By Bruce Carl Anderson, MD
This new spouse to workplace Orthopedics for basic Care, third version, offers trouble-free, in-depth, full-color advice at the analysis of fifty two of the most typical musculoskeletal difficulties obvious in modern medical settings. It spells out precisely what to seem for throughout the actual exam and in what series, delivering readers with the information they should successfully diagnose those difficulties. Lavish, full-color pictures and line drawings improve the textual content and make techniques more straightforward to understand.Features the services of Dr. Bruce Carl Anderson, a global authority on orthopedic perform in fundamental care.Presents confirmed "how-to's" of analysis for the fifty two most typical orthopedic problems.Features exact descriptions and indulgent illustrations-with 1000s of colour photographs-to exhibit each point of right diagnosis.Provides finished remedy reference tables that checklist best-practice remedies, techniques, and gear, reminiscent of helps, braces, and casts.Gives cross-references to the better half quantity, workplace Orthopedics for fundamental Care, third Edition.Includes many at-a-glance tables displaying diagnostic information and lines, medical pearls, and differential diagnoses.
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Additional resources for Office orthopedics for primary care: diagnosis issue orthopedics, general practice
The supraspinatus tendon attaches to the greater tubercle. Downward movement of the humeral head is restricted by the tone and bulk of the deltoid, the tone and thickness of the supraspinatus tendon, and the redundancy of the glenohumeral capsule. This maneuver is used to assess the looseness of the shoulder joint, the looseness of the subacromial space (subluxation), and the patient’s potential tolerance of the pendulum stretch exercise. MANEUVER: The patient is asked to relax the shoulder. One hand is placed atop the acromion, and one hand is placed in the antecubital fossa.
DETAILED EXAMINATION: SPECIFIC SHOULDER DIAGNOSES Perform a detailed examination of the shoulder if the patient has persistent or chronic symptoms, has sustained an injury, demonstrates moderate loss of range of motion, or has lost strength in rotation or abduction. 28 OFFICE ORTHOPEDICS FOR PRIMARY CARE: DIAGNOSIS IMPINGEMENT SYNDROME Shoulder pain and impaired reaching at or above shoulder level that is caused by the direct bony contact of the undersurface of the acromion and the greater tubercle of the humeral head is called impingement syndrome.
FIGURE 2–41. Shoulder dislocation. SURGICAL REFERRAL: Referral is necessary for rotator cuff tears, fracture of the greater tuberosity larger than 1 cm, and glenoid rim fractures displaced more than 5 mm. PROGNOSIS: The most common complication is recurrent dislocation (60%). Other complications include rotator cuff tears, greater tuberosity fracture, glenoid rim fracture, axillary nerve damage, brachial plexus damage, humeral head fracture, and biceps rupture. SHOULDER GREATER TUBERCLE FRACTURE SUMMARY: This 72-year-old woman fell and fractured the greater tubercle of the humeral head, which failed to heal, and normal anatomic alignment was not achieved.