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Shoulder Dislocation
directly from: https://coreem.net/core/shoulder-dislocation/ Shoulder Dislocation Classifications (www.backandbodyclinic.co.uk) Definition: Separation of the humerus from the scapula at the glenohumeral joint Epidemiology: Classification: Mechanism: Physical Examination: Netter’s Concise Orthopaedic Anatomy, Second Edition X-Ray Imaging (All Images in Gallery Below): Shoulder Dislocation X-Rays Anterior Glenohumeral Dislocation: AP View (www.emrms.com) Anterior Glenohumeral Dislocation: Scapula Y…
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Chest Wall pain
Musculoskeletal causes of chest wall pain Isolated musculoskeletal painMore common– Costochondritis– Lower rib pain syndromes– Pain from thoracic spine/costovertebral joints– Sternalis syndromeLess common– Stress fractures– Tietze’s syndrome– Xiphoidalgia– Spontaneous sternoclavicular subluxation Rheumatic diseasesMore common– Fibromyalgia– Rheumatoid arthritis– Axial spondyloarthritis (including ankylosing spondylitis)– Psoriatic arthritisLess common-Sternoclavicular hyperostosis– Systemic lupus erythematosus– Septic…
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Thoracic outlet syndrome
Systematic causes of brachial plexus pain include:
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Glenoid labrum injuries (SLAP and non-SLAP)
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Acromioclavicular joint sprain
Clinical assessment Investigations Xray: Referral and management Type AC ligament CC ligament Exam Radiographs Reducibility Treatment Type I Sprain Normal AC tendernessNo AC instability Normal Reducible Sling Type II Torn Sprain AC horizontal instability AC joint disruptedIncreased CC distance < 25% of contralateral Reducible Sling Type III Torn Torn AC joint disruptedIncreased CC distance…
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Rotator cuff Disease
There is a wide spectrum of disease, from tendinosis, partial tears to complete tears. Anatomy Note: adduction is done by latissimus dorsi, teres major, and pectoralis major Epidemiology Pathomechanics There is a wide spectrum of disease, from tendinosis, partial tears to complete tears. Disease can be acute (usually traumatic tears)…
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Anterior shoulder instability
. Presentation Signs and Symptoms Clinical assessment Imaging Management Reduction of acute dislocation Post initial reduction: Reduction following recurrent dislocations: When to refer: Following surgery: Physiotherapy