12: Shoulder Pain

Question 1

Which muscle is most commonly torn in rotator cuff injuries?

Answer 1

Supraspinatus

Question 2

Name the 4 muscles of the rotator cuff.

Answer 2

SITS Muscles:

1. Supraspinatus
2. Infraspinatus
3. Teres minor
4. Subscapularis

Question 3

Patients over _____: rotator cuff tears from degeneration and rubbing of the acromion.

Answer 3

Patients over 40: rotator cuff tears from degeneration and rubbing of the acromion.

Question 4

Biceps tendonitis is often associated with _____.

Answer 4

Biceps tendonitis is often associated with rotator cuff injuries.

Question 5

In examining the shoulder, the dominant shoulder is _____.

Answer 5

In examining the shoulder, the dominant shoulder is slightly lower.

Question 6

Always palpate _____ and _____ to the pain.

Answer 6

Always palpate distal and proximal to the pain.

Question 7

T/F If active ROM is too painful, you can substitute passive ROM.

Answer 7

True

Question 8

When do you order a shoulder x-ray?

Answer 8

Suspected fracture or dislocation

Question 9

When do you order a shoulder MRI (3)?

Answer 9

1. Rotator cuff tear
2. Adhesive capsulitis
3. Chronic tendonitis

Question 10

Treatment for mild impingement (5)

Answer 10

1. Rest without immobilization (sling for 24-48 hours)
2. Ice
3. NSAIDs
4. Avoid triggering activities (reaching overhead)
5. PT and home exercises

Question 11

When do you refer shoulder injuries (5)?

Answer 11

1. No response in 4 weeks
2. Nocturnal pain and pain with activity and rest
3. Shoulder instability
4. Large or partial tears on MRI
5. Neurovascular complications