Shoulder (Glenohumeral joint) Sara, a 43 year-old woman, has always been active
ID: 3516892 • Letter: S
Question
Shoulder (Glenohumeral joint) Sara, a 43 year-old woman, has always been active as a runner. In the past couple of months, she began playing tennis with her girlfriends, which she has been enjoying very much. She recently began playing several days each week and has a strong overhead serve, she has been working on her serve extensively in the last few weeks. However, in her recent matches she has noticed pain in her right shoulder. She mostly experiences shoulder pain (ache in the supero-lateral shoulder when blow-drying her h air in the morning . Sara does report some weakness during her tennis serve and when lifting groceries out of car, along with pain at night when sleeping on her right side. Otherwise, it doesn't bother her too much in her work as an accountant or watching TV. Because she wants to keep playing tennis, she decided to seek help from her orthopedist. Prior to examination, several diagnoses were possible: bicipital tendinitis rotator cuff tendinitis, subacromial bursitis, or a superior labrum anterior and posterior (SLAP) lesion. Questions: 1. What is your diagnosis of the injury? What factors in Sara's case led you to this 2. Might there be other potential diagnoses? If so, what are they? Why did you rule them 3. Based on your knowledge of the glenohumeral joint, discussillustrate the anatomy of this diagnosis? out? injury and how it might have developed. Carefully consider the symptoms related to movements presented in the case. Be sure to include any specific joint movements, possible connective tissue and/or muscular involvement.Explanation / Answer
Answer1. My diagnosis is rotator cuff tendinitis because of the sign and symptoms of pain in superolateral region of the shoulder and overuse of tendon of that region during playing tennis.
Answer2. There may be other diagnosis also like rotator cuff tears, frozen shoulder,bursitis, dislocated shoulder. But in this case most common diagnosis is rotator cuff tendinitis because of sign and symtoms described above and given in the question.
Answer3. Shoulder joint or Glenohumeral joint is ball and socket type of joint and is formed by humerus upper end and scapula. Rotator cuff holds head of humerus into scapula. Rotator cuff is made up of four muscle namely Supraspinatus, Infraspinatus, teres minor and Subscapularis. Rotator cuff tendinitis occur due to overuse and irritation of tendons of this area by sports like tennis and badminton. It causes pain and inflammatory reaction to that area of shoulder.