MERCY JOY AC

Information about MERCY JOY AC

Published on July 13, 2014

Author: dhiwahar

Source: authorstream.com

Content

PowerPoint Presentation: DIFFERENTIAL DIAGNOSIS & SPECIAL TEST D. MERCY JOY MPT (ORTHO) I YR NEED FOR A DIFFERENTIAL DIAGNOSIS: NEED FOR A DIFFERENTIAL DIAGNOSIS There are many cause of shoulder pain so a accurate diagnosis should be done in order to rule out other pathologies and for a proper treatment plan. PATIENT SCENARIO: PATIENT SCENARIO A 30-year-old male business project manager complaints himself suffering from constant, mild, dull generalized left shoulder pain and followed by a gradual loss of motion . the patient had complaints of difficulty in daily activities. Patient had episodes of sleeplessness during night. He had a history of lifting heavy weight before one year and suffered pain. He has no history of systemic and metabolic disorders. HYPOTHESIS: HYPOTHESIS Rotator cuff lesions Bursitis Adhesive capsulitis Osteoarthritis Tendinopathy Cervical spondylitis Neoplasms ROTATOR CUFF LESIONS: ROTATOR CUFF LESIONS With or without impingement SPECIAL TEST Drop arm test Empty can test Tendinopathy : Tendinopathy Most common is biceps tendinopathy . Tenderness over long head of the biceps tendon. SPECIAL TEST Speed test Yergason test BURSITIS: BURSITIS Subacrominal bursitis PROM achieved OSTEOARTHRITIS: OSTEOARTHRITIS Most common in Acrominoclavicular Joint and Glenohumeral Joint SPECIAL TEST Lift off test Active compression test Cervical spondylitis: Cervical spondylitis Neurological involvement SPECIAL TEST Spurlings test Distraction test ULTT PowerPoint Presentation: Neoplasm Shoulder enchondroma most common Systemic features seen. Special test for adhesive capsulitis: Special test for adhesive capsulitis Coracoid test Shoulder shrug Hand-to-neck Hand-to-scapula Hand-to-opposite scapula SPECIAL TEST: SPECIAL TEST Coracoid pain test ( Coracoid pain test: a new clinical sign of shoulder adhesive capsulitis S . Carbone & S. Gumina & A. R. Vestri & R. Postacchini ) 2010. SHRUG TEST: SHRUG TEST Weakness in abduction Suggest inability to lift the arm to 90 degree. PowerPoint Presentation: Hand-to-neck Shoulder flex + abduction + ER combing hair, putting on a jewel Hand-to-scapula Shoulder ext + adduction + IR dressing, getting into back pocket Hand-to-opposite scapula Shoulder flex + horiz Adduction DIAGNOSTIC CRITERIA: DIAGNOSTIC CRITERIA RULE IN IF • Patient’s age is between 40 and 65 years • Patient reports a gradual onset and progressive worsening of pain and stiffness • Pain and stiffness limit sleeping, grooming, dressing, and reaching activities • Glenohumeral passive range of motion (ROM) is limited in multiple directions, with external rotation the most limited, more particularly in adduction • Glenohumeral external or internal rotation ROM decreases as the humerus is abducted from 45° toward 90 ° • Passive motions into the end ranges of glenohumeral motions reproduce the patient’s reported shoulder pain • Joint glides/accessory motions are restricted in all directions RULE OUT IF : RULE OUT IF • Passive ROM is normal • Radiographic evidence of glenohumeral arthritis is present • Passive glenohumeral external or internal rotation ROM increases as the humerus is abducted from 45° toward 90° and the reported shoulder pain is reproduced with palpatory provocation of the subscapularis myofascia • Upper-limb nerve tension testing reproduces the reported symptoms and shoulder pain can be increased or decreased with altering nerve tension positions • Shoulder pain is reproduced with palpatory provocation of the relevant peripheral nerve entrapment site PowerPoint Presentation: The is no gold standard diagnosis for adhesive capsulitis. The diagnosis is confirmed by the clinical findings ,symptoms , physical examination…..???? REFERENCES: REFERENCES 1 . Evidence-based clinical guidelines for the diagnosis, assessment and physiotherapy management of contracted (frozen) shoulder Version 1.7, ‘Standard’ physiotherapy Endorsed by the Chartered Society of Physiotherapy 2. Shoulder Pain and Mobility Deficits: Adhesive Capsulitis Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Orthopaedic Section of the American Physical Therapy Association J Orthop Sports Phys Ther 2013;43(5):A1-A31. doi:10.2519/jospt.2013.0302 3. Clinical Evaluation of the Shoulder Shrug Sign Xiaofeng Jia MD, PhD, Jong-Hun Ji MD , Steve A. Petersen MD, Jennifer Keefer PA-C , Edward G. McFarland 4. A Review of the Special Tests Associated with Shoulder Examination T . Duncan Tennent ,* FRCS( Orth ), William R. Beach, MD, and John F. Meyers, MD From Orthopaedic Research of Virginia, Richmond, Virginia 5. yang et all corocoid test 2010

Related presentations


Other presentations created by dhiwahar

MAHA PPT
13. 07. 2014
0 views

MAHA PPT

FUNCTIONAL LIMITATION
13. 07. 2014
0 views

FUNCTIONAL LIMITATION

final farheen ppt
13. 07. 2014
0 views

final farheen ppt

PA SHOULDER SURGICAL MX
13. 07. 2014
0 views

PA SHOULDER SURGICAL MX

PERIARTHRITIS SHOULDER (1)
13. 07. 2014
0 views

PERIARTHRITIS SHOULDER (1)

STRUCTURE OF THE JOINT -Faiza.H
13. 07. 2014
0 views

STRUCTURE OF THE JOINT -Faiza.H

Updates of adhesive capsulitis
13. 07. 2014
0 views

Updates of adhesive capsulitis