Aquifer Case 25: Shoulder Pain

Question 1

which non-orthopedic conditions can present with shoulder pain?

Answer 1

1. acute cholecystitis
2. lung cancer
3. MI
4. ruptured ectopic

Question 2

what is the differential for restricted active and passive ROM of the shoulder?

Answer 2

adhesive capsulitis

glenohumeral arthritis

Question 3

what is the function of the supraspinatous?

Answer 3

abduction of shoulder

Question 4

what is the function of the infraspinatus?

Answer 4

external rotation of the shoulder

Question 5

what is the function of the teres minor?

Answer 5

assists infraspinatous in external rotation of shoulder

Question 6

what is the function of the subscapularis?

Answer 6

internal rotation of the shoulder

Question 7

what does a positive Neer test indicate?

Answer 7

pinching of the following between the humerus and the arch formed by the acromion and ligament that attached to the coracoid process:
1. supraspinatous tendon

2. long head of biceps
3. subacromial burse

Question 8

what are the major anatomic stabilizers of the shoulder joint?

Answer 8

1. glenohumeral ligaments
2. labrum
3. rotator muscle group

Question 9

what is Yergason’s test?

Answer 9

flex patients elbow to 90 degrees with thumb up and grab their wrist and resist their attempts to actively supinate the arm and flex the elbow

positive finding for biceps tindinopathy would be pain in the anterior area of the shoulder