Significant blunt cardiac injury is relatively uncommon. Most patients who suffer severe cardiac injury such as rupture of the free ventricular wall die quickly. One research report described patients with blunt cardiac rupture who were rapidly diagnosed and aggressively managed because of early bedside ultrasound. The authors stressed the importance of prompt cardiac ultrasound in all patients with significant blunt chest trauma. Cardiac rupture causes a pericardial effusion, which will be easily recognized during the FAST exam.
Patient is a 67-year-old right hand dominant female maintenance who sustained injury to her left shoulder due to continuous trauma from 04/04/00 to 04/04/01. Per OMNI, she was diagnosed with rotator cuff tear of the left shoulder. She is status post left shoulder arthroscopy and one manipulation. She was declared P & S by Ortho AME Dr. Fernandez on 06/11/04 with 28% permanent disability rating. Future medical care includes doctor visits, medications, PT, injections and no additional surgery anticipated. X-ray of the left shoulder performed on 10/21/16 revealed progression of degenerative osteoarthritis of the left glenohumeral joint of the shoulder, compared to prior study.
Surgery for Biceps Tendon Disruption (Distal) Surgery for a distal biceps tendon disruption is a procedure to reattach the distal biceps tendon to a bone in the elbow (radius). The distal biceps tendon attaches the biceps muscle to the radius. The biceps muscle helps to bend the elbow and rotate the palm upward (supinate). When the distal biceps tendon tears (ruptures), the biceps muscle separates from the radius. This interferes with arm function.
DOI: 06/10/2004. Patient is a female store manager who sustained a work related injury while she was stocking and cashing at a thrift store over a period of time. Based on progress report dated 08/24/15, the patient was seen for re-assessment of chronic mechanical and myofascial pain in the lumbar region. She has undergone two lumbar surgeries, as well as a left abdominal hernia repair and a revision of the ventral hernia repair.
The rotator cuff is composed of four muscles the Supraspinatus muscle, Infraspinatus muscle, Teres Minor muscle, and Subscapularis muscle. The rotator cuff muscles, tendons, ligaments and labrum aid in stabilizing, internally rotating and externally rotating the shoulder joint. One of the most common injuries affecting the shoulder is rotator cuff tears. In a rotator cuff tear, the rotator cuff tendons are pulled away from their attachment to the humeral head.
Background Anatomy The Achilles tendon is a tendon on the back of the lower leg and the largest, thickest and strongest tendon in the body. The Achilles tendon is a conjoint aponeurosis and connects the plantaris, gastrocnemius and the soleus muscles and is attached to the calcaneus. Therefore the Achilles tendon is also known as calcaneus tendon or calf tendon. The Achilles tendon causes plantar flexion and is used during activities such as walking, jumping and other movements where plantar flexion is required. The Achilles tendon plays an important role in the biomechanics of the lower extremity and can withstand great forces.
DOI: 03/04/2014. This is a 61-year-old male liquid plant laborer who sustained an injury after he twisted his low back when a co-worker kicked the tool box he was installing. Patient is diagnosed with bilateral foraminal stenosis at L2 to L3, L3 to L4, L4 to L5, and L5 to S1 with radiculopathy, mild compression fracture at L1, right knee medial meniscus tear, right knee mild to moderate osteoarthropathy, left lateral epicondylitis, left shoulder calcific tendinitis, and left shoulder adhesive capsulitis. MRI of the right knee obtained on 05/23/14 revealed a complex tear of the posterior horn at the medial meniscus, cleavage tear of the anterior horn and myxoid change of the body.
Torn Rotator Cuff Exercises The group of muscles around your shoulder that are attached by tendons to the joint allows your arm to move and keeps the shoulder stable. These muscles and tendons form the rotator cuff. Injury to the tendons may cause swelling and pain due to rotator cuff tendinitis, or a rotator cuff tear, which is often associated with injury or overuse. Torn rotator cuff exercises can help improve your symptoms and restore shoulder joint function.
DOI: 6/2/2011. Patient is a 49-year-old female phlebotomy technician who sustained a work-related injury to her left shoulder when she was struck by a fellow worker. Patient is status post left shoulder superior labrum anterior and posterior repair, decompression, and resection of the left distal end of the clavicle on 1/31/2011. Urine drug screen obtained on 03/25/16 showed positive for tramadol, desmethyltramadol and acetaminophen.