Posted in Bone of the Week, Case of the Week, Fracture of the Week, General, X-Ray of the Week, tagged learning, rotator cuff, shoulder, wrist on February 20, 2010| 1 Comment »
Take a break!
Well done on making it to the end of week 2 of the MSS!
This is the time to re-cap on your learning so far in relation to the shoulder and hand. Take a look again at the bone of the week and case of the week especially for shoulder and hand stuff.
Week 3 will be focusing on back and neck pain, especially nerve root compression and mechanical back pain but with something about other back problems as well – enjoy!
Dundeebones
Posted in Helpful websites, tagged reference, shoulder on February 18, 2010|
This website is a really good shoulder resource, containing copies of shoulder texts, anatomy material as well as arthroscopic footage of shoulder procedures and pathology. Go to the educational menu for the most useful material. Why not have a look at this before you come to theatre to see shoulder surgery!
Posted in Case of the Week, Week 2 stuff, X-Ray of the Week, tagged shoulder, x-ray on February 17, 2010| 2 Comments »
Left Shoulder Xray
This is the Xray of the left shoulder of a 42 year man following a fall from a height onto his outstretched hand.
He has a painful, immobile shoulder with loss of the normal contour of deltoid.
What do you think the Xray shows? (there are two abnormalities to notice here).
Remembering Prof Parkin’s lecture today it would be important to test his sensation somewhere.
After emergency management his shoulder now looks like this.
Can you say how he as been treated and what might go wrong with his shoulder during the next few days or weeks?
Posted in Case of the Week, tagged Reading, shoulder on February 17, 2010|
Recommended reading
Section 8.10 Shoulder Disorders
Short paragraphs on all the shoulder porblems we looked today with a good photo of a subacromial injection and a dislocated shoulder.
There are self-assessment questions at the end of the chapter.
Don’t forget to check out Joints p75 and Muscles p77
Posted in Case of the Week, tagged rotator cuff, shoulder on February 17, 2010|
Blackboard has three additional resouces to look at illustrating the case of the week. These folders may be slow to open and will need you to click off the pop-up blocker from time to time.
In the “Case of the Week: shoulder Pain”, folder in the resouces menu there’s:
Posted in General, Helpful websites, tagged reference, shoulder on February 17, 2010|
Thanks for these two useful links people have given me today.
www.handuniversity .com has good sections on trigger finger, carpal tunnnel syndrome and Dupuytrens’ contracture. All good reading prior to upcoming lectures.
www.swarminteractive.com has good stuff on shoulder procedures discussed in our patient presentation today. Follow the path to – patient education – to – view animations – to – orthopaedics – to – shoulder and BINGO! (Don’t click the, “Subscribe now” button!, ed)
Posted in X-Ray of the Week, tagged shoulder, x-ray on February 12, 2010| 2 Comments »
OA of acromioclavicular joint
This 70 year old man is complaining of shoulder pain when he moves his arm.
There is no history of trauma and no limitation of shoulder movement. It’s just painful to do!
Significantly on examination there is no weakness of rotator cuff function and no painful arc on abduction.
This pain Xray shows a normal gleno-humeral joint. There is some superior migration of the humerus suggesting rotator cuff thinning.
The AC joint shows some features of osteoarthritis. Can you say which of these features you can identify on the X-ray?
