally by the fibrous connection [1-3]. Within two layers of fibrocartilage, a retrocalcaneal bursa presents to reduce friction. The calcaneal insertion of the Achilles tendon is called ‘enthesis organ’ and its function is to ensure an even distribution of pressure from the tendon to the