23: Approach To Shoulder Complaint

Question 1

Prevalence of shoulder pain in general population

Answer 1

16-34%

Question 2

What is unique about the shoulder joint?

Answer 2

Only joint where tendons pass between bones (rotator cuff between AC and humerus)

Question 3

What is the most sensitive indicator of joint disease

Answer 3

ROM

Question 4

Six specialty tests for subacromial impingement and rotator cuff injury

Answer 4

1. Painful arc test
2. Neer impingement sign
3. Hawkins impingement sign
4. Yergason sign
5. Empty can test
6. Drop arm test

Question 5

Test for AC joint/ligament injury

Answer 5

Cross arm test

Question 6

Which test has the highest positive and lowest negative LR for all rotator cuff maneuvers

Answer 6

Painful arc test

Question 7

Describe a positive painful arc test

Answer 7

Shoulder pain from 60-120 degrees of abduction

Question 8

What level is the triceps reflex testing?

Answer 8

C6-7

Question 9

What level does the biceps reflex test?

Answer 9

C5-6

Question 10

What level does the brachioradialis reflex test?

Answer 10

C5-6

Question 11

50% of all major joint dislocations occur where?

Answer 11

GH joint

Question 12

Which type of GH joint dislocation is most common?

Answer 12

Anterior dislocation

Question 13

Which rotator cuff muscle is most likely to be injured?

Answer 13

Supraspinatus

Question 14

Most common cause of shoulder pain in primary care

Answer 14

Rotator cuff injuries

Question 15

Joints involved in shoulder abduction - ratio

Answer 15

2:1 ratio of GH joint to scapular movement

Question 16

Seven stages of Spencer’s technique

Answer 16

1. Extension, flexion
2. Compression circumduction
3. Traction circumduction
4. Abduction + external rotation
5. Adduction
6. Internal rotation
7. Traction with inferior glide