Supraspinatus Tendonitis Questions & Answers

Updated: Dec 03, 2018
  • Author: Thomas M DeBerardino, MD; Chief Editor: Sherwin SW Ho, MD  more...
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Questions & Answers

Overview

What is supraspinatus tendonitis?

What are the causes of supraspinatus tendonitis?

Which athletes are at highest risk for supraspinatus tendonitis?

What is the relevant anatomy of supraspinatus tendonitis?

What is the anatomy of static and dynamic stabilizers relative to supraspinatus tendonitis?

What is the functional anatomy of the rotator cuff relative to supraspinatus tendonitis?

What is the functional anatomy of the supraspinatus outlet relative to supraspinatus tendonitis?

What is the functional anatomy of impingement relative to supraspinatus tendonitis?

What are the possible sites of impingement in supraspinatus tendonitis?

What causes nonoutlet impingement in supraspinatus tendonitis?

What is the role of overuse and repetitive microtrauma in the etiology of supraspinatus tendonitis?

What is secondary impingement in supraspinatus tendonitis?

What is the role of secondary impingement in the etiology of supraspinatus tendonitis?

What are the indications of glenoid impingement in supraspinatus tendonitis?

What are the effects of glenoid impingement in supraspinatus tendonitis?

What is the role of proinflammatory cytokines in the pathogenesis of supraspinatus tendonitis?

Presentation

What should be the focus of patient history in the evaluation of supraspinatus tendonitis?

How is the physical exam for supraspinatus tendonitis performed?

How is active range of motion tested in the physical exam of supraspinatus tendonitis?

What is the role of palpation in the physical exam of supraspinatus tendonitis?

What is the role of manual muscle testing in the physical exam of supraspinatus tendonitis?

Which tests are performed for impingement signs in supraspinatus tendonitis?

Which tests are performed for signs of instability in supraspinatus tendonitis?

Why should both shoulders be tested in the evaluation of supraspinatus tendonitis?

How is a neurovascular exam performed in the evaluation of supraspinatus tendonitis?

What are the extrinsic causes of primary impingement in supraspinatus tendonitis?

What are the extrinsic causes of secondary impingement in supraspinatus tendonitis?

What are the intrinsic causes of supraspinatus tendonitis?

DDX

What are the differential diagnoses for Supraspinatus Tendonitis?

Workup

What is the role of radiography in the workup of supraspinatus tendonitis?

What are the advantages of MRI in the diagnosis of supraspinatus tendonitis?

What are the limitations of MRI in the evaluation of supraspinatus tendonitis?

What is the role of arthrography in the workup of supraspinatus tendonitis?

What are the advantages and disadvantages of arthroscopy for the diagnosis of supraspinatus tendonitis?

What is the role of sonoelastography (SE) in the workup of supraspinatus tendonitis?

Treatment

What are the goals of acute phase physical therapy (PT) in the treatment of supraspinatus tendonitis?

Which exercises are included in acute phase physical therapy (PT) for supraspinatus tendonitis?

What adjunct modalities used in acute phase physical therapy (PT) for supraspinatus tendonitis?

What is the role of patient education in acute phase physical therapy (PT) for supraspinatus tendonitis?

What are the initial goals of recovery phase physical therapy (PT) for supraspinatus tendonitis?

Which exercises are included in recovery phase physical therapy (PT) for supraspinatus tendonitis?

What are secondary goals of recovery phase physical therapy (PT) for supraspinatus tendonitis?

What is the final goal of recovery phase physical therapy (PT) for supraspinatus tendonitis?

What is the role of injections in the treatment of supraspinatus tendonitis?

What is the goal of the maintenance phase physical therapy (PT) for supraspinatus tendonitis?

What is the role of patient education in the maintenance phase of physical therapy (PT) for supraspinatus tendonitis?

When is surgery considered for the treatment of supraspinatus tendonitis?

What are the indications for surgery for supraspinatus tendonitis?

What is included in the surgical evaluation of supraspinatus tendonitis?

What is included in the postoperative care of supraspinatus tendonitis?

What is the prognosis of supraspinatus tendonitis following surgery?

Medications

Which medications are used in the treatment of supraspinatus tendonitis?

What is the mechanism of action of NSAIDs for the treatment of supraspinatus tendonitis?

What are possible adverse drug reactions of NSAIDs in the treatment of supraspinatus tendonitis?

Which medications in the drug class Nonsteroidal anti-inflammatory drugs are used in the treatment of Supraspinatus Tendonitis?

Follow-up

What are the return to play protocols following treatment of supraspinatus tendonitis?

What are possible complications of supraspinatus tendonitis?

How is supraspinatus tendonitis prevented?

What is the prognosis of supraspinatus tendonitis?

What are the benefits of patient education for supraspinatus tendonitis?