Shoulder Pain Research Paper

2. During inspection of the patient’s affected shoulder, name at least three key clinical aspects that you need to observe on both shoulders that would suggest any pathology or abnormality on the shoulders. From the three clinical aspects that you observed, explain what each of the findings would indicate concerning the pathology of the shoulder. For example if the shoulder is

Your rotator cuff consists of four muscles in your shoulder that allows you to move your arm away from your body. These muscles have tendons, which connect them to the head of your upper arm bone or humerus. When a tear occurs in these muscles, you will experience extreme pain on motion. A rotator cuff tear is also extremely painful at night. If left untreated, it may result in arm weakness.

Four muscles that are attached to the shoulder blade make up the rotator cuff. These muscles work together to ensure the shoulder moves and rotates properly. If the muscles become inflamed or torn, you will struggle

The rotator cuff refers to the group of muscles and tendons in your shoulder that connects your shoulder blade to your upper arm.

Shoulder flexion/extension; Elbow flexion and extension; Use of the lower and upper back. Muscles involved include the latissimus dorsi, rhomboids, trapezius, deltoids and the pectorals.

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,

There are many more terms and concepts in throwing a baseball then the wind-up, cocking, acceleration, and the follow through. There is also the stride, your pelvis, rotation, deceleration, force, gravity, resistance and speed. (Maranowski). Within the shoulder, there are three major bones used. They are the clavicle, humerus, and the scapula. Another major component of the shoulder while throwing is the rotator cuff. The rotator cuff is made up of four small muscles which are the subscapularis, supraspinatus, infraspinatus, and the teres minor. The main responsibility of the rotator cuff is for the stability of the shoulder joint. It holds the humeral head in the glenoid socket during early abduction while throwing. (" biomechanics of," ).

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

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 the other hand, scientists have found three main activities that can cause a rotator cuff tear. Repetitive stress is when you repeat a certain action or movement constantly and cause the muscles to tear. Sports like baseball and tennis can cause this. Another way of disruption is by a lack of blood supply in the rotator cuff. As people age blood supply to our tendons and muscles can deplete, causing an impairment in our body’s natural repair of tendons. The final way that can cause a tear in the rotator cuff is bone spurs. Bone spurs can develop on the underside of the acromion bone. When we lift our arms, the spurs rub on the rotator cuff tendons. This condition is called shoulder impingement, and over time will weaken the tendon and make it more likely to tear. The first sign of trouble with Bursitis is pain. Along with this pain will come swelling, redness, and tenderness of the affected area. In some cases, it will cause stiffness in the

Rotator Cuff Tendonitis usually occurs in people 30-80 years of age, and the weakness in the shoulder is only mild to moderate. Rotator cuff tendonitis, also knows as " shoulder bursitis" or "impingement syndrome" occurs

S: TM missed 3 days of her ESI visit, related holidays, but she did continue with ice and plan of care as instructed at home. The TM reports her pain is 4/10, and the pain is described as aching type pain; the pain is intermittent. TM is currently taking Ibuprofen 800 mg tab, 1 tab 2 times a day and Acetaminophen 500 mg tab 2 tabs as needed for shoulder pain to manage her pain and it does help to decrease her pain to 2-3/10. TM denies any loss of ROM or sensation of the right arm; denies any tingling or numbness.

Symptoms of a rotator cuff tear that many patients claim are impingement of the shoulder and pain while resting or sleeping. However, these symptoms can be inconclusive and should be considered with caution. For example, pain at night

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.