Subacromial Pain Syndrome PowerPoint PPT Presentations

This condition is an umbrella term and includes conditions as impingement, subacromial bursitis, calcific tendinitis, biceps tendinitis, cuff degeneration, rotator cuff tendinopathy and cuff tear. Specialized tests as Neer , Hawkins , Empty-can test have been shown to help the clinician evaluate the shoulder. Anatomy of the shoulder is also described for reference. Role of imaging as MRI , Ultrasound and X-Ray is cited to help the clinician order further investigations. Management and the role of physiotherapy are discussed- acute tear secondary to trauma should be referred urgently. Addressing each condition alone is beyond the scope of this review but a chart with further details is planned on A4Medicine

Treatment of “subacromial impingement syndrome” of the shoulder has changed drastically in the past decade. The anatomical explanation as “impingement” of the rotator cuff is not sufficient to cover the pathology. “Subacromial pain syndrome”, SAPS, describes the condition better. A working group formed from a number of Dutch specialist societies, joined by the Dutch Orthopedic Association, has produced a guideline based on the available scientific evidence. This resulted in a new outlook for the treatment of subacromial pain syndrome Visit here: https://www.a4medicine.co.uk/subacromial-pain-syndrome/

Shoulder pain is frequently caused by subacromial pain syndrome. Shoulder pain caused by SIS can be caused by a variety of things, including subacromial bursitis, rotator cuff tendinopathy, and partial- and full-thickness rotator cuff tears. Because of the interaction of disease in SIS, pinpointing and treating the aetiology of shoulder dysfunction can be difficult. The genesis of rotator cuff illness, for example, has long been discussed, and the reason is likely multifaceted, with external compression, age-related degeneration, trauma, and vascular impairment all playing a role

syndromes from the scapulothoracic region can cause shoulder pain. ... splenic lesions. subacromial bursitis. supraspinatus nerve compression. supraspinatus tendonitis ...

Shoulder Pain Marzena Slater, M.D. PGY 2 Emory Family Medicine Clavicular Fractures Common, most in mid 1/3 clavicle Hx: Fall on outstreched hand or direct blow PE ...

... (bursitis) Causes A sudden violent movement of shoulder Chronic overuse of shoulder in overhead activities Diagnosis Pain with overheard arm activities ...

... Significant symptom relief and improvement of range of motion from scap repositioning Post cortisone Stiff shoulder ?Frozen shoulder.

Biceps tendon rupture. Dislocation subluxation. Rotator cuff tear. Slap lesion. ... Partial tearing of the biceps tendon in the shoulder. Surgery is indicated. ...

Rotator cuff syndrome: It is a term used to describe the process whereby tendinitis and impingement are ongoing simultaneously. Painful arc syndrome: ...

Royal College of Surgeons in Ireland Col iste R oga na M inle in irinn Diagnostic accuracy of clinical tests for subacromial impingement syndrome (SIS): a ...

Board Review ANSWER: C The combination of a painful arc and pain on use of the supraspinatus muscle indicates impingement syndrome, which is due to irritation of the ...

Costotransverse Articulation Injections for Treatment of Posterior Shoulder Girdle Pain Katie Gollotto, DO, Michael M. Weinik, DO Department of Physical Medicine ...

Shoulder Injuries Sports medicine ... Impingement Impingement Mechanism Repetitive overhead motions Signs & symptoms Diffuse pain around the acromion process when arm ...

... treatment Avoidance of offending activity Physiotherapy NSAIDS Corticosteroid injection Surgery : Subacromial decompression Impingement : Imaging Xrays : ...

Shoulder Impingment Jong Liu 05/18/06 What is it? Rotator cuff impingement syndrome is a clinical diagnosis that is caused by mechanical impingement of the rotator ...

Carpal tunnel syndrome. Reflex sympathetic dystrophy (algodystrophy/regional osteoporosis) ... Carpal tunnel syndrome. Median nerve compression in carpal tunnel ...

... the dorsal horn or cervicotrigeminal nucleus (nerve root pain, peripheral nerve entrapment) ... Motor, Autonomic, Neuroendocrine, Immune ...

Development of a Standardized and Individualized Intervention Protocol for the STOMPS Project Management of Shoulder Pain in Persons with SCI Craig J. Newsam, D.P.T.

Acute bursitis: subdeltoid, subacromial (impingement) Sprains: AC, SC ... Rotator Cuff: Supraspinatus, Infraspinatus, Teres Minor, Subscapularis (SITS) ...

Corticosteroid injection ( needle LA) helps decrease inflammatory rxn ... Object is to inject the corticosteroid with as little pain and as few complications ...

costo efectividad del uso de esteroides locales combinados con ejercicio terap utico en casa en el s ndrome de pinzamiento subacromial tesis

Know about various sports injury conditions and how to manage those situations. Sports medicine doctor in New Delhi provides effective treatments for management of bone fractures and joint replacement.

UPPER EXTREMITY INJURIES Objective 2: Recognize common injuries to the upper extremity ANATOMY BONES Clavicle Scapula Spine of the scapula Acromion process Glenoid ...

