FRACS Orthopaedic Exams

iSAWEs

A forty-nine-year-old woman underwent serial magnetic resonance imaging examinations of the left shoulder over a period of ten months to evaluate pain, which had begun after she pulled a heavy object.

The first magnetic resonance examination revealed shoulder impingement with a partial tear of the supraspinatus tendon on the humeral side, subacromial and subdeltoid bursitis, and biceps tenosynovitis. The patient then received one extracorporeal shock-wave treatment each week with a piezoelectric system 100. Three months after the extracorporeal shock-wave treatment, the follow-up magnetic resonance examination was performed. Seven months after the extracorporeal shock-wave treatment, another follow-up magnetic resonance examination was performed.

1. What is the pathological process happening here?
2. List 8 possible causes of this process.
3. How will you treat this lady?

Webpage Last Modified: 17 July, 2011
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