Case Report
Year 2022,
Volume: 5 Issue: 2, 150 - 157, 20.12.2022
Abstract
Background: Employees in the construction industry perform a variety of tasks. In order to accomplish this work, individuals must repeatedly lift and carry objects overhead. To perform this work efficiently complete shoulder range of motion anad strength of the rotator cuff muscles are important components. Here a patient with displaced two-part fracture of greater tuberosity and rotator cuff tear treated surgically has already reduced shoulder ROM and strength it is leading cause of absenteeism from work. This imposes a greater socioeconomic burden on patient. The purpose of this study was to improve range of motion and rotator cuff muscle strength as he has to resume his work as soon as possible. Case description: The patient was a 37 years old male, a construction worker by profession who sustained a shoulder injury as the result of fall. After the investigations, he was diagnosed with an isolated greater tuberosity fracture and rotator cuff tear. He was treated conservatively for 4 weeks, without success. Later, he was undergoing surgical treatment and referred for physiotherapy. Patient came with complaint of shoulder pain while performing shoulder movement and difficulty in initiating shoulder movement. Early Physiotherapy was given to reduce the pain, and improve strength of rotator cuff muscles and regain the range of motion and vocational rehabilitation.
Keywords
Overhead activities Rotator cuff tear muscular imbalance Gleno -humeral force couple joint stiffness
Supporting Institution
KRISHNA INSTITUTE OF MEDICAL SCIENCES DEEMED TO BE UNIVERSITY, KARAD, INDIA
References
- Bang, M.D., Deyle, G.D. (2000). Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. J Orthop Sports Phys Ther;30:126-137.
- Conroy, D.E., Hayes, K.W. (1998). The effect of joint mobilization as a component of comprehensive treatment for primary shoulder impingement syndrome. J Orthop Sports Phys Ther.;28:3-14.
- Davies GJ, Gould JA, Larson RL. Functional examination of the shoulder girdle. Phys Sportsmed. 1981;9:82104.
- Determe D, Rongieres M, Kany J, et al. Anatomic study of the tendinous rotator cuff of the shoulder. Surg Radiol Anat. 1996;18:195-200.
- Dvir, Z. (1997). Grade 4 in manual muscle testing: the problem with submaximal strength assessment. Clin Rehabil;11:36-41.
- Flatow, E.L, Cuomo, F., Maday, M.G., Miller S.R., McIlveen, S.J., Bigliani, L.U. (1991). Open reduction and internal fixation of two part fractures of the greater tuberosity of the proximal part of the humerus. J Bone Joint Surg (Am); 73:1213–1218.
- Green, A., Izzi, J. (2003). Isolated fractures of the greater tuberosity of the proximal humerus. J Shoulder Elbow Surg;12:641–649.
- Goti, T.S., Shinde, S.B. (2020). (Effect of scapular position-motion maintenance exercise programme during post traumatic shoulder immobilization. Indian Journal of Public Health Research & Development; Jan 1;11(1):702-8.
- Kim, S., Ha, K. (2000). Arthroscopic treatment of symptomatic shoulders with minimally displaced greater tuberosity fractures. Arthroscopy; 16:695–700.
- Kei Cheng, A.S., Kim Hung, L. (2007). Randomized Controlled Trial of Workplace-based Rehabilitation for Work-related Rotator Cuff Disorder: J Occup Rehabil; 17:487–503.
- La Briola, J.H., Mohaghegh, H.A. (1975). Isolated avulsion fracture of the lesser tuberosity of the humerus. A case report and review of the literature. J Bone Joint Surg Am;57:1011.
- Jaju, C.S., Shinde, S. (2019). Prevalence of peripheral neuropathy in chronic musculoskeletal oedematous conditions. Int J Physiother; 6(6): 282-286.
- Neer, C.S. (1970). 2nd. Displaced proximal humeral fractures. Part I. Classification and evaluation. J Bone Joint Surg (Am); 52:1077–1089.
