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10.12.2013

Anterior shoulder pain differential diagnosis, high protein pasta bodybuilding - Plans Download

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Type I injury is associated with mild to moderate pain associated with movement of the upper extremity. Type III injury results in complete dislocation, either anteriorly or posteriorly, of the SC joint.
Rheumatoid arthritis, RA, of the SC joint includes: a report of swelling of the SC joint, tenderness of the SC joint, crepitus, and painful limited movement of the shoulder. Spontaneous anterior subluxation includes: patient report of a “pop”, or sudden subluxation of the medial end of the clavicle.
When the patient has an anterior dislocation, most authors recommend at least one closed reduction attempt. When the patient has a posterior dislocation, closed reduction should also be applied under general anesthesia. The figure below depicts a differential diagnosis flowchart for non-traumatic injuries of the SC joint.


Learn about the shoulder in this month's members learn topic with 5 chapters from textbooks such as Magee's Orthopedic Physical Assessment, 2014 & Donatelli's Physical therapy of the shoulder 2012. A patient with sternocostoclavicular hyperostosis may report localized pain, swelling and warmth over the SC joint. Posterior dislocations of the SC joint should be considered a medical emergency due to the proximity of major arteries, nerves, trachea, esophagus and lungs. There are several techniques described, the standard abduction traction technique is similar to the technique used for anterior dislocations. Patients present with unilateral involvement, swelling, and tenderness of the SC joint, and pain with full arm abduction. Place the patient with the shoulder of the injury side supine near the edge of the table with a thick pad between the scapulae. Laboratory studies may help rule in or rule out a certain diagnosis when inflammatory or infectious disease processes are suspected, such as RA, septic arthritis, or osteomyelitis.


The anterior and posterior sternoclavicular ligaments restrain anterior and posterior translation of the medial clavicle. The anterior and posterior sternoclavicular ligaments originates on the anterior and posterior ends of the clavicle, respectively, and inserts onto the anterior and posterior surfaces of the manubrium, respectively.
The use of the serendipity view radiograph has been shown to be of better diagnostic reliability since it is a bilateral view of the SC joint.



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