cortisone

Greater trochanter pain syndrome

Greater trochanteric pain syndrome

 

Definition

 

Chronic lateral trochanteric pain

- abductor tendon tendonitis

- trochanteric bursitis

 

Epidemiology

 

Women 40 - 60 years old

 

Mechanism

 

? repetitive friction of iliotibial tract over GT

 

Symptoms

 

Pain over upper lateral thigh with activity

- often related to hip flexion

 

Morton's Neuroma

Definition

 

Benign enlargement of the common digital branch

- usually 3rd webspace

 

Mortons Neuroma Common Site

 

Anatomy

 

Found at level of or just distal to MT heads

- deep to the deep transverse MT ligament

 

Epidemiology

 

Classically women between 40 and 60

Ganglions

Epidemiology

 

Most common tumour of hand

F > M

2nd - 4th decade

 

Aetiology 

 

Unknown 

 

Trauma

Mucoid degeneration of collagen tissue

Synovial herniation

 

Location

 

De Quervain syndrome

Definition

 

Stenosing tenosynovitis of the first dorsal compartment of wrist

 

Epidemiology

 

Most are middle aged women

 

Aetiology

 

Repetitive thumb movements

- abduction & extension

- combined with RD & UD movements

 

Any mechanical irritation

- foreign body

- prominent bony surface

- restricted fascial compartment

Background

Definition

 

Full thickness tear (FTT)

- variable amount retraction from insertion

 

Rotator Cuff Tear Large

 

Partial thickness tear (PTT)

- incomplete

- bursal or articular sided

Adhesive capsulitis

Definition 

 

Idiopathic inflammatory condition

- characterised by progressive shoulder pain & stiffness

- due to contracture of capsuloligamentous structures

- spontaneously resolves 

 

Epidemiology

 

2% incidence

- 40 - 60 years

- Women 2:1

 

Sedentary workers

- Non-dominant limb

 

Bilateral in 10 - 40%

 

Aetiology

 

Unicameral Bone Cyst

AKAUnicameral bone cyst femur

 

Simple Bone Cyst

 

Definition

 

A simple bone cyst is a solitary cavity containing clear fluid

- originating in the metaphysis of growing children

- adjacent to the metaphyseal aspect of the growth plate.

 

Aetiology

 

Unknown pathological origin

Hallux Rigidus

Definition

 

Painful restriction of dorsiflexion of the great toe 

- secondary to degenerative changes in MTPJ

- initially pain and synovitis

- osteophytes don't form medially or on plantar aspect

 

Epidemiology 

 

Two peaks

1.  Adolescence F > M

2.  Middle Age M > F

 

Aetiology

 

Often Idiopathic

 

Trauma

Coccydynia

Definition

 

Pain in region of coccyx

 

Epidemiology

 

Women

- often obese

- mean age 40 years

 

Aetiology

 

Fracture

 

Difficult vaginal delivery

 

Subluxation / hypermobile coccyx

 

Anatomy

 

3 or 4 fused coccygeal vertebrae

 

Triangular structure