Karteikarten
ROTATOR CUFF TEAR
Karten in diesem Stapel (9)
- 1WHAT IS IT?4 muscles = SITS
Stabilises humeral head in the fossa.
AnteriorSuperior Tear = Subscap and supra
PosteriorSuperior Tear = Infra and Teres Minor. - 2What is it?Acute = Trauma
Chronic = Progressive Degeneration of tendon.
Intrinsic = RC pathologies of tendon degeneration
Extrinsic = Supra is damaged and compressed between the CAL, acromion and Humeral head. - 3Signs And SymptomsPain - abduction
Loss of Function - elevation, abduction.
Scapula and muscle weakness and dysfunction.
Posterior capsule and soft tissue tightness.
Supra = painful arc (60-90).
Crepitus
Night Pain
Subscap tear = decreased AROM, IR weakness and abnormal lift off sign.
Scaphumeral rhythm dysfunction. - 4AssessmentsHOPS
Manuel muscle testing.
Abd = supra, ER = infra, IR = Subscap
MRI
Special Tests - 5Special TestsSupra = Drop arm
Painful Arc
Empty can
Infra = Hornblowers Sign(unable to ER arm)
Drop Sign
Teres Minor = Hornblowers Sign
Subscap = Lift off test
Belly Press test - 6RehabilitationConservative = Reduce pain, Improve movement and function and increase ADL.
Operative - post op =
Immobilize = 6 weeks, PROM, ER <20
AAROM, AROM, scapulas stabilisation = 6-12weeks.
RC muscle, deltoid and scapulas strengthening at 3-4months.
Return to play > 4months - 7Rehab purposeRestore scaprhythm. target SA, Mid and Lower Trap, while reducing the muscle activity and activation of Upper Trap.
Early stages = NMC of scapular muscles
Both OPC and CKC. - 8Red FlagsSmoking
Weakness, pain and decrease ROM not specific to RC tears
No stretches or exercises beyond ROM limit
Aggressive stretching and overhead avoided. - 9Operative Concideration1. Decrease pain and disability when conservative fails
2. Decrease the possibility of tear progression
3. Decrease risk of RC tear arthropathy.
Informationen
- Beschreibung
- Karteikarten am ROTATOR CUFF TEAR, erstellt von Yvonne Roentgen am 11/11/2018.
- Erstellt von
- Yvonne Roentgen
- Aufrufe
- 2
- Bewertung
Mehr zu Rotator cuff and biceps tendon injuries