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Related Concept Videos

Muscles of the Shoulder01:23

Muscles of the Shoulder

The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
Blood and Nerve Supply to the Bones01:29

Blood and Nerve Supply to the Bones

Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...

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Reverse Total Shoulder Arthroplasty
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Reverse Total Shoulder Arthroplasty

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9. Painful shoulder complaints.

Frank Huygen1, Jacob Patijn, Olav Rohof

  • 1Department of Anesthesiology and Pain Management, Erasmus University Medical Centre, Rotterdam, the Netherlands.

Pain Practice : the Official Journal of World Institute of Pain
|May 12, 2010
PubMed
Summary

Diagnosing painful shoulder conditions relies on clinical history and specific motion tests. Treatment typically begins conservatively with medication and therapy, escalating to injections or specialized procedures if needed.

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Clinical Efficacy of Small Needle Knife Therapy on Stage I-II Frozen Shoulder
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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Physical Therapy

Background:

  • Painful shoulder complaints are common, with unclear causes.
  • Accurate diagnosis is crucial for effective treatment.
  • Conservative management is the initial approach for most shoulder issues.

Purpose of the Study:

  • To outline the diagnostic process for shoulder pain.
  • To detail key examination techniques for shoulder complaints.
  • To review treatment strategies for shoulder pain.

Main Methods:

  • Clinical history taking.
  • Physical examination including active and passive range of motion.
  • Specific shoulder tests: abduction, external rotation, and horizontal adduction.

Main Results:

  • Clinical assessment and specific shoulder tests guide diagnosis.
  • Conservative treatments like NSAIDs and physical therapy are primary.
  • Injections and advanced procedures are options for refractory cases.

Conclusions:

  • A systematic approach combining history and physical examination is key for shoulder pain diagnosis.
  • Conservative management is effective for many patients.
  • Advanced interventions offer solutions for persistent or severe shoulder conditions like frozen shoulder.