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Orthopedic Pathologies of the shoulder

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Differential Diagnosis
Signs and Symptoms
show overuse injury, inflammation of a tendon, dull/chronic P!, weakness, sensitive to palpation, passive stretching discomfort through ROM  
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show most common on tip of shoulder or AC jt, a contusion w/out ligament injury  
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show repeated blows to the deltiod, bone spurs formation  
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Biceps strain   show
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show from forced add/internal rotation, radiating P to top shoulder, head humerus in axilla, flattened delt, prominent coracoid/acromion process, pt tender  
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Impingement Syndrome   show
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show inflammation of the sheath surrounds the tendons, dificult ROM, P and pt tenderness around jt, swelling, stiffness  
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show results FOOSH, pain, crepitus, visual deformity, +O'Briens, AC sheer, Sulcus, need to r/o impingement  
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Glenohumeral Anterior Sprain   show
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Posterior GH Sprain   show
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show incomplete dislocation, dead arm syndrome, pt tenderness, weakness, crepitus, + apprehension/relocation tests/impingement test, flattened shoulder, stabbing P, mm guarding, poor ROM, swelling  
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show posterior very severe, FOOSH injury, direct trauma, pt tenderness, swelling, deformity, ant/med clavicular promerence, loss function/ROM, P with breathing  
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show 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  
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show clicking/popping, P with any GH ROM, + clunk test, sup labrum-ant to post, disrupting the longhead of biceps tendon attachment  
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Hill-Sachs deformity   show
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Scapula Fx   show
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show violet direct trauma, FOOSH, may resemble dislocation, P, pt tender, deformity, swelling, supporting arm, mm spasm, deceased ROM, may have compromised circ/neuro  
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show 80% mid-shaft, direct trauma/FOOSH, P, pt tender, crepitus, deformity, swelling, bruising, +percussion/sheer, loss ROM  
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show "looseness" of shoulder w/ multiple directions, P, imflammation, irritation  
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show lat flex of head, numbness/burning, P in neck/shoulder, parethesia, mm weakness, swelling, loss circulation/neuro/sensation/ROM  
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show compression brachial plexus, cold sensitivity, palor appearance, distal swelling, numbness/tingling, Neuro problems, aching P in neck/shoulder/down arm  
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Adhesive Capsulitis "Frozen Shoulder"   show
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show direct trauma, swelling, pt tenderness, localized heat, P around area, usually accompanied by other injuries  
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