Frozen shoulder - PowerPoint PPT Presentation

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Title:

Frozen shoulder

Description:

FROZEN SHOULDER? ?? ??? ????. ??????? ??????? ?????? ??? 2 4 % ?? ???????? ... ????? (Frozen) - ??? ???? ????? ??? ??????? ?? ????? ????? ?? ???? ????? ... – PowerPoint PPT presentation

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Tags: frozen | shoulder

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Transcript and Presenter's Notes

Title: Frozen shoulder


1
(No Transcript)
2
????? ????????Frozen shoulder
?????? ??????
  • ??????? ???????
  • diagnos and treatment

3
????? ?????? ?????? ??????
???? ?????
???? ??? ??????? ?? ???? ?????? ?????? ???? ??
???????
??? ????? _ ???? ?????? ???? ?? ???????
Pmj learning
4
???? ?? ??????
  • ??? ????? ???? ???? ?? ??????? ??????????? ???
    1968.
  • ??????? ?? ?????? ?????? ?? ???? ?????????
    ?(???????? ????????)? ??? ??????? ???????? ??????
    ??????? ?? ????? (??????? ????????).
  • ?????? ?? ?????? ?????? ????????? ??????????? ???
    35 ??? .
  • ??? ?????? ?? ????? ??????? ???????? ????? ?????
    ?????? ????? ???????? (????? ????)? ?????? ?????
    ?? ?????? ?????? ? ?????? ??? ????????? (????).

5
?? ??????? ?????????
  • What is
  • FROZEN SHOULDER?

6
????? ????????
  • ?? ??? ????
  • ??????? ??????? ?????? ??? 2 4 ?? ????????
  • ???? ?? ??????? ??? ?? 40 ???
  • ??? ??? ?? ??????? ???????? ?? ????? (???
    ???????)
  • ???? ??????? ???????? ??? ???????
  • ?? ???? ????? (???? ?????)
  • ???????? ???? ?????(???? ?? 20 ?? ??????)

7
????????
  • ???? ???? ????? ?????? ????? ?????????? ????? ???
    ?????? ?????? ???????? ?????????
  • ????? ??? ??? ??? ????? ????? ????? ??????? ??
    ?????.
  •  

8
??????? Causes
  • ?????? ?? ???? ??? , ??? ???? ??? ???????? .
  • ???? ??????? , ???? ????? ???????? ???????? ???
    ???? ?????? ( rotator cuff).
  • ??? ??? ???? ???? ????? ???? .
  • ?????? ??? ????? ??????? ???? ??? ??????? ??????
    ???? ??? ??? ?????? ??? ?????? ????? ?????? ?????
    ( ??? ?? ????? ??????).

9
  • ???? ??? ???? ?????? (??? ??? 20 ?? ??????) .
  • ??? ?????? ??????? ?? ????? ???????? ???????
    ?????? ??? ?? ?????? ??????? ? ?????? ?????
    ??????? .
  • ???? ??? ??? ??? ???? ?????? (??? ???? ??????
    ??????? ??????) .
  • ???????? ?? ???? ??? ????? ???????? ?? ???????
    ??????? .

10
??????? ?????? ?????
  • ??? ???? ??????? ????? ??? ???? ??? ???? ???
    5-10 ?????? ?? ????? ???????? ? ????? ???????
    ???????? ??20-30 ??????.
  • ??????? ????? ???? ?????? ????? ?????? ???????
    ??????
  • ???? ?????? ?????? ??????? ?????? ??? ??? ?????
    ??????
  • ?? ?????? ????? ????? ?????? ??????? ?? ?????
    ????????? ? ?????? ????? ??? ?? ????.
  • ????? ?????? ?????? ?????? ??????? ???????
    ???????? ??? ??? ??? ???? ?????? ????? ??? ??????
    ?????.

