assessment of the shoulder Flashcards
1
Q
GH flexion
A
180
2
Q
GH abd
A
180
3
Q
GH ext
A
60
4
Q
GH ext rot
A
90
5
Q
GH int rot
A
70
6
Q
GH loose pack
A
55 abd and 33 horizontal add
sling position
7
Q
AC loose pack
A
arm resting at side
8
Q
SC loose pack
A
arm resting at side
9
Q
GH close pack
A
full abd and external rotation
10
Q
AC close pack
A
90 arm abd
11
Q
SC close pack
A
max shoulder elevation
12
Q
GH capsular
A
ex rot > abd > int rot
13
Q
AC capsular
A
pain at end ranges
14
Q
sc capsular
A
pain at end ranges
15
Q
spine of scapula
A
ridge along upper lateral back
T3 level
16
Q
medial border of scap
A
follow medial spine inferiorly
17
Q
inferior angle of scap
A
terminal aspect of medial border
T7 level
18
Q
posterior angle of acromion
A
most lateral aspect of spine of scap
19
Q
sternal notch
A
midline v shape above sternum
20
Q
SC joint and clavicle
A
1 cm inferior from sternal notch
s shaped bone that runs to shoulder
21
Q
lateral edge of acromion and v notches
A
most lateral aspect of spine of scap
22
Q
coracoid process
A
inferior to clavicle
hold arm in extension
23
Q
lesser tubercle
A
laterally from coracoid until you reach a bony ridge
24
Q
subscapularis
A
between coracoid and lesser tub
25
biceps
lateral to lesser tub in intertubercular groove
26
supraspinatus
superior to biceps on greater tub
easier to palpate in extension and IR
27
infraspinatus
under spine and attaches to posterior greater tub
28
teres minor
mediolateral
2 cm inferior to spine of scap
29
olecranon-manubrium percussion test
stethoscope over manubrium
taps olecranon
+ lack of symmetrical crisp sound
30
scapular active ROM observation
neutral
in elevation - up rot and ex rot
arms on hips - post tilt
31
shoulder flexion ROM
stationary: mid axillary line
fulcrum: greater tub
movement: lateral epicondyle
32
shoulder extension ROM
stationary: mid axillary line
fulcrum: greater tub
movement: lateral epicondyle
33
shoulder abduction ROM
stationary: parallel to sternum
fulcrum: anterior to acromion
movement: epicondyle that give more ROM
34
shoulder internal rotation ROM
stationary: perpendicular to floor
fulcrum: olecranon process
movement: ulnar styloid process
35
shoulder external rotation ROM
stationary: perpendicular to floor
fulcrum: olecranon process
movement: ulnar styloid process
36
scapular elevation 3-5
sitting
stabilize side of head
push down on shoulder
37
scapular elevation 3-5
prone
can elevate?
38
scapular protraction 0-5
seated
stabilize superior aspect of same shoulder
push back
39
scapular retraction 0-5
prone
pressure over contralateral thorax
push down
arm straight out for middle trap
arm up for lower trap
arm behind back for rhomboids
40
shoulder flexion 3-5
seated
stabilize superior shoulder
push down proximal to elbow
41
shoulder flexion 0-2
side lying
stabilize ipsilat shoulder
support test side in neutral position
42
shoulder extension 3-5
prone
stabilize ipsi thorax
push down
43
shoulder extension 0-2
side lying
stabilize ipsilat shoulder
support test side in neutral position
44
shoulder abduction 3-5
seated
stabilize superior border of scap
push down
45
shoulder abduction 0-2
supine
towel under arm
46
shoulder horizontal abduction 3-5
prone
stabilize scapula
push into table proximal to elbow
47
shoulder horizontal abduction 0-2
seated in chair
towel under arm
guard trunk
48
shoulder horizontal adduction 3-5
supine
stabilize clavicle
push into table
49
shoulder horizontal abduction 0-2
seated in chair
towel under arm
guard trunk
50
shoulder internal rotation 3-5
prone
arm at 90/90
rotate toward ears
51
shoulder internal rotation 0-2
prone, shoulder hanging off table
52
shoulder external rotation 3-5
prone
arm at 90/90
rotate toward toes
53
shoulder external rotation 0-2
prone, shoulder hanging off table
54
sulcus sign
distract shoulder
+ see a sulcus at GH
55
ST joint glides
side lying
glide scapula in different directions
56
GH joint anterior glide
prone
push down and stabilize proximal to elbow
57
GH joint posterior glide
supine push down and stabilize proximal to elbow
58
GH joint inferior glide
supine
push inferior
stabilize proximal to elbow
59
ST anterior glide
supine
60
ST inferior glide
use thumbs to push clavicle down
61
AC posterior glide
supine
both thumbs push down on ac
62
anterior apprehension test
supine with elbow in 90/90
move into 90 deg abd and full external rotation
+ if pain or apprehension present
63
shoulder shrug sign
upright
raise arm into maximal shoulder flexion
+ shoulder girdle shrugs prior to 90 deg of active flexion
64
coracoid pain test
arms at sides
palpate each coracoid
+ pain in one side 3 points greater than other
65
lateral jobe test
sitting with arm abd to 90 deg and full internal rot
inferior force while pt resists
+ pain or weakness
66
hornblower's sign
sitting upright
90 deg of ER and abd
resistance at wrist into IR and maintain against resistance
+ fails to maintain
67
internal rotation lag test
upright with hand behind back
maintain position of wist off of back
+ cannot maintain, wrist falls back into spine
