Shoulder Fractures By Ahmad A艾哈迈德肩骨折. Abu Tair Khattab .pptVIP

Adhesive Capsulitis (Frozen Shoulder) Medical ppt Definition A disorder in which the shoulder capsule becomes inflamed and stiff, greatly restricting motion and causing pain. The etiology is unknown (injury or trauma, autoimmune). Characterized by progressive pain and stiffness which usually resolves spontaneously after 18 months. Movement of the shoulder is severely restricted, pain is worse at night. Clinical Features Age 40-60, more in females Slight wasting, some tenderness. Pain (gradual onset) Stiffness or decrease in motion. External rotation (most severely inhibited) Internal rotation. Abduction. Radiology X-ray: Osteoporosis of the proximal humerus (decreased bone density) Arthrography: Shows a contracted joint Dramatic decrease in the injected contrast material. Loss of normally loose dependent folds of the capsule. Differential Diagnosis Post-traumatic stiffness (maximal at the start, gradually lessens) Disuse stiffness Regional pain syndrome (associated with MI, stroke) Treatment self-limiting: it usually resolves over time without surgery. Movement is regained gradually but may not return to normal Conservative: Analgesics Heat therapy and exercise(physiotherapy) Corticosteroid injection. Manipulation under anesthesia hastens recovery. Operative Treatment Arthroscopic division of the interval between supraspinatous and infraspinatous (improve the range of movement). Shoulder Instability (Dislocation) Occurs when the humerus separates from the scapula at the glenohumeral joint.The glenoid socket is very shallow and the joint is held secure by the fibrocartilaginous glenoid (labrum) and the surrounding ligaments and muscles. Types Anterior instability. Posterior instability. Multidirectional instability. Anterior Instability Most common. (~95%) 50%? under 25 yrs, 50% develop recurrency (the labrum and capsule are detached from the anterior rim of the glenoid) Occurs as a sequel to acute anterior dislocation of the shoulder, wi