Sorry. It's all I've been thinking about for a while, and I worried it might have slipped off your radar. There is no ebola here. Don't panic.
However, there is an interesting xray from the results session today.
This gent had a fall onto his right shoulder, and has pain on movement in most directions. What do you think? And does it need anything doing?
Yes, that's right, a cheeky little undisplaced fracture of the greater tuberosity. Its's where two of the four rotator cuff muscles insert (Supra-and infraspinatus) and so you classically do it landing on an outstretched arm where their action is opposed, although it can be from a direct blow. Most, like this one, are undisplaced, with only 2% or so knocked off properly. and they heal pretty well. So does it matter? Well, your patient will want to know that their shoulder will take a few more weeks to settle down, and that they will be weak when it comes to **duction (if you're not sure what your rotator cuff muscles do, read this)
The Derrifoam Blog
Welcome to the Derrifoam blog - interesting pictures, numbers, pitfalls and learning points from the last few weeks. Qualityish CPD made quick and easy.....