11
????? ???????? ???? ????? ???? ???? ?????
  • ????? (Freezing) - ??? ???? ????? ???? ??????
    ????? ??? ??????? ?? ??????
  • ????? (Frozen) - ??? ???? ????? ??? ???????
    ?? ????? ????? ?? ???? ?????
  • ????? (Thawing) - ????? ???? ???? ????? ??????
    ?? ????? ???????? ??????

12
???????diagnosis the
13
????? ???????History
  • ???? ??????? ??????? ??? ??? ?????? ??????? ??
    ????? ??????? (??? ?????? ??? ???????) .
  • ?????? ????? ????? ??? ?????? ???????? ???????
    ?????? ?????? ??????? ????? ???????? (?? ????
    ?????? ?????? ???????) ? ?????? ??? ??? .
  • ?????? ?????? ??? ?????? ??? ???????? ??? ??????
    ????????.
  • ?? ????? ??????? ?????? ???????? ???? ???
    "??????".

14
????? the Examination
  • ??? ????? ??? ?????? ???? ???? ?? ????? ?????
    ???? ????? ?????????
  • ???? ????? ???? ????? ????? ?????? (?? ???????50
    ???????) ?? ??? ???? ?????
  • ??????? ????? ?????? ?? ??????? ????? ?? ??????

15
?? ??? ??? ??? ???? ? ????? ?????? ?? ?????? ???
???????
16
?? ?????? ??? ??? ???? ???? ??? ??? ???????
??????? ??????? ??? ????????? ?????? ???? ???
?????
17
  • ??? ?? ??????? ??? ??? (? ??? ????? ????? ??????
    ????? ??????? ??? ????? ???)
  • ???? ????? ?????? ???? ????? ?????? - ?? ???????
    ?? ?????? ??????? ????? ?????? ?????? ????? -
    ????? ?? ???? ???? ??? ?? ??? ??????? ?????? ???
    ????.

18
  • ??? ???? ??????????? ???????? ??? ?? ???? ??????
    ??????? ???? ???? ??? ?????? ?? ????????
    ?????????(??? ???? ??????? ????? ?????? ?? ?????
    ???????)
  • ?? ???? ??? ?????????????? ??? ???????(subacromial
    )
  • ??? ?? ?????? ????? ??? ????? (supraspinatus)
    ??? ???????? ???????.
  • ??? ???? ??? ?????? ??????? ????? ?????? ???????
    ??? 90 ????
  • ????? ???????? ??????? ??? ??????? ???????
    ???????? ???????? ??????? ? ??????? ???? ?????
    ??? ?????? ???? ??? ???? ???? ??????.

19
??????? ???? ?????? ????? ????? ?? 90 ???? ?????
?? ?????? ?????? ?30 ???? ???????? ?????? ??
???? ?? ???? ?????? ????? ???????? ?????? ???
?????? ???? ???? ??? ??? ????? ?????? ????
?????? ????????
???? ??? ??? ??? ?????? ??? ???? ?? ????? ?????
?????? ???? ??????
20
(No Transcript)
21
?????? ??? ??? ??? ?????? ??? ???? ?? ?????? ???
????? ?????? ???? ??????
  • ??????? ??? ?????? ????? ????? ?? ???(?? ??????)
    ?? ?????? ?? ????.
  • ??? ?????? ????? ??????????? ?????? ???? ??????
    ?? ???? ????? ?????? ??? ??????

22
??? ???????? ????????? ?????? ??? ????? ????
??????? ???? ????? ?? ???????? ????????.
23
  • ???????? ???? ???? ???? ?????.
  • ??? ???? ?????? ???? ????? ??? ????? - ???? ?????
    ????? ???? ????? ?? ??????.
  • ??? ?????? ??????? ?????? ???????? ????????
    (?????? "???????" ??? ?????? ?????? ???????
    ??????? ??????? ? ?????? ?????? ???????).

