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