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Challenges in Shoulder Assessment and Diagnosis

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13 Questions

What is the term used to describe inflammation of the subacromial bursa?

Bursitis

What term is used to describe uncontrolled joint translation causing reduction in function, pain, or pathology around the shoulder?

Instability

Why is a specific pathoanatomic diagnosis challenging for many patients with shoulder pain?

As patients often lack a history of trauma or specific pathology

What term describes the condition when the head of the humerus is not maintained within the glenoid fossa?

Instability

Which term encompasses bursal pathology under the context of shoulder pain?

Rotator cuff related shoulder pain (RCRSP)

What is the largest bursa in the upper limb that is commonly involved in shoulder pain?

Subacromial bursa

What symptom might a patient with posterior subluxation/instability experience?

Slipping feeling when raising the arm

What type of test can detect posterior subluxation/instability?

Horizontal flexion test

What is the initial management recommendation after a posterior dislocation?

Commence exercise for motor control and strength

Which muscle group is important to focus on for patients with ongoing posterior instability signs and symptoms?

Posterior rotator cuff and posterior deltoid

What type of exercises are recommended early on after a posterior dislocation?

Motor control and proprioceptive exercises

How long might a patient require a sling for comfort after a posterior dislocation?

Up to a week

What approach guides the treatment for posterior subluxation/instability?

'Assessment and symptom modification' approach

Explore the challenges in assessing and diagnosing shoulder conditions, especially in cases where there is no specific pathology or history of trauma. Understand the limitations of traditional pathoanatomic diagnoses for patients with shoulder pain.

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