Discover and read the best of Twitter Threads about #shoulder

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#Shoulder pain in the adult ....
We still use the phrase "Impingement Syndrome" .. WHY?
Focus ...
The Acromion ... hooked or flat. Does it matter?
Short answer: Time to leave our little friend the acromion alone. 1/?
The Villain.
The acromion is most superior, anterior part of the scapula ... It serves as the attachment for the Deltoid, the ACJ ligaments, the the CA lig. 2/?
In the beginning ...
On certain X-rays it may appear to be flat, or hooked.
In the early 1970s, in a non-peer reviewed citation it was held that the acromion was the cause of rotator cuff pain and pathology. ncbi.nlm.nih.gov/pubmed/5054450
3/?
Read 21 tweets
Interesting #Ortho tidbit. SHOULDER PAIN
You're over 40, you go to the doc because your #shoulder hurts. You did NOT have an injury. Many will be sent for an MRI.... 1/?
Bear in mind ... You have a very significant chance that a rotator cuff "abnormality" will be found. Those abnormalities will sound scary .... Partial rotator cuff tears, full rotator cuff tears, and labral tears. 2/?
These can be very alarming to many people... the word "tear" implies you're damaged and therefore something must be wrong -- and perhaps you're thinking it must be fixed. 3/?
Read 15 tweets

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