The Painful Shoulder Part II: Common Acute & Chronic Disorders © Jackson Orthopaedic Foundation www.jacksonortho.org Presenters AJ Benham, DNP, FNP, ONC Kathleen Geier, DNP, FNP, ONC Jackson Orthopedic Foundation 3317 Elm Street - Suite 102 Oakland, CA 94609
[email protected] [email protected] http://www.orthoprimarycare.info/ Conflict Of Interest Disclosures We hereby certify that, to the best of our knowledge, no aspect of our current personal or professional situation might reasonably be expected to affect significantly our views on the subject on which we are presenting. Objectives • 1. Differentiate among common conditions associated with shoulder pain based on history and physical exam • 2. Formulate plans for imaging and treatment of specific shoulder conditions according to evidence based guidelines. • 3. Discuss indications & appropriate communication techniques for referral of patients with shoulder conditions to services including PT, surgery, etc. Common Sites of Shoulder Pain A A good place for a chart ACUTE CHRONIC • Fractures • Impingement Syndrome Humerus • Frozen Shoulder Clavicle Adhesive capsulitis Scapula • Biceps Tendonitis • *Dislocations • Labral Injury Humerus SLAP Tear AC Joint • Osteoarthritis SC Joint Glenohumeral • *Rotator Cuff Tear Acromioclavicular S.I.T.S. Muscles • Osteolysis Distal clavicle Shoulder Landmarks A A good place for a chart More Shoulder Landmarks A A good place for a chart Musculoskeletal Exam • Inspection • Palpation * • Range of Motion • Resisted Strength • Sensation • Provocative Testing * One joint above; one below www.jacksonortho.org ACUTE CHRONIC • Fractures • Impingement Syndrome Clavicle • Frozen Shoulder Humerus Adhesive capsulitis Scapula • Biceps Tendonitis • *Dislocations • Labral Injury Humerus SLAP Tear AC Joint • Osteoarthritis SC Joint Glenohumeral • *Rotator Cuff Tear Acromioclavicular S.I.T.S.