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fall B 2024 > assessment of the shoulder > Flashcards

assessment of the shoulder Flashcards

1
Q

GH flexion

A

180

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2
Q

GH abd

A

180

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3
Q

GH ext

A

60

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4
Q

GH ext rot

A

90

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5
Q

GH int rot

A

70

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6
Q

GH loose pack

A

55 abd and 33 horizontal add
sling position

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7
Q

AC loose pack

A

arm resting at side

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8
Q

SC loose pack

A

arm resting at side

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9
Q

GH close pack

A

full abd and external rotation

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10
Q

AC close pack

A

90 arm abd

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11
Q

SC close pack

A

max shoulder elevation

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12
Q

GH capsular

A

ex rot > abd > int rot

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13
Q

AC capsular

A

pain at end ranges

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14
Q

sc capsular

A

pain at end ranges

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15
Q

spine of scapula

A

ridge along upper lateral back
T3 level

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16
Q

medial border of scap

A

follow medial spine inferiorly

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17
Q

inferior angle of scap

A

terminal aspect of medial border
T7 level

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18
Q

posterior angle of acromion

A

most lateral aspect of spine of scap

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19
Q

sternal notch

A

midline v shape above sternum

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20
Q

SC joint and clavicle

A

1 cm inferior from sternal notch
s shaped bone that runs to shoulder

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21
Q

lateral edge of acromion and v notches

A

most lateral aspect of spine of scap

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22
Q

coracoid process

A

inferior to clavicle
hold arm in extension

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23
Q

lesser tubercle

A

laterally from coracoid until you reach a bony ridge

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24
Q

subscapularis

A

between coracoid and lesser tub

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25
Q

biceps

A

lateral to lesser tub in intertubercular groove

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26
Q

supraspinatus

A

superior to biceps on greater tub
easier to palpate in extension and IR

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27
Q

infraspinatus

A

under spine and attaches to posterior greater tub

28
Q

teres minor

A

mediolateral
2 cm inferior to spine of scap

29
Q

olecranon-manubrium percussion test

A

stethoscope over manubrium
taps olecranon

+ lack of symmetrical crisp sound

30
Q

scapular active ROM observation

A

neutral
in elevation - up rot and ex rot
arms on hips - post tilt

31
Q

shoulder flexion ROM

A

stationary: mid axillary line
fulcrum: greater tub
movement: lateral epicondyle

32
Q

shoulder extension ROM

A

stationary: mid axillary line
fulcrum: greater tub
movement: lateral epicondyle

33
Q

shoulder abduction ROM

A

stationary: parallel to sternum
fulcrum: anterior to acromion
movement: epicondyle that give more ROM

34
Q

shoulder internal rotation ROM

A

stationary: perpendicular to floor
fulcrum: olecranon process
movement: ulnar styloid process

35
Q

shoulder external rotation ROM

A

stationary: perpendicular to floor
fulcrum: olecranon process
movement: ulnar styloid process

36
Q

scapular elevation 3-5

A

sitting
stabilize side of head
push down on shoulder

37
Q

scapular elevation 3-5

A

prone
can elevate?

38
Q

scapular protraction 0-5

A

seated
stabilize superior aspect of same shoulder
push back

39
Q

scapular retraction 0-5

A

prone
pressure over contralateral thorax
push down

arm straight out for middle trap
arm up for lower trap
arm behind back for rhomboids

40
Q

shoulder flexion 3-5

A

seated
stabilize superior shoulder
push down proximal to elbow

41
Q

shoulder flexion 0-2

A

side lying
stabilize ipsilat shoulder
support test side in neutral position

42
Q

shoulder extension 3-5

A

prone
stabilize ipsi thorax
push down

43
Q

shoulder extension 0-2

A

side lying
stabilize ipsilat shoulder
support test side in neutral position

44
Q

shoulder abduction 3-5

A

seated
stabilize superior border of scap
push down

45
Q

shoulder abduction 0-2

A

supine
towel under arm

46
Q

shoulder horizontal abduction 3-5

A

prone
stabilize scapula
push into table proximal to elbow

47
Q

shoulder horizontal abduction 0-2

A

seated in chair
towel under arm
guard trunk

48
Q

shoulder horizontal adduction 3-5

A

supine
stabilize clavicle
push into table

49
Q

shoulder horizontal abduction 0-2

A

seated in chair
towel under arm
guard trunk

50
Q

shoulder internal rotation 3-5

A

prone
arm at 90/90
rotate toward ears

51
Q

shoulder internal rotation 0-2

A

prone, shoulder hanging off table

52
Q

shoulder external rotation 3-5

A

prone
arm at 90/90
rotate toward toes

53
Q

shoulder external rotation 0-2

A

prone, shoulder hanging off table

54
Q

sulcus sign

A

distract shoulder

+ see a sulcus at GH

55
Q

ST joint glides

A

side lying
glide scapula in different directions

56
Q

GH joint anterior glide

A

prone
push down and stabilize proximal to elbow

57
Q

GH joint posterior glide

A

supine push down and stabilize proximal to elbow

58
Q

GH joint inferior glide

A

supine
push inferior
stabilize proximal to elbow

59
Q

ST anterior glide

A

supine

60
Q

ST inferior glide

A

use thumbs to push clavicle down

61
Q

AC posterior glide

A

supine
both thumbs push down on ac

62
Q

anterior apprehension test

A

supine with elbow in 90/90
move into 90 deg abd and full external rotation

+ if pain or apprehension present

63
Q

shoulder shrug sign

A

upright
raise arm into maximal shoulder flexion

+ shoulder girdle shrugs prior to 90 deg of active flexion

64
Q

coracoid pain test

A

arms at sides
palpate each coracoid

+ pain in one side 3 points greater than other

65
Q

lateral jobe test

A

sitting with arm abd to 90 deg and full internal rot
inferior force while pt resists

+ pain or weakness

66
Q

hornblower’s sign

A

sitting upright
90 deg of ER and abd
resistance at wrist into IR and maintain against resistance

+ fails to maintain

67
Q

internal rotation lag test

A

upright with hand behind back
maintain position of wist off of back

+ cannot maintain, wrist falls back into spine

fall B 2024 (19 decks)

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