Subacromial Bursitis Case Summary
DOI: 4/20/2016. Patient is a 51-year-old female assembler who sustained a work-related injury to her right hand due to repetitive motion.
Per the PT note dated 06/27/15, the patient has 6/6 sessions for the shoulder.
Per the medical report dated 04/20/16, the patient was prescribed with ibuprofen and provided with cold pack.
MRI of the right shoulder performed on 07/19/16 showed subacromial bursitis and supraspinatus at the myotendinous junction. There is fluid seen in the subacromial bursa compatible with bursitis. There is type 2 acromial slant rendering the patient with moderate anatomical risk for impingement.
Based on the medical report dated 01/25/17, the patient complains of constant pain in the right thumb, described as achiness with increased sharp and shooting and throbbing with forceful activity.
There is persistent left elbow pain over the lateral epicondylar region with percussion tenderness over the ulnar nerve causing tingling into the smaller fingers. Patient also reports continued pain in the right shoulder following the corticosteroid injection. She states the subacromial injection did help her by greater than 50% and increased activity involving range of motion but the pain is starting to come back once again to the point she is …show more content…
Physical/occupational therapy to the right thumb status post injection at 2 times per week for 3 weeks is requested to maximize benefit. As for the right shoulder, the patient is having significant pain even following the corticosteroid injection. The MRI does show subacromial bursitis of the cervical spine and tendon, fluid in the subacromial bursa, and type 2 acromial slanting rendering the patient moderate epitomical risk for impingement. Patient will be referred for orthopedic surgical consultation for the right shoulder. Right de Quervain's steroid injection was performed under ultrasound guidance on this
Per the PT note dated 06/27/15, the patient has 6/6 sessions for the shoulder.
Per the medical report dated 04/20/16, the patient was prescribed with ibuprofen and provided with cold pack.
MRI of the right shoulder performed on 07/19/16 showed subacromial bursitis and supraspinatus at the myotendinous junction. There is fluid seen in the subacromial bursa compatible with bursitis. There is type 2 acromial slant rendering the patient with moderate anatomical risk for impingement.
Based on the medical report dated 01/25/17, the patient complains of constant pain in the right thumb, described as achiness with increased sharp and shooting and throbbing with forceful activity.
There is persistent left elbow pain over the lateral epicondylar region with percussion tenderness over the ulnar nerve causing tingling into the smaller fingers. Patient also reports continued pain in the right shoulder following the corticosteroid injection. She states the subacromial injection did help her by greater than 50% and increased activity involving range of motion but the pain is starting to come back once again to the point she is …show more content…
Physical/occupational therapy to the right thumb status post injection at 2 times per week for 3 weeks is requested to maximize benefit. As for the right shoulder, the patient is having significant pain even following the corticosteroid injection. The MRI does show subacromial bursitis of the cervical spine and tendon, fluid in the subacromial bursa, and type 2 acromial slanting rendering the patient moderate epitomical risk for impingement. Patient will be referred for orthopedic surgical consultation for the right shoulder. Right de Quervain's steroid injection was performed under ultrasound guidance on this