WRITTEN PT TRAUMATOLOGY PDF

‫< وان ليس لالنسان اال ما سعي وان سعيه سوف يري‬ Enumerate classification of FS ? Primary Secondary 1- independent of 1- After trauma other pathologies 2- Associated with other 2- No history of injuries conditi...

‫< وان ليس لالنسان اال ما سعي وان سعيه سوف يري‬ Enumerate classification of FS ? Primary Secondary 1- independent of 1- After trauma other pathologies 2- Associated with other 2- No history of injuries conditions Systematic 1- Diabetes 2- Thyroid disease Extrinsic 1- Mid-humeral fracture 2- CVA 3- COPD 4- Myocardial infarction 5- Chronic liver disease 6- Cervical disc disease Intrinsic 1- rotator cuff tear 2- Biceps tendonopathy 3- Calcified tendinitis 4- Acromioclavicular arthropathy 5- humeral or scapular fracture >>>Discuss first stage of frozen shoulder ? 1- Mild erythematous synovitis 2- Sharp pain at end ranges of ROM. 3- Achy pain at rest + sleep disturbance.  4- mild decrease in ROM 5- must recognize the loss of ER with an intact rotator cuff to avoid misdiagnosis with impagement 6- severe synovitis in the antero-superior capsule 7- duration >> 0-3m 8- painful and pre-adhesive stage discuss second stage of frozen shoulder ? 1- Thickened red synovitis 2- very painful end ranges of all motions 3- ROM loss becomes more profound and sustained with or without anesthesia 4- (EUA) reveals connective tissue changes resulting in loss of motion 5- acute adhesive or “freezing” stage 6- duration >> 3-9 months Discuss third stage of frozen shoulder ? 1- demonstrate less synovitis 2- significant stiffness with less pain 3- Severe capsular restriction without apparent synovitis 4- GH contracture is most severe in the anterior aspect of the capsule 5- fibrotic or “frozen” stage 6- duration >> 9 to 15 months discuss fourth stage of frozen shoulder ? 1- shoulder function begin to improve 2- Painless stiffness 3- thawing” or “recovery” stage  4- duration >> 15-24 months enumerate muscles tightness and muscles weakness in FS ? Tightness of adductors and Weakness of shoulder retractors internal rotators 1- pectoralis major 1- middle and lower trapezius 2- Latissimus dorsi 2- Rhomboids 3- Teres major >>>Enumerate Differential Diagnosis of FS ? 1- Rotator cuff strain/tear/impingement syndrome 2- GH joint osteoarthritis (OA) 3- Cervical strain 4- Cervical radiculopathy 5- Myofascial pain syndrome 6- Calcific tendonitis 7- Fracture, dislocation 8- Bony neoplasm/metastases Enumerate symptoms of symptoms of cervical spondylosis ? 1- Cervical pain and and posterior headache 2- Pain radiate to the Occiput , Shoulder , Scapula and Arm 3- pain can interfere with sleep 4- Myelopathy or Radiculopathy occur Discuss physical examination of cervical spondylosis ? 1- cervical motion is decreased  2- Crepitus 3- Tenderness 4- Spasm 5- neurological assessment of the upper extremities 6- Gait and lower extremity reflexes assessment Enumerate Differential diagnosis of Cervical Spondylosis ? 1- Adhesive capsulitis 2- Cervical disc disease 3- Cervical sprain and strain 4- Myofascial Pain 5- Multiple sclerosis (MS) 6- Rheumatoid arthritis >>>Enumerate RDIOLOGICAL FINDING IN CERVICAL SPONDYLOSIS ? 1- Narwing of disc space 2- Sclerosis of endplate 3- osteophyte lipping 4- Straigt curve 5- Facet arthritis Mention functions OF Upper trapezius-serratus anterior force couple ? 1- Allows for rotation of the scapula, maintaining the glenoid surface for optimal positioning 2- Maintains efficient length tension relationship for the deltoid  3- Prevents impingement of the rotator cuff from the subacromial structures 4- enabling recruitment of the scapulohumeral muscles ENUMERATE Pathophysiology of imangement ? Primary Secondary 1- abnormal mechanical 1- excessive GH joint mobility relationship between the 2- scapular dyskinesis rotator cuff and the coracoacromial arch 2- factors 1- congintal anomaly of AC 2- spur formation of AC 3- OS acromiale 4- Degenerative spurus in coracoid 5- Malunion and non-union in rotator cuff 6- Congenital anomaly in humerus 7- Tendon thick after surgery Enumerate symptoms of Tensile overload imagement ? 1- populations of fibroblasts 2- Vascular hyperplasia 3- Disorganized collagen Enumerate Jobe Isotonic Rotator Cuff Exercises ? 1- Side lying ER 2- SHOULDER EXTENSION  3- Prone horizontal abduction 4- 90 degrees ER >>>Enumerate three auto self mobalization exercises to increase shoulder abduction in case of FS ? 1- Wall climbing exercises 2- Stick to increase external Rotator and Abduction 3- pulley Exercises ( Weights )