Bicipital Tendinitis Research Paper

HPI: Ms. Smith presents to the office with bilateral shoulder stiffness and lateral elbow pain in right arm. The patient has been suffering shoulder stiffness for over 2 years. The symptom developed gradually after she started using her computer more at her work place; she had to hold her telephone between her shoulder and head while typing information on computer. The pain in right elbow stated about 8 months ago with gradual onset. The patient does not recall any trauma to the shoulder and elbow. She has been diagnosed as tennis

Inspection of the right shoulder joint reveals atrophy. Movements are restricted with flexion to 90 degrees limited by pain and abduction to 75 degrees limited by pain. Hawkin’s test, Neer’s test, Shoulder crossover test, Empty Cans test, Lift-off test, and Apprehension test is positive. On palpation, tenderness is noted in the acromioclavicular joint and subdeltoid

The patient wants to also update me as far as the arm pain he mentioned last time. He says his left arm is feeling better now. He is noticing that his right shoulder is hurting at times, especially in certain positons such as while he is sleeping and if he has his arm raised over his head while he is lying down. He had no specific injury or trauma. He is not aware of anything that makes it better or worse. He is not using any medication for it thus far. He would be interested in having

Millions of people across the United States suffer from either Bursitis or a rotator cuff injury every year. Although sometimes the two can be misconceived, they are very different in all actuality. Bursitis is the inflammation or irritation of the bursa. A bursa is a fluid-filled sac used as a bumper near the joints to reduce friction. There are many bursae located in your body, some of which being in the hip, shoulder, wrist, and elbow. However, a rotator cuff injury only affects the shoulder area of the body. The “rotator cuff” is composed of the supraspinatus, infraspinatus, subscapularis, and teres minor muscles. There is only one main way to be diagnosed with Bursitis and it happens when you overuse a joint in sports or on the job. You can put the bursa under pressure for a long time, thus causing the bursa to become inflamed.

O: Inspection of the right shoulder, no redness or edema noted; palpation of the right shoulder there was no warmth noted; on deep palpation TM reports in some tenderness

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.

Upper limb disorders can be brought forward if symptoms such as tenderness, swelling, weakness, stiffness, cramps, aches and pains show up. An upper limb disorder can only be diagnosed as work-related upper limb disorder if there is enough proof that it was caused by the activities and processes that one does at work. These

MRI of the right shoulder report dated 03/04/14 revealed tear of the supraspinatus/infraspinatus tendon and subscapularis tendon. There is tendinosis of the teres minor. Abnormal signal is noted within the biceps tendon concerning for tear. Degenerative changes involving humeral head are seen. Bone marrow edema is noted involving the superior lateral aspect of the humeral head and the glenoid bone. Degenerative changes at the glenohumeral joint and the acromioclavicular joint are noted. There is edema and sclerosis of the posterior glenoid. Abnormal cortex of the posterior glenoid is demonstrated

Neer grouped the sickness as dynamic phases of rotator cuff impingement in the space underneath the coracoacromial

Examination of the right shoulder shows minimal tenderness over her biceps tendon rotator cuff of her right shoulder. Range of motion (ROM) shows abduction of 160 degrees, flexion of 165 degrees, internal/external rotation of 70 degrees and adduction/extension of 30 degrees.

Impingement syndrome: As indicated by Shahabpour, Kichouh, Laridon, Gielen, & De Mey (2008, p. 194), magnetic resonance imaging is the imaging tool of choice for evaluation of articular structure and soft tissue of the shoulder; it can aid in the detection of soft tissue anomalies linked to shoulder impingement. Similarly, Wise et al. (2011, p. 605) acknowledge the importance of MRI as an instrument in identifying osseous and soft tissue irregularities that may lead to or be the consequence of shoulder impingement.

On 06/26/2017, the claimant presented one-week postop from biceps tendon reconstruction. His wound was healing nicely with an intact distal neurovascular status. He was diagnosed with a strain of muscle, fascia, and tendon of the long head biceps of the left arm. He was placed in a long-arm cast. Norco was recommended.

S: In 10/22/2014, TM was seen for bilateral shoulder pain. Today TM is here complains of left shoulder pain. According to TM he was aligning a Santfa, a process involving reaching. When he was bring his arm down, he felt the sharp, tearing pain in his anterior of his shoulder. TM is here with left shoulder pain. TM reports his pain at 6-7/10. The pain was sudden, sharp at The pain was localized, and didn’t radiated to anywhere else. The pain was so sudden and so severe, it scared him. TM denies any tingling or numbness, loss of movement.

However, plain films were not obtained. There is no clear rationale for the indication of shoulder MRI with unequivocal objective findings and absence of plain films. In addition, there is no focal neurological deficit on the exam. There are no sensory or motor deficits noted. Medical necessity has not been established. Recommend non-certification.