PCL 3 - Pain in the Shoulder

Case
- Sarah Lee, 19

-Works part time as an office assistant
- Has 4 hours of intensive swimming daily - Aiming to be in malaysian team
- Complained of nagging pain in right shoulder (Affecting her training)
- Became progressively worse
-Throbs felt after training especially during the night
- Associating factors - cost of treatment/investigation and lack of sleep.


-Family may have high expectations of her/Puts pressure on her
-May not have a social life
-May feel stressful, unfocused
-Unable to sleep at night
-Eating disorders, need strict diet for an athelete
-Burnout:
-Lack of motivation
-No purpose in life

Common injuries to athletes
-Injuries to muscle and joints (Shoulder's ball and socket joint)

Common causes of shoulder pain:
Dislocation
Tendonitis
Bursitis - Inflammation of Bursae
Torn rotator cuff
Adhesive capsulitis
Muscle Sprain
Wrong sleeping positions
Diseases:
Pneumococal pneumonia
Spinal cord tumour
Haemophillic arthritis
Rotator cuff tendinopathy
Swimmers shoulder

Rotator cuff comprises

- Group of deep muscles and tendons that act to stabilise the shoulders
- Supraspinatus muscle - Abducts the arm (Most often injured due to proximity to bone)
-Infraspinatus muscle - externally rotates arm
-Teres minor muscle - externally rotates the arm
-Subscapularis muscle - Internally rotates the humerus

Sarah may have
- Does not have dislocation
-

Learning issues
- Types of Joints - JON
-Rotator cuff tendinopathy (Swimmer's shoulder)

- Anatomy of shoulder joints - Gurki (Bones) - Rezza (Muscle)
Shoulder injuries
- Risk factors & Signs and symptoms - Dev
- Causes - Sharvin
- Pathophysiology (Include movements) - Jin Li
- DDX - Differentiation of the possible causes.. Impingement -Amlah, Charlene & Nicole
- Investigation - Sharvinnnnnn!
- Treatment and Management - Valerie & Revathy (Surgical and non surgical)
- Prognosis - DNA
- Prevention - TEH
Psychosocial
- Coping strategies - DNA
- Examination of Shoulder joint (Motor & Sensory) - Lincoln
Bring Shoulder thingie from lab - DEV!

Please upload before Saturday. Thankyou!