Shoulder Pain

SHOULDER PAIN  Etiology Intrinsic Periarticular Impingement Syndromes Supraspinatus Tendonitis Subdeltoid Bursitis Rotator Cuff Tear Biceps Tendonitis Calcific Tendonitis AC joint arthritis Glenohumeral Disorder Inflammatory / Septic arthritis OA Osteonecrosis Cuff arthropathy Glenoid Labral tear Adhesive Capsulitis Glenohumeral instability Extrinsic Regional Disorder Cervical Radiculopathy Brachial Neuritis Nerve entrapment syndrome Sternoclavicular arthritis Reflex sympathetic dystrophy Fibrositis Other causes Shoulder Examination Inspection: Symmtery, Muscle atrophy (Supraspinatus and Infraspinatus atrophy) Palpation:  Acromioclavicular Tenderness Range of Motion: Active: Passive: Provocative Tests Hawkins': Impingement / Rotator cuff disorder (RCD) Drop-arm: Large Rotator cuff tear Empty-can supraspinatus: RCD involving supraspinatus  Lift-off Subscapularis: RCD involving subscapularis External Rotation / Infraspinatus strength: RCD involving  infraspinatus Cross-Body or Cross-arm Adduction: Acromioclaviculo Joint OA Apprehension / Relocation / Anterior release test: Glenohumerol Instability Does This Patient With Shoulder Pain Have Rotator Cuff Disease? The Rational Clinical Examination Systematic Review JAMA 2013 Shoulder Examination (Video) Shoulder Pain: The Latest in Diagnosis and Care, Part 1 Medscape Diagnostic and Therapeutic Injection of the Shoulder Region AAFP 2003 Musculoskeletal Injections: A Review of the Evidence AAFP 2008 Diagnostic and Therapeutic Injection of the Shoulder Region AAFP 2003 Clinical Anatomy of the Elbow and Shoulder Reumatol Clin. 2012 Common injections in musculoskeletal medicine. Prim Care. 2013 Common injections in musculoskeletal medicine. Prim Care. 2013  The posterolateral corner of the acromion should be identified. The skin is entered one finger-breadth inferior to this with the needle directed slightly medially and cephalic to follow the undersurface of the acromion.  Common injections in musculoskeletal medicine. Prim Care. 2013  The patient should be in a seated position with arms folded across the abdomen to open up the posterior joint space. The posterolateral corner of the acromion and the coracoid process should be identified. The easiest technique is to hold the acromion with the thumb and the coracoid with the index finger of the nondominant hand. The skin is entered 2 finger-breadths inferior to the posterolateral corner of the acromion. The needle is directed at the coracoid. If the needle strikes bone, it should be pulled back slightly, then the injection performed.  http://emedicine.medscape.com/Video of Injection