24
???? ?????? ???????
  • ?????? ??? ?????? ????? ????? ?? 90 ???? ???
    ????????? ????????? ???? ???????? ??? 90 ????.
  • ???? ????? ????? ?????? ????? ??????? ????? ?????
    .

25
(No Transcript)
26
  • ?????? ??????? ??????? ????? ??? ????? ?????
    ????? ?????? ??????? ??????? (???????? ???? ????
    ???? ???? ?? ??????)
  • ??? ????? ???? ???? ????? ?????? ????????.

27
??????? ????????diagnosis The Differential
  • ??? ??????? ???????? ???? ????? ????
  • ????? ?????? ????
  • ?????? (??? ??????? , ?????)
  • ?????? (?????? ?????? ?????? , ????? ?????
    ? ??? ?????)

28
??????? ?????Shoulder structures
29
??? (???? ???? ????) ???? (?????? ?
???? ? ???) O ?????? ??????? O
?????? ??????? ??????? O
??? ????? (????? ?????) ????
?????? O ?????? ??????? O
???? ??? ?????? ??????? ??????
(?????? ?)
30
?????????? ?????? ?????? ?? ??? ??? ????? ???
??????
31
???????Learning bite
  • ??????? ??? ?????? ??????? ??? ?? ?????? ?????
  • ??? ???? ?????? ??? ??????? ??????????? ???????
    ????
  • ?????? ????? ????? ????????? ??? ????? ? ??????
    ????? ???? ??????? ????? .
  • ?????? ??????? ??? ??? ??????
  • ??? ?????? ???? ?????? ?? ????? ??????? ????????
    ??? ?????????? ????????.
  • ??? ?????????? ????????? ??????? ??? ??????
    ?????? ???????
  • ??????? ??????? ?? ?????? rosuvastatin (40 ???
    ?????? ) ?????? ???? ??????? ?? ?????? ?????? ??
    ?????.

32
???? ?????What happens?
  • ????? ????????? ?????? ????????? ???? ????
    ??????
  • . ?????
  • ?????
  • ???????
  • ??? ?????? ?????? ????? ?????????? ???? ??????
    ???? ????? ???? ????.
  • ??????? ?????? ????? ???? ???? ???? ?????
    ???????? ??????.

33
  • ??? ??? ?????? ?????? ??? ???? "???????" (???
    ????? ????? ?????? ???????????) ? ?????? ?? ??
    ????? ??????? ??? ?????? ???? ???? ???????
    ????????? ?? ???? ??????? ?????? ????? ???
    ???????? ???? ?????.
  • ??????? ?????? ??????? ??? ??? ??????? ?????? ??
    ??? ?????? (???? ???? 50 ) ??? ??? ??????? ????
    ???????

34
?? ??????? ??? ?????????What is known about
treatment?
  • ?? ??????? ????? ???????? ??? ????? ??????? (12
    ??? ??? ????) ??????
  • ?? ??????? ??? ?????? ????? ?????? ??????? ??????
    ?? ????? ?????? ??????? ????? ?? ??????? ? ?????
    ??? ???????.
  • ??????? ???????? ??? ???? ?????? ???? ????
    ?????????(??? ???????? ????????? ?????????
    ?????????????
  • ??? ??????? ????????? ???? ???????? ???????).

35
  • ????? ??????? ????? ????? ?????? ?????? (???
    ??????? ?????? ??????? ??? ????) ????? ?????? ?
    ??? ???? ??????? ??? ??????.
  • ??? ?? ??? ???? ???? ?????? ????? ?? ??????
  • ???????? ?? ????? ??????.
  • ??? ?? ?????? ??? ????? ????? ???? ?????? ???????
    ???? ?? corticosteroids (??? ????? ??????? 30
    ????
  • prednisolone ??????) ????? ?????? ?????? ???
    ?????? ??????? ?? ????? ?????? . ??? ?? 12
    ?????? ?????? ????? ???? ???? .
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