Musculoskeletal

injuries
Nendyah Roestijawati
 Exrtreme posititon, held flexed or
extended for long periods
 Site C5-6
 Posterior neck pain, high interscapular
pain, local tenderness, restriction motion
 X-ray : narrowing disk space, osteophyte
 Treatment : collar neck, traction, NSAID,
analgesics, disk excision, anterior
interbody fusion

Cervical degenerative disk disease

 Repetitive motion work  ischemic lession
of the cup  tendinitis, bursitis
 Pain, tenderness
 X-ray : sclerotic, disruption cuff,
 Treatment : immobilization, analgesics,
NSAID, aspiration, lavage, injection
lidocaine, cortison, surgery

Rotator cuff disease

 Restriction of glenohumeral joint motion
 Cuff lesion/local tendinitis  Diffuse
inflammation
 Treatment : immobilitation, intra-articular
cortison

Frozen shoulder syndrome

 Direct trauma arm or shoulder
 Pain, tenderness, deformity
 X-ray : fracture clavicle or proximal
humerus, displacement acromioclavicular
joint
 Treatment :
- immobilization
- surgery

Acromioclavicular joint separation

 Pain radiating into forearm, tenderness
 Treatment :
- NSAID
- injection
corticosteroid

Lateral humerus epicondylitis

(tennis elbow)
 Irritation and swelling in bursa olecranon
 Etiology : trauma, infection
 Pain, increased warmth, swelling
 Treatment : protective pad,
immobilization,
aspiration,
cultur

Olecranon bursitis
 Overuse of the tumb, repetitive grasping
 Pain, swelling, crepitus, finkelstein test +
 Treatment : injection lidocaine

De quervain’s tenosynovitis
 Neuropathy median nerve
 Paresthesia, pain, skin sensory defisit,
thenar motor weakness, phalen’s sign
 Treatment : anti-inlammatory drug,
injection corticosteroid, surgery

Carpal tunnel syndrome

 Backpain related fall or lifting incident
 Lower lumbar, lumbosacral angel midline,
sacroiliac joint, medial buttock
 Radiculopathy  leg pain
S1 : posterior calf, lateral border foot
L4 : below knee, medial part of leg
L5 : lateral calf, dorsum of foot, great toe
 Restriction of back movement
 Sciatic scoliosis
 Treatment : analgesics, bed rest, swimming,
surgery

Low back pain