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MSK III P3 Fall > 4] Rehab For Shoulder Athletes > Flashcards

4] Rehab For Shoulder Athletes Flashcards

1
Q

Position of anterior shoulder instability

A

Abducted

ER

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2
Q

Activities with anterior shoulder instability

A

Tackle
Slide
B-ball
Repeated overhead activities

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3
Q

Assess which nerve with anterior shoulder instability

A

Axillary

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4
Q

How does posterior instability happen

A

Repetitive punch
Fall on FF, ADD arm
Often subluxation

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5
Q

MOI for AC joint injury

A

Direct blow of shoulder into ground

2nd - axial load to elbow

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6
Q

AC joint has pain with

A

Cross body actions

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7
Q

For simple AC joint injuries: what is RTP

A

Grade 1 = 7-10 days
Grade 2 = 2-3 weeks
Grade 3 = 4-6 weeks

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8
Q

Ligament stretched

A

Type 1 AC

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9
Q

Partial rupture AC ligs

A

Type 2 AC

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10
Q

Complete rupture of AC and CC ligs

A

Type 3 AC

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11
Q

Clavicle displaced posteriorly over acromion

A

Type 4 AC

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12
Q

Clavicle displaced just under skin

A

Type 5 AC

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13
Q

Clavicle under coracoid (very rare)

A

Type 6 AC

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14
Q

Sprain of the AC ligaments (all ligaments are intact) Deltopectoral fascia is intact
• Radiographic examination is normal

A

Type 1 AC

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15
Q 
Clinical Presentation 
•
•
•
AC joint tenderness 
Minimal pain with arm motion 
No pain in coracoclavicular interspace
A

Type 1 AC

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16
Q

• Distal clavicle is unstable horizontally (either anteriorly or posteriorly)

A

Type 2 AC

17
Q

Clinical Presentation

Distal clavicle slightly superior to acromion
Mobile to palpation
Tenderness in the coracoclavicular space
Minimal pain with arm motion

A

Type 2 AC

18
Q

Distal clavicle is unstable horizontally and vertically

• Disruption of the AC ligaments, CC ligaments, and Deltopectoral Fascia

A

Type 3 AC

19
Q

Clinical Presentation
•

Distal clavicle appears superior to acromion
Mobile to palpation
Tenderness in the coracoclavicular space
Coracoclavicular widening is evident
AC joint is reducible with upward force on the elbow
Severe pain with motion

A

Type 3 AC

20
Q

Distal clavicle is posteriorly displaced into trapezius muscle and into the posterior skin.

A

Type 4 AC

21
Q 
Clinical Presentation 
•
Maybe anterior dislocation of SC joint 
Or posterior dislocation of AC joint 
Tenderness in the coracoclavicular space
AC joint is irreducible  
Pain with motion
A

Type 4 AC

22
Q

More severe form of Type 3

• Deltoid and trapezial fascia stripped off acromion and clavicle

A

Type 5 AC

23
Q

Clinical Presentation:
Shoulder presents with severe droop
(due to downward displacement of scapula & humerus)
Maybe symptoms from traction on brachial plexus
AC joint is irreducible

A

Type 5 AC

24
Q

Inferior dislocation of distal clavicle.
• Disruption of the AC ligaments and Deltopectoral Fascia
Cocoracoclavicular ligaments intact.

A

Type 6 AC

25
Q

MOI: Hyperabduction & ER with retraction of scapula(high energy trauma)

A

Type 6 AC

26
Q

The shoulder has a flat appearance (prominent acromion)
Associated clavicle and upper rib fractures
Maybe symptoms from traction on brachial plexus
AC joint is irreducible

A

Type 6 AC

27
Q

Primary fixation of AC joint

A

Hook plate

28
Q

Fixation b/w coracoid process and clavicle

A

CC screw

Suture loop

29
Q

Dynamic muscle transfer/ligament reconstruction

A

Weaver-Dunn

• Autogenous hamstring/Anterior Tibialis allograft

30
Q

Direct blow to shoulder

• Fall on outstretched arm

  • Most common fracture of upper extremity
  • Tenderness and crepitus at mid clavicle
A

Clavicle fracture

31
Q

Eccentric load to the shoulder with arm abducted• Bench press, tackle football, tactical

A

PEC major tendon injury

32
Q

3 surgical options for pec major

A

Bone trough
Suture anchors
Endosteal button

33
Q

Fatigue protocol

A

Standing cable press: 30% BW
• Scaption: 5% BW
• Prone Y: 3% BW

34
Q

Failure of fatigue protocol

A

Can’t keep to the beat
Can’t keep form
Volitional fail

MSK III P3 Fall (19 decks)

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