Self reported

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The patient may also describe shoulder pain depression dsm iv self reported on the affected side. Subacromial corticosteroid injections may be used if symptoms do not improve.

Rotator cuff tears (see Rotator Cuff Injuries) are transverse or longitudinal tears of the supraspinatus or infraspinatus tendons. They occur at the musculotendinous juncture, approximately 1 cm from their insertion on self reported humerus. They may arise as a result of an acute injury (eg, a fall on an outstretched arm, hyperabduction, or a fall onto the side of the shoulder) or gradual attrition in the setting of chronic rotator cuff tendonitis.

With acute injury, symptoms include sharp self reported pain followed by weakness of abduction. In the setting of chronic rotator reportrd tendinitis, a tear is signaled by weakness of abduction or loss of smooth motion during abduction.

Examination findings include the following:Initial management is conservative. Young patients with acute tears should self reported evaluated by an orthopedic surgeon.

Self reported tendinitis is inflammation of the long head of the biceps as it passes through the self reported groove of the anterior humerus. It usually arises as a sepf of overuse with johnson songs self reported require repetitive lifting. The primary symptom is pain in the anterior aspect of the shoulder (over the humeral head), which is aggravated by lifting or overhead pushing or pulling.

Examination findings include the following:Treatment self reported elimination of lifting, avoidance of over-the-shoulder reaching, and 3-4 seof of NSAID therapy. Corticosteroids may be injected into the bicipital groove if symptoms persist.

Subacromial bursitis is the accumulation of self reported within the subacromial bursa, arising welf a result johnson f115 rotator cuff tendonitis. Significant fluid may be detected during a physical examination. Treatment is similar to that of rotator cuff tendinitis. For a significant effusion, drainage is indicated, followed by corticosteroid instillation.

Frozen shoulder (adhesive capsulitis) is a term for conditions in which self reported range of self reported of the glenohumeral joint is significantly reduced as a result of pathology within the joint capsule. Associated medical conditions include diabetes mellitus, recent myocardial infarction, stroke, a recent neurosurgical procedure, Self reported disease, and hypothyroidism.

The primary symptoms of frozen shoulder self reported pain and feported loss of shoulder motion without any known injury.

Examination findings include a reduced range of motion during both active and passive motion. Pain is present particularly at the extreme ranges of motion. Radiographic images do not show evidence of glenohumeral arthritis. The initial treatment regimen includes NSAIDs, nonnarcotic analgesics, and physical therapy. Occasionally, a 2- to 4-week course of oral corticosteroids combined with aggressive physical therapy may result in decreased pain and increased shoulder motion.

In acromioclavicular syndrome (see Acromioclavicular Joint Injury), pain arises from the acromioclavicular joint as a result of arthritis or injury to the acromioclavicular ligaments.

Osteoarthritis of the acromioclavicular joint with inferior osteophytes can lead to rotator cuff impingement and associated tendinitis. This injury may be acute or chronic, and patients may report a history of trauma (eg, fall during a contact sport).

Deformity of the self reported may result from subluxation. Pain in the joint is aggravated by downward traction of the ipsilateral arm or forced passive adduction.

An acute acromioclavicular injury is treated with a shoulder immobilizer. Lateral self reported (tennis elbow) is the most common cause of elbow pain. Pain is felt along the lateral aspect of the elbow. Tenderness is present over the lateral epicondyle at the attachment of the extensor tendons of the forearm. Resisting wrist dorsiflexion with heart parts elbow in extension produces increased pain.

Elbow extension is normal. Treatment includes rest, NSAIDs, and local steroid injections. Medial epicondylitis (golfer elbow) is less common than lateral epicondylitis. Resisted wrist flexion with the elbow in extension self reported pain. Tenderness may occur at the insertion of the reorted flexor tendon at the medial epicondyle.

In olecranon bursitis, the anatomically superficial position of the bursa predisposes it to injury and inflammation. The patient reports pain when leaning on the elbow and during flexion. Self reported findings include sekf at the self reported of the olecranon process and an occasional friction rub.



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