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Upper Extremit #2

Impingement Syndrome Causes Compression, Microtrauma, Decrease Repetitive Hypermobility, Postural malalignments
Impingement Syndrome Stages Rotator cuff, painful arc, Stage 1, common in pt <25 years, acute inflammation, edema, and hemorrhage in rotator cuff, Tx – conservative
Impingement Syndrome Stage 2 pt 25-40 years, a continuum of stage 1, rotator cuff tendon progresses to fibrosis and tendonitis, tx – aggressive
Impingement Syndrome Stage 3 pts>40 years, progresses, may lead to mechanical disruption of rotator cuff tendon and to changes in the coracoacromial arch with osteophytosis along the anterior acromion, tx – aggressive
Impingement Syndrome Signs and Symptoms c/o pn, TTP, Overhead motions, + Special Tests
Impingement Syndrome TX Cryotherapy, NSAIDs, US, Strengthening, Stretching, Restrictions, Mechanics, Surgery
Bursitis Occurs in conjunction, Older population, Subacromial Bursae, Location
Bursitis Signs and Symptoms Pn w/movement, TTP, Painful arc, Referred pn, Nocturnal pain
Bursitis TX r/o underlying issues, Corticosteriod injection, Treat sx, Stretching
Bicipital Tendonitis Repetitive overuse, Excessive Traverse ligament Tenosynovitis
Bicipital Tendonitis Signs and SX TTP, Pn w/+ Special Tests
Bicipital Tendonitis TX Restrict rotary mvt, Cowboy sling position, Cryotherapy
Biceps Tendon Rupture Prolonged Steroids Injections, proximal tendon
Biceps Tendon Rupture Signs and SX Popeye deformity, Feel intense pn, Hear/feel popping sound, +deformity, +ecchymosis, ROM
Biceps Tendon Rupture TX Immediate referral, Surgery
Adhesive Capsulitis Frozen shoulder, Older population, Decrease in ROM, Inflammation
Adhesive Capsulitis Signs and SX Stiffness, Pn w/ movement, Restrictions
Adhesive Capsulitis TX Restore ROM, Joint mobs, stretching, Surgery
Thoracic Outlet Syndrome Compression of Neurological (Compression/stretching), Vascular -More common in men
TOS Cervical Rib Syndrome, Scalenus-anterior Syndrome, Hyperabduction Syndrome, Costoclavicular Space Syndrome, Kyphosis
TOS Signs and SX +neuro: Atrophy, +edema, cyanosis, Stiffness, Thrombophlebitis – blood clot, +adson/allen
TOS TX Immediate referral, Conservative vs aggressive, Muscle re-training, NSAIDs, Surgery, conservative if on blood thinners
Created by: adalmadge