Physio Edge podcast

When paediatric or skeletally immature patients have shoulder pain, what diagnoses should be kept in mind? What are the potential diagnoses following trauma, in overuse injuries or “little leaguers shoulder”? What assessment and imaging is required in these patients?

Find out in this podcast/video with Jo Gibson (Clinical Physiotherapy Specialist), and explore:

  • What growth plate injuries may occur in skeletally immature athletes?
  • The case study of a young athlete with misdiagnosed pain over the acromioclavicular joint (ACJ)
  • A recap of acromial apophylysis and distal clavicular osteolysis.
  • What are the common mechanisms of injury for ACJ?
  • How are ACJ injuries classified?
  • What are the limitations of ACJ injury classifications?
  • Why are there often differences in ACJ injury classification between X-ray and MRI?
  • How can ACJ imaging lead to incorrect return to play timeframes in mature athletes?
  • In paediatric patients, what differential diagnosis do you need to keep in mind with an apparent ACJ injury?
  • How does imaging help guide prognosis and treatment in younger athletes with ACJ injuries?
  • How can growth plate injuries be identified?
  • Can patients have a slipped humeral epiphysis?
  • What are the most common humeral fractures
  • What are humeral Salter-Harris fractures?
  • Which fractures may impact future growth in the humerus?
  • When is imaging absolutely required in paediatric shoulder injuries?
  • What is “little leaguers shoulder” and why is it important to identify this early?
  • When is glenohumeral internal rotation deficit (GIRD) relevant in lateral humeral pain?
  • What are the risk factors for shoulder pain in young athletes?
  • What causes GIRD in paediatric and skeletally mature athletes?
  • What tests help with diagnosis in stiff shoulders?
  • When is GIRD relevant?
  • Why should the term “shoulder impingement” be avoided?
  • How can you describe shoulder pain to patients?
  • Can osteolysis of the whole scapula occur?

Podcast handout

The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.

Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson

Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)

Frozen and stiff shoulder assessment & treatment with Jo Gibson

Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder

Shoulder: Steps to Success online course with Jo Gibson

Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

Articles associated with this episode:


What are the best rehab options for patients with an irreparable rotator cuff tear? Can we predict which patients will do well and how long rehab will take?

Find out in this video/podcast with Jo Gibson (Clinical Physiotherapy Specialist), discussing rehab options, a patient case study and the latest evidence for massive rotator cuff tear (MRCT) rehab. Discover:

  • When patients are unable to have surgery, what rehab options are available to rehab MRCT?
  • What is classified as a MRCT?
  • What common issues do patients with MRCT face?
  • What proprioceptive deficits exist in MRCT patients functionally and on fMRI?
  • Is the “Anterior deltoid program” really the best rehab program for MRCT patients?
  • What MRCT rehab exercises & programs are supported by the latest research?
  • Which MRCT patients are likely to respond to rehab?
  • Is scapular dyskinesis important to target in MRCT rehab?
  • When patients are unable to lie supine, and are therefore unable to complete the anterior deltoid program, what options are available for rehab?
  • How do rotator cuff imaging results help guide treatment?
  • Which rotator cuff tendons need to be intact for successful rehab?
  • Specific exercise ideas and progressions that can be used in rehab.
  • How long is recovery likely to take?
  • What key messages are important to convey to patients?
  • What is the evidence for injections in MRCT, including prolotherapy, PRP?
  • How can rehab programs target subscapularis strength?
  • Is humeral head depression an important component in rehab?

Podcast handout

The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available.

Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson

Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)

Frozen and stiff shoulder assessment & treatment with Jo Gibson

Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder

Shoulder: Steps to Success online course with Jo Gibson

Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

Articles associated with this episode:


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