Shoulder pain is one of the most common reasons for patient visits to orthopedic, physiatrist, primary care and sports medicine offices. Most books that cover this topic review it as a chapter within a larger book on orthopedics as a whole, or they focus on one specific aspect of shoulder pathology, such as osteoarthritis.
This practical text is an evidence-based, user-friendly review of the literature for the breadth of shoulder pathologies that present to the busy practitioner. Opening with a review of the relevant anatomy, subsequent chapters discuss injuries to the rotator cuff, biceps tendonitis, labral tears, adhesive capsulitis, and osteoarthritis. Additional chapters cover shoulder pain in the pediatric patient, sports trauma and fractures, and medical causes of shoulder pain. And while reviewing pathology and its diagnosis and treatment is important, proceeding through real case studies is extremely valuable in bringing the diagnosis and treatment of shoulder pathologies to life, hence an engaging section of clinical case material rounds out the presentation.
Taken together, A Case-Based Approach to Shoulder Pain will be an ideal resource for musculoskeletal medicine practitioners of all types.
Author(s): Jasmin Harounian, Grant Cooper, Joseph E. Herrera, Scott Curtis
Publisher: Springer
Year: 2022
Language: English
Pages: 163
City: Cham
Foreword
Acknowledgments
Contents
1: Shoulder Anatomy
General Shoulder
Bony Anatomy
Joints
Glenohumeral Joint
Acromioclavicular Joint
Sternoclavicular Joint
Scapulothoracic Joint
Muscular Anatomy
Brachial Plexus
Blood Supply
Critical Shoulder Angle
Thoracic Outlet
Normal Anatomic Structures that May Mimic Pathology
References
2: Rotator Cuff Tendonitis and Bursitis
Pathology
Extrinsic Mechanisms
Intrinsic Mechanisms
Clinical Presentation
Physical Exam [8]
Empty Can Test
Full Can Test
Drop Arm Test
Patte Test
Lift-off Test
Bear Hug Test
Neer Sign
Hawkins Test
The Painful Arc
Yocum’s Test
Diagnostic Studies
Radiographs (X-Ray)
Ultrasound (US)
Magnetic Resonance Imaging (MRI)
Treatment
Return to Activities
References
3: Biceps Tendonitis
Pathology
What Is it?
Clinical Presentation
Physical Exam
Diagnostic Studies
Treatment
Return to Activities
Conclusion
References
4: Labral Tears of the Shoulder
Normal Labral Anatomy and Function
Types of Labral Tears
Superior Labral Tears
Anteroinferior Labral Tears
Posteroinferior Labral Tears
Circumferential Labral Tears
Clinical Presentation
Physical Exam: Labral Tear Pain-Provoking Tests
O’Brien Test for Superior Labrum Anterior Posterior (SLAP) Tear
Jerk Test for Posterior Labrum Tear
Kim’s Test for Posterior-Inferior Labrum Tear
Crank Test Vs O’Brien Test
Diagnostic Studies [10, 13–15]
MRI and MR Arthrography
CT Arthrography
Management
Postoperative Rehabilitation and Return to Activities after SLAP Debridement or Repair
0–6 Weeks Postop: Protective and Restrictive Phase
6–12 Weeks Postop
12–24 Weeks Postop
4 Months Postop
References
5: Adhesive Capsulitis
Introduction
Pathology
Clinical Presentation
Physical Exam/Diagnostic Imaging
Ultrasound
MRI/MR Arthrography
Management/Return to Activities
Conclusion
References
6: Osteoarthritis
Introduction and Pathology
Clinical Presentation
Physical Exam
Diagnosis
Treatment
References
7: Sports Trauma
Noncontact Athletes
Anterior Capsular Ligament Dysfunction
Pathology
Clinical Presentation
Physical Exam
Diagnostic Studies
Treatment
Return to Play
Superior Labrum Anterior-Posterior (SLAP) Lesion
Pathology
Clinical Presentation
Physical Exam
Diagnostic Studies
Treatment
Return to Play
Proximal Humeral Epiphysiolysis (Little League Shoulder)
Pathology
Clinical Presentation
Physical Exam
Diagnostic Studies
Treatment
Return to Play
Contact Athletes
Acromioclavicular Joint Trauma
Pathology
Clinical Presentation
Physical Exam
Diagnostic Studies
Treatment
Return to Play
Shoulder Dislocation
Pathology
Physical Exam
Diagnostic Studies
Treatment
Return to Play
Acute Brachial Plexus Injury
Pathology
Clinical Presentation
Physical Exam
Diagnostic Studies
Treatment
Return to Play
References
8: Shoulder Fractures
Clavicle Fractures
Introduction
Clinical Presentation and Physical Exam
Diagnostic Studies
Treatment
Return to Play
Scapula Fractures
Introduction
Clinical Presentation and Physical Exam
Diagnostic Studies
Treatment
Return to Play
Proximal Humerus Fractures
Introduction
One-Part Fractures
Two-Part Fractures
Three-Part Fractures
Four-Part Fractures
Clinical Presentation and Physical Exam
Diagnostic Studies
Treatment
Return to Play
References
9: Medical Causes of Shoulder Pain
Cervical Spine Causes of Shoulder Pain
Pathology
History and Clinical Exam
Diagnostic Steps and Treatment
Rheumatologic Causes of Shoulder Pain
Cardiac Causes of Shoulder Pain
Pathology
Gastrointestinal Causes of Shoulder Pain
Pathology
References
10: Shoulder Case Studies
Case 1 (Subacromial Bursitis)
Presentation
Physical Exam
Imaging
Management
Case 2 (Biceps Tendonitis)
Presentation
Physical Exam
Imaging
Management
Case 3 (Labral Tear)
Presentation
Physical Exam
Imaging
Management
Case 4 (Adhesive Capsulitis)
Presentation
Physical Exam
Imaging
Management
Case 5 (Shoulder Osteoarthritis)
Presentation
Physical Exam
Imaging
Management
Case 6 (Sports Trauma)
Presentation
Physical Exam
Imaging
Management
Case 7 (Clavicular Fracture)
Presentation
Physical Exam
Imaging
Management
Index
