12: Shoulder Pain Flashcards
Which muscle is most commonly torn in rotator cuff injuries?
Supraspinatus
Name the 4 muscles of the rotator cuff.
SITS Muscles:
- Supraspinatus
- Infraspinatus
- Teres minor
- Subscapularis
Patients over _____: rotator cuff tears from degeneration and rubbing of the acromion.
Patients over 40: rotator cuff tears from degeneration and rubbing of the acromion.
Biceps tendonitis is often associated with _____.
Biceps tendonitis is often associated with rotator cuff injuries.
In examining the shoulder, the dominant shoulder is _____.
In examining the shoulder, the dominant shoulder is slightly lower.
Always palpate _____ and _____ to the pain.
Always palpate distal and proximal to the pain.
T/F If active ROM is too painful, you can substitute passive ROM.
True
When do you order a shoulder x-ray?
Suspected fracture or dislocation
When do you order a shoulder MRI (3)?
- Rotator cuff tear
- Adhesive capsulitis
- Chronic tendonitis
Treatment for mild impingement (5)
- Rest without immobilization (sling for 24-48 hours)
- Ice
- NSAIDs
- Avoid triggering activities (reaching overhead)
- PT and home exercises
When do you refer shoulder injuries (5)?
- No response in 4 weeks
- Nocturnal pain and pain with activity and rest
- Shoulder instability
- Large or partial tears on MRI
- Neurovascular complications