Bursitis, Tendonitis, Fibromyalgia, and RSD

Physiotherapy. Surgery (SAD) Capsulitis Management. No X-ray. Patient Information leaflet ... Physiotherapy. Surgery. AC joint OA Management ? X-ray. Analgesia ...

... cuff tears Calcific tendinitis Biceps tendinitis Cervical radiculopathy Acromioclavicular arthritis Glenohumeral instability Degeneration of the glenohumeral ...

... GA Currently practices at Coastal Therapy in Savannah Georgia and Gundersen Lutheran Sports Medicine in La Crosse, ... Am J Sports Med. 1996;24:721-725. * *

History & Physical Examination of the Shoulder Biceps Tendonosis Injury to long head of biceps tendon Typically an overuse injury Repetitive (overhead) lifting ...

Shoulder Injuries

Encourage home exercises. Simple analgesia. Keep on with work and normal activities. ... Then ask em to lower arm slowly if it drops they have either a cuff tear or ...

Joint injection Dr Amit Saha Consultant Rheumatologist & Clinical Lead for Rheumatology- Maidstone and Tunbridge Wells NHS Trust Spire Tunbridge Wells- TALK

... physiotherapy Local steroid injection under U/S guidance into paratenon can help tenosynovitis if no evidence of tear Achilles rupture Acute rupture ...

... shape of acromion Arthrogram MRI MSK Ultrasound MRI ROTATOR ... n ROM passive & active Impingement tests Instability tests neurovascular exam Shoulder ...

Orthopedic Examination of the Spine, Pelvis, and Extremities, DX 611 Clinical Assessment Protocol James J. Lehman, DC, MBA, DABCO University of Bridgeport College of ...

Common Adolescent Sports and Overuse Injuries

Injuries/Ailments of the Shoulder Allyson Howe, M.D. Capt, USAF, MC Primary Care Sports Medicine Fellow SHOULDER Incidence Review pertinent anatomy History and ...

Review the general indications, contraindications, benefits, and risks of injections. Discuss consent, equipment, ... Alternate Compounds-Prolotherapy ...

Upper limb problems What to refer and what not to Roland Pratt Consultant Orthopaedic Surgeon North Tyneside General * If x-rays typical no treatment * * age ...

Soft Tissue Disorders and Fibromyalgia Jaya Ravindran Consultant Rheumatologist Introduction Definitions Approach to soft tissue disorders Overview of some soft ...

Rotator Cuff. Disorders. Traumatic Ant. Subluxation. AC joint Pathology ... 'Most Reliable Method to Detecting a Complete Tear of Rotator Cuff ' Neer ...

Biceps tendinopathy. Adhesive capsulitis. SC joint ... Biceps Tendonosis: Speed's Test. Forward flex shoulder to about 90 Abduct shoulder to about 10 ...

Orthopedics and Neurology Clinical Assessment Protocol James J. Lehman, DC, MBA, FACO University of Bridgeport College of Chiropractic DIAGNOSIS 612 Orthopedics and ...

Injuries to the Shoulder Region Movements of the Shoulder Flexion Extension Abduction Adduction Internal Rotation External Rotation Horizontal Abduction Anatomy ...

Jennifer Whitney, PT. Research Program Development from a Clinical Perspective ... Dyson-Hudson & Kirshblum, 2004. The Weight-Bearing Shoulder ...

Neer (1972), anatomical variations in build, strain and ... C. A. Speed, Rheumatology 2001; 40: 1331-1336, Therapeutic ultrasound in soft tissue lesions ...

Like the capsule these ligaments come into play based upon arm position and rotation. ... Have patient make a fist and extend and spread the fingers. 8/27/02 ...

Figure 8 & axilla rolls. Precautions. Can cause brachial plexus compression ... Provides stretch to anterior chest and increases axilla tissue length. Precautions ...

Its bilateral nature makes it difficult to rest a painful shoulder. For individuals with paraplegia and fully functioning upper extremities, ...

Regional Rheumatism Andres Quiceno, MD Rheumatology Division PHD Clinical Assistant Professor of Medicine UTSW Regional Rheumatism These conditions are among the most ...

Long term internal rotation, elbow flexion, and adduction unless indicated by ... contraction of deltoid and cuff muscles (assists during abduction of humerus) ...

Assistant: Bridget Kool. Tim Astley Rob Kofoed. Craig Ball John Mayhew. Mia Carroll Robert Moran ... Laser therapy. Acupuncture plus exercise. Exercise ...

Rheumatologic Emergencies Sarah McPherson May1, 2002 MONOARTICULAR ARTHRITIS Case: 70 year old man presents with a red hot swollen knee x 24 hr.

Part Two Spine Shoulder girdle Arm & Hand Head trauma Skin disorders Pharmacology Heat stresses Special Topics

4. A bulge in the anticubital fossa, signifying long head tendon rupture. Diagnosis ... 4. Swelling of the infraclavicular fossa or general fullness to the ...

Round humeral head that articulates w/ a flat glenoid. Ability of the rotator cuff & long head of the biceps ... Seen in over head repetitive activities ...

Rotator Cuff Tendonitis and Tears. Mechanism/Etiology. Full ... Bicipital Tendinitis. Mechanism/Etiology. Assessment. Management. Proximal Biceps Tendon Rupture ...