Shoulder
A
.
Rotator
Cuff
-
(
tendinitis
)
(
partial
)
(
complete
)
S
/
S
:
Night
pain
,
usually
____________________
elbow
Abduction
adn
____________________
painful
Hx
;
Pain
for
1
year
,
6months
gradually
lack
of
use
Supraspinatus
adn
Infraspinatus
atrophy
Dx
:
Drop
arm
,
____________________
,
US
,
CAT
Scan
Tx
:
____________________
(
10
-
14
days
)
,
TENS
,
Exercise
(
____________________
)
B
.
Adhesive
Capsulitis
-
(
aka
____________________
Shoulder
)
S
/
S
:
Persistent
pain
(
night
too
)
,
dull
,
nagging
progressive
____________________
of
motion
(
active
and
passive
)
Dx
:
ROM
exam
Tx
:
Adjust
,
____________________
,
____________________
TENS
,
moist
packs
C
.
Dislocation
-
(
acute
vs
.
chronic
)
S
/
S
:
(
MOI
)
____________________
abduct
.
/
external
rotation
(
acute
)
forceful
____________________
motions
(
chronic
)
Sudden
,
sharp
paralyzing
pain
while
____________________
indicates
instability
,
"
dead
arm
zone
.
"
Dx
:
Anterior
____________________
deformity
,
XRay
,
Hill
Sach's
(
Chronic
)
Tx
:
____________________
Maneuver
,
sling
(
3
-
6
weeks
)
,
(
<2
week
over
40
years
old
)
,
hot
packs
,
exercise
(
tubing
,
wand
,
very
slowly
for
6
months
)
,
TENS
,
microcurrent
D
.
Bursitis
S
/
S
:
Pinpoint
pain
,
pain
in
one
or
two
directions
usually
Dx
:
Xray
(
____________________
)
,
MRJ
Tx
:
Adjust
,
PT
,
exercises
E
.
____________________
-
(
"
exaggerated
response
of
extremity
to
injury
,
"
neuro
-
vascular
disturbance
)
S
/
S
:
Post
trauma
(
6
-
8
weeks
usually
)
,
hyperparthia
(
sensory
)
swollen
,
color
changes
,
sweaty
and
/
or
dry
,
burnikng
pain
(
causalgia
)
Dx
:
____________________
(
blood
flow
to
extremity
increased
)
Thermography
(
usually
cold
)
Xray
(
spotty
____________________
)
Three
phase
radionucleotide
scintigraphy
(
most
sensitive
test
)
Tx
:
Varies
,
massage
(
light
-
deep
-
light
)
,
adjustments
,
exercise
(
"
scrub
brush
"
or
crutch
walking
for
lower
extremity
)
,
biofeedback
,
acupuncture
,
US
,
Tens
F
.
Impingement
-
(
aka
____________________
Shoulder
)
What
is
it
?
Rotator
cuff
and
/
or
subacromial
bursa
,
entrapment
between
humerus
and
coracoacromial
arch
resulting
in
rotator
cuff
lesions
-
DJD
-
biceps
tendon
instability
Causes
-
____________________
sports
activities
and
occupations
S
/
S
:
Diffuse
____________________
shoulder
pain
I
.
Achy
,
painful
arc
(
60
-
120º
)
25
years
old
II
.
Night
pain
,
rest
doesn't
help
,
overhead
sports
25
-
40
years
old
III
.
Loss
range
of
motion
,
rotator
rupture
,
bicipital
tendon
pain
40
years
old
Dx
:
1
.
Pain
:
60
-
120º
adbuction
and
70
-
120º
flexion
and
decreased
ROM
2
.
____________________
,
Yergason's
,
and
____________________
tests
3
.
Xray
:
AC
and
shoulder
DJD
,
HADD
,
etc
.
4
.
Tests
:
Ultrasound
-
"
buckling
of
cuff
"
,
MRI
-
spurs
,
bursa
,
tendon
tears
Tx
:
Adjust
,
____________________
,
ice
,
heat
,
stretch
,
tape
(
in
ext
rot
)
,
warm
up
,
US
,
TENS
,
"
rowing
"
