shoulder pain diagnosis by dr cherif tadros
DESCRIPTION
Complete Guide to Identify Shoulder Pain Causes and Surgeries. Learn to differentiate symptoms, may the pain in the shoulder be caused by a fracture, impingement, instability, frozen shoulder, tumor or other symptoms. This presentation was held in front of family doctors to enable them to assess patients presenting common shoulder injuries and pathologies. For a complete assessment of your specific condition, make sure to meet your doctor or book an appointement with Dr Cherif Tadros.TRANSCRIPT
Shoulder Pain DiagnosisShoulder Pain Diagnosis
Dr Cherif TadrosDr Cherif Tadros
Orthopedic SurgeonOrthopedic Surgeon
AnatomyAnatomy
““Golf Ball and Tee”Golf Ball and Tee”
UnconstrainedUnconstrained
Minimally Minimally stablestable
Size mismatchSize mismatch
AnatomyAnatomy
AnatomyAnatomy
AnatomyAnatomy
SymptomsSymptoms
PainPain
StiffnessStiffness
InstabilityInstability
Physical examinationPhysical examinationInspectionInspection
Physical examinationPhysical examinationPalpationPalpation
Physical examinationPhysical examinationR.O.M.R.O.M.
Physical examinationPhysical examinationStrengthStrength
Physical examinationPhysical examinationImpingement testsImpingement tests
Physical examinationPhysical examinationInstabilityInstability
RadiologyRadiology
RadiologyRadiology
RadiologyRadiology
Differential diagnosisDifferential diagnosis
FractureFracture
ImpingementImpingement
InstabilityInstability
Frozen shoulderFrozen shoulder
TumorTumor
OtherOther
TreatmentTreatmentImpingementImpingement
TreatmentTreatmentImpingementImpingement
TreatmentTreatmentImpingementImpingement
TreatmentTreatmentImpingementImpingement
TreatmentTreatmentImpingementImpingement
TreatmentTreatmentAcromioplastyAcromioplasty
INSTABILITYINSTABILITY
MécanismMécanismFall on hand in Fall on hand in external rotation external rotation and abductinand abductin
Rare in childrenRare in children
Frequent in Frequent in adolescentsadolescents
MÉCANISMMÉCANISM95% traumatic95% traumatic
Ant dislocationAnt dislocation
Post dislocation Post dislocation convulsionsconvulsions
Inferior dislocationInferior dislocation
Lesions found in acute surgeryLesions found in acute surgery
Taylor et ArcieroTaylor et Arciero ajsm 97ajsm 97
Bankart 97%Bankart 97%
Hill-Sachs 82%Hill-Sachs 82%
SLAP 9%SLAP 9%
Baker et WhitmanBaker et Whitman ajsm ajsm 9090
Bankart 100%Bankart 100%
NorlinNorlin arthroscopy 93arthroscopy 93
Bankart 100%Bankart 100%Rotator cuff: 40%+40 y.o.Rotator cuff: 40%+40 y.o.
Lesions found at surgery Lesions found at surgery
Hill-Sachs : 66 % Glenoid fracture : 41 %
Arthrosis : 7 % Bankart lesion: 94 %
Recurrent ant. dislocationRecurrent ant. dislocation50% within 10 50% within 10 yearsyears
80% athletes80% athletes
90% if first before 90% if first before age 20age 20
High recurrence ifHigh recurrence if
hyperlaxityhyperlaxity
RadiologyRadiologySimpleSimple
M.R.IM.R.I
Artho M.R.IArtho M.R.I
RadiologyRadiology
SLAPSLAP
Open SurgeryOpen Surgery
ARTHROSCOPYARTHROSCOPY
TreatmentTreatmentInstability Instability (Bankart)(Bankart)
RehabilitationRehabilitation2 à 3 weeks in 2 à 3 weeks in slingsling
PhysiothérapyPhysiothérapy
AROM 3 weeksAROM 3 weeks
PROM 5 weeksPROM 5 weeks
Strength 6 weeksStrength 6 weeks
Return to sports 3-Return to sports 3-4 months4 months
Thank YouThank You