DOI: 11/16/2015. Patient is a 57-year-old right hand dominant male mechanic who sustained injury while he was lifting a metal roller when he lost his balance and fell backwards. Per OMNI, he was initially diagnosed with head laceration which required 7 sutures and right shoulder full thickness supraspinatus tendon tear, confirmed by 12/29/15 MRI. MRI of the right shoulder obtained on 12/29/15 showed limited portions of the study due to motion artifact. There is a full thickness tear of the supraspinatus tendon. The torn tendon is indistinct but appears to be retracted to the level of the acromioclavicular joint. Mild arthritis changes are noted. Based on the progress report dated 01/21/16, the patient complains of intermittent and worsening right shoulder pain, rated as 8/10. Pain radiates to the left arm, described as aching, burning and sharp. Pain is aggravated by lifting and movement, and relieved by rest. Associated symptoms are decreased mobility, and joint instability and …show more content…
“ He was assessed to have a full thickness rotator cuff tear of the right shoulder which has failed PT, time, rest and medications. Plan is for arthroscopic repair. Per verification to the provider’s office, the IW has a history of prior spontaneous proximal biceps rupture in 1985 and no PT notes are available as this has been requested by another MD. For the discrepancies with ROM testing, a corrected report was requested, however, no medical records received at the time of submission of the review to PA. Current request is for 1 Right Shoulder Arthroscopy, Debridement, and Rotator Cuff Repair; 1 Preoperative Consultation; and 1 Polar Care Circulating Cold Pad with Pump (E0218) between 1/26/2016 and
3. Partial thickness articular surface tear of the remaining portion of the supraspinatus tendon and infraspinatus tendon and subscapularis tendinopathy. 4. Severe osteoarthritis of the glenohumeral and acromioclavicular joint.
When Lieutenant Charles Scalzo from the NYPD visited Manhattan Orthopedic Care, he quickly became one of our dearest friends. He had an appointment with Dr. Armin Tehrany due to an awfully painful condition which limited the range of motions in his left arm and shoulder. The MRI revealed a troublesome rotator cuff tear in Lt. Scalzo’s left shoulder.
She was unable to abduct (move her arms away from the middle of her body) her arms so we were concerned there was a dislocation in the shoulder joints since they have a shallow articulation (movement). She could pronate (turn her palms up) and supinate (turn her palms down) her palms, but her grip strength is
I attended a hearing on your behalf in the above-referenced matter before Judge O’Connor in New Windsor, New York on 07/19/2017. The claimant was present and was represented by attorney Nancy Flaherty. As you know, this case has previously been established for an injury to the head. Prima facie medical evidence has been found for the neck and post-traumatic syndrome.
Symptoms o Shoulder pain o Pain in the outer side of the elbow o Pain in the inner side of the elbow o Pain in the wrist o Pain at the back of the heel Although in most cases the exact reasoning of tendonitis is unknown, when the cause is known it can be one of two reasons either “overuse” or “overload”. Overuse happens when a particular body motion is repeated too often and overload happens when the level of a certain activity e.g. weightlifting.
The original referral is sent to EHR. It was determined the patient should be outpatient status. The case is discussed with Dr. Levin and he does not agree, therefore this is second PA referral received on 1/16/2017. The patient is a 68-year-old gentleman who had a fall from a standing position. The history is vague, however he details it better with the neurologist.
Rotator Cuff Tendonitis An irritation or inflammation of a tendon in the rotator cuff is called rotator cuff tendonitis. The rotator cuff is comprised of muscles and tendons surrounding the shoulder joint, connecting the humerus (upper arm) to the scapula (shoulder blade). The muscles allow for the shoulder to rotate, and stability to the shoulder are provided by the rotator cuff tendons. When the tendons are injured, it may cause a dull pain in the shoulder, which often gets worse when trying to sleep on the involved side.
The MRI of the left shoulder also revealed a superior labrum anterior to posterior tear, as well as a low grade partial tear of the supraspinatus tendon, but no rotator cuff tear. There were notable degenerative changes. On May 17, 2016, the applicant underwent arthroscopic subacromial decompression and debridement, and possible distal clavicle excision, on the left shoulder. On [blank], right shoulder
Medical Records Information: Swollen lower extremities, tender to palpation lower back, right knee and left shoulder. Limited range of motion neck and lower back. Unable to squat, unable to walk on heels and toes. Asthma, sleep apnea, obesity (11/21/2014 weighed 304.4 pounds), diagnosed with rheumatoid arthritis. Was receiving mental health treatment for major depression and chronic pain in the lower back and legs, pain was “becoming intolerable.”
The general purpose of the surgery is to remove the torn ligament and replace it with a tendon that is used less, most often used is the palmaris(Lasky). The palmaris is a tendon that is found within your wrist(Lasky). The surgery is continually successful, around ninety-seven percent of pitchers return to their previous level of success before being injured (Hoffman et al. 1). It is good that the success rate is high, however that leaves three percent that may never get to play at that level again. Research shows that around seventy major league pitchers’ arms have not worked properly since having the surgery(Apstein).
They can be treated through surgery or physical therapy, based on the age of the patient or the severity of the tear. Non-operative treatment usually consists of physical therapy programs that focus on minimizing pain followed by strengthening and establishing motion of the rotator cuff along with the muscle surrounding it. This type of treatment is normally successful for grade I tears, but most likely would not be helpful in a more severe tear. When the tear is more serious, operative treatment is suggested.
I was overjoyed, as I had just made the Carmel Select travel lacrosse team, which I had worked tenaciously hard to make during the winter. Throughout this stretch of time however, I was experiencing sharp knee pains in my right knee every so often. After an x-ray of my knee and an MRI, I was officially diagnosed with osteochondritis dissecans. As time went on, more and more plans began to unravel turning an original three-month absence from physical activity, to a yearlong ordeal.
MSD decrease productivity at work due to sick leave and early retirement, and are also costly in terms of treatment and individual suffering. Moreover, MSD represent a common health-related reason for discontinuing work and for seeking health care. In many occupations, MSD include a wide range of inflammatory and degenerative conditions affecting the muscles, ligaments, tendons, nerves, bones and joints. Work-related musculoskeletal disorders can take different characteristics. It is generally agreed that the injuries result from overuse, beyond a person’s body recovery capacity.
Some people could experience moderate joint anguish from minor damage; nevertheless, the soreness can typically by way of subsided readily by resting. That being stated, there are others who have joint discomfort for various reasons comparable to infections, autoimmune illnesses, inflammatory conditions and degenerative ailments. Damage-related joint soreness: persistent joint suffering can be as a result of a stressful injury prior to now. Some individuals may even expertise continuous joint agony since of an injury for the leisure of their lives. Some injuries that may cause affliction within the joints are: severe bruising Dislocation or separation of a joint Sprain of a ligament Overuse of the joint or repetitive action of a specific
Tendinitis, the most common injury, usually appears in “the shoulders, elbows, knees and wrist” (Magtaiad et. al. 45). Sprains mostly occur in the ankles, but can happen to the wrist. Strains were most likely to