Sdla Case Control Study

Walch et al first described the internal impingement as an intraarticular impingement of the rotator cuff in the abducted and externally rotated shoulder. With 90 degrees of both abduction and external rotation, the articular surface of the posterior superior rotator cuff becomes pinched between the labrum and the greater tuberosity.5 The authors separated the labral lesions from SLAP lesions which extended anteriorly to the biceps anchor at the supraglenoid tubercle, concluding that internal impingement may be responsible for a subset of patients with isolated posterior SLAP tears.5

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,

DOI: 9/18/2000. Patient is a 59-year-old female technician who sustained a work-related injury due to being jostled and jolted in the back of a golf cart which ran over a pothole. As per OMNI, she was diagnosed with post cervical protrusions, facet syndromes with headaches, lumbar facet syndrome and status post right shoulder repair/resection.

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.

On examination, ROM of the glenohumeral joint shows flexion of 105 degrees and passive ROM of 110 degrees. Active ROM has improved since evaluation.

In 1990 the acronym “SLAP lesion” (Superior Labral Anterior and Posterior) was coined by Synder et al, a shoulder pathology previously made known after arthroscopically identified by Andrews et al in 1985. 2,3 The prevalence of SLAP lesions in recreational athletic and athletic populations ranges from 3.9 %- 11.8%. 4 Kim, et al noted out of 544 shoulders arthroscopically evaluated, 25% were diagnosed with a SLAP lesion, and 88%, about 120 subjects, presented with another pathology.6

*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.

Medical imaging can lead to the early and precise detection of shoulder lesions like rotator cuff tear (RCT). A timely and exact diagnosis can dictate a positive patient's outcome. Hence, clinicians must be capable of identifying the imaging technique that is appropriate for a patient's musculoskeletal condition.

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.

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.

A physical therapy evaluation dated 08/07/2017 indicated that the claimant had a right shoulder pain after a fall onto her elbow and knee at work on 06/28/2017. She stated that she will have a surgical intervention on her right shoulder. She rated the pain at 6-8/10. She was unable to reach above her right with the right upper extremity. Objective findings showed reduced right arm swing. It was noted that the claimant was unable to place the right hand behind the head or the ear. There was a noted atrophy of the right forearm. Therapeutic exercises, moist heat, TENS, cryotherapy, and patient

The shoulder region has the greatest range of motion and the least stability (Degerlendirmesi, 2014). As I have mentioned in my initial post, due to the complex anatomy of the shoulder and biomechanics of the joints and soft tissues, it is crucial that proper imaging methods should be utilized (Degerlendirmesi, 2014). One purpose of imaging is to check for the presence of a fracture or dislocation in acute cases. (Degerlendirmesi, 2014). Obtaining the patient’s history and performing a physical examination in correlation with imaging findings is vital in avoiding errant treatment of lesions in the shoulder that are asymptomatic or neglecting other pathological

In conclusion, it was said that the disabled throwing shoulder comprises a spectrum of pathology. Dead arm was found to be the most dramatic and severe. The most common cause of the dead arm was the type II SLAP

The supraspinatus muscle is the initial muscle for this movement during the first 15 degrees of its arc and past 15 degrees, the deltoid muscle becomes increasingly more effective at abducting the arm. The supraspinatus muscle is one of the musculotendinous support structures called the rotator cuff that surrounds the shoulder. In addition, it also helps to stabilize the shoulder joint by keeping the head of humerus firmly pressed medially against the glenoid fossa of the scapula. The most common form of injury in the shoulder is rotator cuff tendonitis. It involves the tendon of the supraspinatus muscle, which attaches to the upper portion of the upper portion of the humerus at the shoulder joint. Less commonly, the tendon of the infraspinatus