By Ade Adebajo
Musculoskeletal illnesses are the main frequent power disorder within the united kingdom and one of many most sensible three explanation why the over 45s stopover at their GP. The ABC of Rheumatology is a realistic, introductory advisor to the prognosis, administration and remedy of rheumatology and rheumatic ailments for the non-specialist. supplying unique overviews of all significant parts of rheumatology this totally revised fourth variation comprises up to date details on new remedies, cures, facts and instructions.
An informative and sensible resource of data, with hugely illustrated chapters together with boxed summaries, hyperlinks to extra details, examining and assets, this good verified ABC name is an available reference for all basic care future health pros, GPs, junior medical professionals, scientific scholars and nurses.
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Extra resources for ABC of Rheumatology (ABC Series)
Glenoid labrum (cartilage) injuries—These can cause persistent shoulder pain and instability, and they usually occur after an episode of trauma or dislocation or with overuse. Diagnosis can be difficult, requiring magnetic resonance arthrography or arthroscopy. Management involves pain control and rehabilitation, which is followed by surgery if necessary. Neurological causes—Shoulder pain may result from neurological causes, including nerve root entrapment at the neck, brachial plexus lesions or peripheral nerve lesions, including the axillary, long thoracic, suprascapular, radial or musculocutaneous nerves.
It presents with anterior shoulder pain, aggravated by lifting, carrying objects and overhead reaching. Sudden onset of worsening symptoms, which may occur after heavy lifting or be spontaneously accompanied by a swelling just above the antecubital fossa and sometimes bruising, suggests an acute rupture. In most instances proximal tendon rupture is cosmetic and does not require repair. However, distal biceps tendon rupture should be referred urgently for consideration of surgical repair. Shoulder instability—General glenohumeral instability or looseness may be seen in young women with weak shoulder muscles, in young athletes (especially swimmers and throwers) and following large rotator cuff tendon tears.
Ultrasound scanning may show the presence of an effusion. Aspiration under fluoroscopic guidance is generally necessary to establish the diagnosis. Surgical drainage is usually necessary, along with prolonged intravenous antibiotics. Painful soft-tissue conditions around the hip Trochanteric bursitis—This is a usually self-limiting inflammation of the bursa between the greater trochanter and fascia lata. It is characterized by pain over the trochanter (not in the groin). This condition frequently accompanies other musculoskeletal problems, such as spinal stenosis, that alter gait and attendant muscle forces across the greater trochanter.