| Differential Diagnosis |
Signs and Symptoms |
| Tendonitis |
overuse injury, inflammation of a tendon, dull/chronic P!, weakness, sensitive to palpation, passive stretching discomfort through ROM |
| Shoulder Pointer |
most common on tip of shoulder or AC jt, a contusion w/out ligament injury |
| Blockers Spur |
repeated blows to the deltiod, bone spurs formation |
| Biceps strain |
swelling, pt tenderness in the bicepital groove, loss ROM, may have discoloration |
| Inferior GH Sprain |
from forced add/internal rotation, radiating P to top shoulder, head humerus in axilla, flattened delt, prominent coracoid/acromion process, pt tender |
| Impingement Syndrome |
affects rotator cuff, overuse injury, swelling, P! while sleeping, shoulder feels weak, bursitis as a result of pinching in acromion, pt tenderness |
| Tenosynovitis |
inflammation of the sheath surrounds the tendons, dificult ROM, P and pt tenderness around jt, swelling, stiffness |
| AC Sprain |
results FOOSH, pain, crepitus, visual deformity, +O'Briens, AC sheer, Sulcus, need to r/o impingement |
| Glenohumeral Anterior Sprain |
arm forced into abd/ext rotation, direct blow, P/decreased ROM, pt tenderness, relief with reduction, may have numbness/tingling |
| Posterior GH Sprain |
rare, caused by forced abd, may cause the arm to be above head and unable to bring in down |
| Glenohumeral subluxation |
incomplete dislocation, dead arm syndrome, pt tenderness, weakness, crepitus, + apprehension/relocation tests/impingement test, flattened shoulder, stabbing P, mm guarding, poor ROM, swelling |
| SC sprain |
posterior very severe, FOOSH injury, direct trauma, pt tenderness, swelling, deformity, ant/med clavicular promerence, loss function/ROM, P with breathing |
| Labrum Tears: Bankart |
usually w/ subluxation/dislocation, clicking/popping, P with any GH ROM, + clunk test, avulsion/damage to the ant lip of labrum from humerus slided forward ant. dislocation |
| Labrum Tears: SLAP lesion |
clicking/popping, P with any GH ROM, + clunk test, sup labrum-ant to post, disrupting the longhead of biceps tendon attachment |
| Hill-Sachs deformity |
associated with GH dislocations, repetitive impact, P, pt tenderness, swelling |
| Scapula Fx |
very rare, swelling, pt tenderness, avulsion coracoid process, direct trauma, discoloration |
| Humeral head Fx |
violet direct trauma, FOOSH, may resemble dislocation, P, pt tender, deformity, swelling, supporting arm, mm spasm, deceased ROM, may have compromised circ/neuro |
| Clavical Fx |
80% mid-shaft, direct trauma/FOOSH, P, pt tender, crepitus, deformity, swelling, bruising, +percussion/sheer, loss ROM |
| Multidirectional instability |
"looseness" of shoulder w/ multiple directions, P, imflammation, irritation |
| Brachial Plexus injury |
lat flex of head, numbness/burning, P in neck/shoulder, parethesia, mm weakness, swelling, loss circulation/neuro/sensation/ROM |
| Thoracic Outlet Syndrome |
compression brachial plexus, cold sensitivity, palor appearance, distal swelling, numbness/tingling, Neuro problems, aching P in neck/shoulder/down arm |
| Adhesive Capsulitis "Frozen Shoulder" |
inflammation about rotator cuff/capsular area, P!, loss ROM, idiopathic |
| Subacromial Bursitis |
direct trauma, swelling, pt tenderness, localized heat, P around area, usually accompanied by other injuries |
