Department of Traumatology and Hand Surgery - PowerPoint PPT Presentation

Loading...

PPT – Department of Traumatology and Hand Surgery PowerPoint presentation | free to download - id: 7e10c-ZDc1Z



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Department of Traumatology and Hand Surgery

Description:

Department of Traumatology and Hand Surgery. University of Medical Sciences in Poznan ... Do you have pain at night ? Mark location of pain. no. Yes. Do you ... – PowerPoint PPT presentation

Number of Views:96
Avg rating:3.0/5.0
Slides: 25
Provided by: OrtD
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Department of Traumatology and Hand Surgery


1
Department of Traumatology and Hand Surgery
Przemyslaw Lubiatowski MD, PhD
University of Medical Sciences in Poznan

Head of Department Prof. Wladyslaw Manikowski
2
Upper Extremity Examination

3
EXAMINATION
  • Taking history
  • Physical examination

4
EXAMINATION
  • Taking history

Knowledge of the disease process Main complaints
(pain) Onset, Duration Dominant hand Prior therapy
5
EXAMINATION
  • Physical examination

Look Feel Move X-ray
6
HISTORY
  • Main complaint
  • pain
  • instability
  • stiffness, limitation of ROM, snapping,
    crepitation
  • Age
  • gt 70 y.o.
  • lt 30 y.o.
  • Onset of symptoms
  • Treatment

Rotator cuff tear
instability
7
HISTORY
  • Main complaint
  • pain
  • instability
  • stiffness, limitation of ROM, snapping,
    crepitation
  • Age
  • gt 70 y.o.
  • lt 30 y.o.
  • Onset of symptoms
  • Treatment

Rotator cuff tear
instability
8
HISTORY
  • Main complaint
  • pain
  • instability
  • stiffness, limitation of ROM, snapping,
    crepitation
  • Age
  • gt 70 y.o.
  • lt 30 y.o.
  • Onset of symptoms
  • Treatment

Rotator cuff tear
instability
9
HISTORY
  • Evaluation systems
  • specific
  • Simple Shoulder Test
  • UCLA
  • ASES
  • general health
  • SF-36

10
HISTORY
  • Pain
  • ac. to ASES

Do you have pain in your shoulder ? Yes no
Mark location of pain Mark location of pain Mark location of pain
Do you have pain at night ? yes no
Do you take pain killers ? yes no
Do you take narcotic drugs ? Yes no
How many tablets per day ? Quantity Quantity
How severe is you pain ? no as severe as possible How severe is you pain ? no as severe as possible How severe is you pain ? no as severe as possible
0
10
11
HISTORY
  • Instability
  • ac. to ASES

Do you have feeling of instability ? (as if your shoulder would drop of) Yes No
How unstable is your shoulder (mark the line) ? very very stable unstable How unstable is your shoulder (mark the line) ? very very stable unstable How unstable is your shoulder (mark the line) ? very very stable unstable
0
10
12
PHYSICAL EXAMINATION
  • Look
  • Palpation

13
PHYSICAL EXAMINATION
  • Range of motion

14
PHYSICAL EXAMINATION
  • Range of motion

15
PHYSICAL EXAMINATION
  • Range of motion

16
PHYSICAL EXAMINATION
  • Instability drawer test
  • anterior
  • sitting, laying

0
0 1 cm
1 - 2 cm
gt 2 cm
17
PHYSICAL EXAMINATION
  • Instability sulcus sign
  • sitting, laying

18
PHYSICAL EXAMINATION
  • Instability
  • Evaluation under anesthesia

19
PHYSICAL EXAMINATION
  • Instability (apprehension test)
  • sitting, laying

20
PHYSICAL EXAMINATION
  • Instability (relocation test)
  • sitting, laying

21
PHYSICAL EXAMINATION
  • Impingement syndrome
  • Neers Test

22
PHYSICAL EXAMINATION
  • Impingement syndrome
  • Hawkins Test

23
PHYSICAL EXAMINATION
  • Impingement syndrome
  • Painful arch test

lidocaine
Test with lidocaine
24
PHYSICAL EXAMINATION
  • Impingement syndrome (biceps brachii)
  • Yergasons Test Speed Test
About PowerShow.com