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T3 Clinical Assessment > 4 Shoulder > Flashcards

4 Shoulder Flashcards

1
Q

What are tests for shoulder instability?

A
  • Anterior Instability aka Crank
  • Anterior Drawer
  • Sulcus Sign
  • Jerk
  • Muscle Tests
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2
Q

What are tests for shoulder impingement?

A
  • Hawkins-Kennedy
  • Neer
  • (Myotome/Dermatome/DTR)
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3
Q

What are tests for shoulder labral tear?

A
  • Clunk
  • Speed’s
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4
Q

What are tests for AC joint pathology?

A
  • Horizontal Adduction (aka AC Crossover aka AC Crossbody)
  • Acromioclavicular Shear
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5
Q

What are tests for GH joint pathology?

A
  • Ellman’s Compression Rotation
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6
Q

What are tests for shoulder muscle/tendon pathology?

A
  • Yegason’s
  • Speed’s
  • Drop Arm aka Codman’s
  • Empty Can
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7
Q

What are tests for shoulder neurological problems?

A
  • Drop Arm aka Codman’s
  • Empty Can
  • Myotome/Dermatome/DTR
  • Muscle Tests
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8
Q

What’s a test to generally test shoulder mobility?

A
  • Apley’s Scratch
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9
Q

What are the joints of the shoulder complex?

A
  • GH
  • AC
  • SC
  • ST
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10
Q

What’s close-packed position for the the GH joint?

A

full abduction and lateral rotation

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11
Q

What’s close-packed position for the the AC joint?

A

arm is abducted to 90°

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12
Q

What’s the close-packed position for the SC joint?

A

full elevation (of GH)

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13
Q

What’s resting/loose-packed position for the GH joint?

A

55° of abduction with 30° of horizontal adduction

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14
Q

What’s resting/loose-packed position for the AC joint?

A

arm at side

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15
Q

What’s resting/loose-packed position for the SC joint?

A

arm at side

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16
Q

What’s resting/loose-packed position for the ST joint?

A

arm at side

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17
Q

What’s the capsular pattern at the GH joint? (in order of most to least limited)

A

lateral rotation, abduction, medial rotation

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18
Q

What’s the capsular pattern at the AC joint? (in order of most to least limited)

A

pain at the extreme ROM (of GH) especially in horizontal adduction and abduction

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19
Q

What’s the capsular pattern at the SC joint? (in order of most to least limited)

A

pain at the extreme ROM (of GH) especially in horizontal adduction and abduction

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20
Q

What’s the capsular pattern at the SC joint? (in order of most to least limited)

A

N/A

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21
Q

What % of people with diabetes will get frozen shoulder?

A

10-20%

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22
Q

What visceral structures can refer pain to the shoulder? What are the overall referral patterns of these structures?

A
  • heart: chest (tightness), left anterior shoulder and down left arm
  • lung and diaphragm: shoulder (usually same side as the lung problem)
  • liver and gall bladder: right upper shoulder (upper traps area)
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23
Q

What are things to generally observe for shoulder complaints?

A
  • regular landmarks
  • HFC (head forward carriage)
  • alignment of head of humerus with acromion
  • IR
  • step deformity (this means dislocation or separation)
  • winging
  • tipping
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24
Q

What are rule outs for the shoulder?

A
  • c-spine
  • t-spine
  • elbow
  • TOS
  • (TMJ)
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25
Q

What’s normal flexion range for the GH joint?

A

160°-180°

26
Q

What’s normal extension range for the GH joint?

A

normal range 0° followed by 50°-60° hyperextension

27
Q

What’s normal abduction range for the GH joint?

A

160°-180°

28
Q

What’s the painful arc at the GH joint?

A

(just the right side of the image; left side is FYI at this point)

29
Q

What’s normal adduction range for the GH joint?

A

45°-75° (some references will end at 0° – arm at side)

30
Q

What’s normal internal rotation range for the GH joint?

A

60°-100° (100° is the hand on the low back) (no compensation from scaps; e.g. imagine squeezing something between the scap)

31
Q

What’s normal external rotation range for the GH joint?

A

80°-90° (no compensation from scaps; e.g. imagine squeezing something between the scap) (Magee suggests that IR and ER could be performed with the arm abducted to 90° - measure range when the scapula starts to move)

32
Q

What’s normal scaption range for the GH joint?

A

170°-180°

33
Q

What’s normal horizontal adduction range for the GH joint?

A

130° (make sure scapula doesn’t move into protraction)

34
Q

What’s normal horizontal abduction range for the GH joint?

A

0° (make sure scapula doesn’t move into protraction)

35
Q

How is the Apprehension Test conducted? What’s a positive? What are its 3 AKAs?

A

aka:

  • Apprehension Test for Anterior Shoulder Dislocation
  • Crank
  • Anterior Apprehension Test
36
Q

How is the Anterior Drawer Test of the Shoulder conducted? What’s a positive?

A
37
Q

How is the Sulcus Sign conducted? What’s a positive?

A
38
Q

How is the Jerk Test conducted? What’s a positive?

A
39
Q

How is the Hawkins-Kennedy Impingement Test conducted? What’s a positive?

A
40
Q

How is the Neer Impingement conducted? What’s a positive?

A
41
Q

How is the Clunk Test conducted? What’s a positive? What’s its aka?

A
42
Q

How is the Horizontal Adduction test conducted? What’s a positive? What’s its aka?

A
43
Q

How is the Acromioclavicular Shear Test conducted? What’s a positive?

A
44
Q

How is Ellman’s Compression Rotation Test conducted? What’s a positive?

A
45
Q

How is Yergason’s Test conducted? What’s a positive?

A
46
Q

How is Speed’s Test conducted? What’s a positive?

A
47
Q

How is the Drop Arm conducted? What’s its aka? What’s a positive?

A
48
Q

How is the Empty Can Test conducted? What’s a positive?

A
49
Q

How is Apley’s Scratch conducted? What’s a positive?

A
50
Q

What are positive signs for the Scapulohumeral Rhythm Test?

A
51
Q

How is the Pec Major - Clavicular Head length test conducted?

A
52
Q

How is the Pec Major - Sternocostal Head length test conducted?

A
53
Q

How is the Pec Minor length test conducted?

A
54
Q

How is the Pec Minor and Latissimus Dorsi length test conducted?

A
55
Q

What are the grades of the Oxford Muscle testing scale?

A
56
Q

How is the Coracobrachialis strength test conducted?

A
57
Q

How is the Rhomboids strength test conducted?

A
58
Q

How is the Mid Traps strength test conducted?

A
59
Q

How is the Lower Traps strength test conducted?

A
60
Q

How is the Serratus Anterior strength test conducted?

A
61
Q

How is the Subscapularis strength test conducted?

A
62
Q

What are the functional tests for the shoulder?

A
  • AF/PR/AR (AF/AR/PR) all movements
  • PR: all movements with overpressure
  • Watch for compensation from scaps with AF/AR
  • AR Elbow flx & ext (biceps and triceps also cross shoulder)

T3 Clinical Assessment (12 decks)

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