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frozen shoulder, Rotator cuff related shoulder pain - Coggle Diagram
frozen shoulder
incidence
rare under 40/ over 70
more dominant hand more frequently
2-5% of general population
presentation
freezing
1-9 months
insidious onset
dull ache- deltoid
EOR pain
night pain
loss of active and passive ER
affect on ADLs
frozen
easier to diagnose with Hx and presentation
4-12 months
loss of shoulder motion
abduction 90
ER/IR limited
combined
less pronounced pain
functional impairments
thawing
gradual improvement in ROM
reduction in pain
improvements in function/ ADLs
8-30 months
3 stage pathology
spontaneous resolution/reduction of stiffness in progressive manner
restriction in PROM and AROM
pain around deltoid- slow onset
pathological process
aetiology
genetic
2-3 fold incidence in twins
other
DM 5x more likely
hypothyroidism
trauma
surgery
systemic inflammatory disease
low BMI
Rotator cuff related shoulder pain
also known as
subacromial pain syndrome
rotator cuff tendinopathy
biceps tendonopathy
subacroimial impingenent
definition
non traumatic- usuallly unilateral
generalised diagnosis- anything below the acromion that can cause pain
impingement
internal
superior-articualr surface of the rotator cuff against the glenoid and labrum
repetitive overhead activities
evidence shows impingement less likely- tendinopathy
external
primary
structural change to reduce subacromial space
secondary
abnormal movements of the scapulothoracic joint