CASE PRESENTATION

MD. MONERUZZAMAN SHIHABB.P.T 5TH SEMESTER

GONO BISHWABIDYALAY

Patient’s Information NAME : Prosenjit Kumar

AGE : 30 yrs

GENDER : Male

OCUPATION : Businessman

WEIGHT : 65 kg

HEIGHT : 5.8 Feet

ADDRESS : Shamoli,Dhaka

D.O.A : No

CHIEF COMPLAINTS : Having Pain in the upside of Scapula 15 days ago & before had an Experience of same pain & was taken Physio. & Medical Management.1 year before had an injury in both index finger.

SUBJECTIVE EXAMINATION

HISTORY:

Present medical history:

This patient complains of pain in the upper arm & undergoing physiotherapy treatment . Past medical history:

Previously he had an experience of tramatic injury. No history of DM , HTN Surgical history: No Socio economic history: Affordable

PAIN ASSESSMENTOnset : Gradual.Side : Right sidesite : Supraspinatus MuscleDuration : 15 DayCharacter : Intermittent Type : Dull achingAggravating factors : Abduction,ElevationRelieving factors : Rest

ON OBSERVATION

Built : Fair

Posture : Normal

Deformity : No deformity

Limb position : Symmetrical

ON PALPATION

Swelling : Present

Tenderness : Grade 3 tenderness

Warmth : Present

ON EXAMINATION

Range Of Motion : Decrease (Abduction less than 120 degree)

Muscle Atrophy : present

INVESTICATION

X RAYS

DIAGNOSIS

Special Test :Hawkin’s sign : Possitive.

Drop Arm Test : Pain in (120 – 60 )degree

Empty Can Test : Possitive

Differential Diagnosis:o Acromioclavicular Joint Injury o Brachial Plexus Injuryo Rotator Cuff Injuryo Shoulder Dislocationo Frozen Shoulder

Confirm Diagnosis:

Supraspinatus Tendinitis : Because Empty Can Test, Hawking’s sing test are positive.

PHYSIOTHERAPY AIM :

To relieve pain

To improve range of motion

To improve muscle power

To improve ADL

TREATMENT

TREATMENT: Hot Pack Myofascial Release DTF Over The Supraspinatus Shoulder Abduction Exercise Tapping UST 0.8 W/cm2

Home Advice: Shoulder Stretching Exercise Pendular Exercise Pulley Exercise

THANKS TO ALL For Your Patient

Any Question ???