- Shah, P.S., Shinde, S.B. (2018). Effect of desensitization methods during the early mobilization phase in post-fracture conditions of upper extremity. Asian journal of pharmaceutical and clinical research; Jul 7:93-6.
- Zanetti, M., Weishaupt, D., Jost, B., Gerber, C., Hodler, J. (1999). MR imaging for traumatic tears of the rotator cuff: high prevalence of greater tuberosity fractures and subscapularis tendon tears. AJR Am J Roentgenol;172:463-467.
Year 2022,
Volume: 5 Issue: 2, 150 - 157, 20.12.2022
Abstract
References
- Bang, M.D., Deyle, G.D. (2000). Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. J Orthop Sports Phys Ther;30:126-137.
- Conroy, D.E., Hayes, K.W. (1998). The effect of joint mobilization as a component of comprehensive treatment for primary shoulder impingement syndrome. J Orthop Sports Phys Ther.;28:3-14.
- Davies GJ, Gould JA, Larson RL. Functional examination of the shoulder girdle. Phys Sportsmed. 1981;9:82104.
- Determe D, Rongieres M, Kany J, et al. Anatomic study of the tendinous rotator cuff of the shoulder. Surg Radiol Anat. 1996;18:195-200.
- Dvir, Z. (1997). Grade 4 in manual muscle testing: the problem with submaximal strength assessment. Clin Rehabil;11:36-41.
- Flatow, E.L, Cuomo, F., Maday, M.G., Miller S.R., McIlveen, S.J., Bigliani, L.U. (1991). Open reduction and internal fixation of two part fractures of the greater tuberosity of the proximal part of the humerus. J Bone Joint Surg (Am); 73:1213–1218.
- Green, A., Izzi, J. (2003). Isolated fractures of the greater tuberosity of the proximal humerus. J Shoulder Elbow Surg;12:641–649.
- Goti, T.S., Shinde, S.B. (2020). (Effect of scapular position-motion maintenance exercise programme during post traumatic shoulder immobilization. Indian Journal of Public Health Research & Development; Jan 1;11(1):702-8.
- Kim, S., Ha, K. (2000). Arthroscopic treatment of symptomatic shoulders with minimally displaced greater tuberosity fractures. Arthroscopy; 16:695–700.
- Kei Cheng, A.S., Kim Hung, L. (2007). Randomized Controlled Trial of Workplace-based Rehabilitation for Work-related Rotator Cuff Disorder: J Occup Rehabil; 17:487–503.
- La Briola, J.H., Mohaghegh, H.A. (1975). Isolated avulsion fracture of the lesser tuberosity of the humerus. A case report and review of the literature. J Bone Joint Surg Am;57:1011.
- Jaju, C.S., Shinde, S. (2019). Prevalence of peripheral neuropathy in chronic musculoskeletal oedematous conditions. Int J Physiother; 6(6): 282-286.
- Neer, C.S. (1970). 2nd. Displaced proximal humeral fractures. Part I. Classification and evaluation. J Bone Joint Surg (Am); 52:1077–1089.
- Shah, P.S., Shinde, S.B. (2018). Effect of desensitization methods during the early mobilization phase in post-fracture conditions of upper extremity. Asian journal of pharmaceutical and clinical research; Jul 7:93-6.
- Zanetti, M., Weishaupt, D., Jost, B., Gerber, C., Hodler, J. (1999). MR imaging for traumatic tears of the rotator cuff: high prevalence of greater tuberosity fractures and subscapularis tendon tears. AJR Am J Roentgenol;172:463-467.
There are 15 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Physical Training, Sports and Physical Activity For Disabled |
| Journal Section | Case Report |
| Authors | |
| Early Pub Date | September 21, 2022 |
| Publication Date | December 20, 2022 |
| Published in Issue | Year 2022 Volume: 5 Issue: 2 |
