Page 26 - 2021 IDMT Digital

BICEPS TENDON RUPTURE
Introduction:
• %LFHSV WHQGRQ UXSWXUH PRVW FRPPRQO\ RFFXUV DW WKH SUR[LPDO ORQJ KHDG RI WKH ELFHSV
WHQGRQ
• 3UR[LPDO ORQJ KHDG RI WKH ELFHSV WHQGRQ LV LQYROYHG GXH WR D ORQJ KLVWRU\ RI XQWUHDWHG
LPSLQJHPHQW V\QGURPH

Subjective:
• 6LJQV DQG 6\PSWRPV
o 6XGGHQ SDLQ LQ WKH XSSHU DUP
o $XGLEOH VQDS PD\ EH KHDUG
o %XOJLQJ RI WKH PXVFOH LV SRVVLEOH
• )RFXVHG +LVWRU\
o +DQG GRPLQDQFH
o +LVWRU\ RI LQMXU\
o +LVWRU\ RI WKURZLQJ RU UDFNHW VSRUWV
o +LVWRU\ RI LPSLQJHPHQW V\QGURPH
o 2FFXSDWLRQ
Objective:
• 3K\VLFDO ([DP
o %XOJH LQ WKH ORZHU DUP ³3RSH\H GHIRUPLW\´ PD\ EH DSSUHFLDWHG
ƒ 0D\ EH DFFHQWXDWHG E\ KDYLQJ IOH[ ELFHSV
o 3UR[LPDO GHIHFW PD\ EH SDOSDWHG
o 7HQGHUQHVV WR SDOSDWLRQ DW ELFLSLWDO JURRYH
• 7RROV
o ; 5D\ LI DYDLODEOH PD\ KHOS UXOH RXW IUDFWXUH
Assessment:
• 'LIIHUHQWLDO
o 'LVORFDWLRQ RI WKH ELFHSV WHQGRQ WHQGHU WR SDOSDWLRQ RYHU ELFLSLWDO JURRYH EXW QR
QRWHG EXOJH LQ ORZHU DUP
o 'LVWDO ELFHSV UXSWXUH SDLQ DQG HFFK\PRVLV GLVWDOO\ ZLWK KLJK ULGLQJ PXVFOH EHOO\
o ,PSLQJHPHQW V\QGURPH RIWHQ FDQ FDXVH ELFHSV UXSWXUH
o 5RWDWRU FXII WHDU RIWHQ FDQ FRH[LVW ZLWK ELFHSV UXSWXUH
Plan:
• 16$,'V
• If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence, consider
administering up to 10 treatment sessions as an alternative to NSAIDs as long as there
is clinical benefit and no worsening of the patient’s condition
• 5,&(
• 5HIHU WR SK\VLFDO WKHUDS\ LI DYDLODEOH
• (9$& RUWKRSHGLFV

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