Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MSK 4 > Buckets For Shoulder Pain > Flashcards

Buckets For Shoulder Pain Flashcards

You may prefer our related Brainscape-certified flashcards:
WSET ® Level 4 D2 Business of Wine flashcards
1
Q

What are the buckets for shoulder pain?

A

Subacromial pain syndrome

Adhesive capsulitis

Glenohumoral instability

Other

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are impairments that are present in the subacromial pain syndrome bucket?

A

Subacromial pain syndrome (impingement)

Rotator cuff full thickness tear

Rotator cuff tendinopathy/partial thickness tear

SLAP/LHB tendinopathy

Bursitis

Articular surface rotator cuff tear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What would someone with rotator cuff tendinopathy present with?

A

Anterolateral shoulder pain

Pain with overhead motion

Painful arc with AROM abduction

Night pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What would someone with a rotator cuff tear present with?

A

Anterolateral shoulder pain

Compensatory shoulder shrugging with overhead motion

Constant shoulder achiness

Night pain that wakes them up

Patient > 40 y/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the special tests for shoulder impingement?

A

Hawkins Kennedy test

Painful arc (60-120°)

Infraspinatus muscle test

Neers test

Empty can

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How can you rule in shoulder impingement using special tests?

A

If 3 out of 5 are positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the special tests for a rotator cuff full thickness tear? (Ruling in)

A

Drop arm test

Painful arc (60-120°)

Infraspinatus muscle test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the special tests for rotator cuff tendinopathy?

A

Lift off test

Belly press test (both are testing Subscapularis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the presentation in someone with long head bicep tendinopathy?

A

Anterior shoulder pain

Painful palpation at proximal LHB

Pain with eccentric deceleration (throwing or swinging)

Pain with muscular loading of bicep (shoulder flexion and arm supination)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the special test used for long head bicep tendinopathy?

A

Yergasons test (resisted elbow flexion, supination, and shoulder ER)

Speed test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does someone with a SLAP lesion present with?

A

Deep shoulder pain

Complaints of clicking

Complaints of joint locking

Pain with eccentric deceleration (throwing or swinging)

Pain with muscular loading of bicep (shoulder flexion and arm supination)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the special tests for a SLAP lesion?

A

Biceps load 1 and 2

Crank test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does someone with articular-sided rotator cuff internal impingement syndrome present with?

A

Specific posterior shoulder pain during abduction and ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the special test used for articular sided rotator cuff internal impingement syndrome?

A

Posterior impingement sign test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the relevance of GH internal rotation deficit?

A

Pitchers have increased shoulder ER which limits their IR on pitching arm (as long as total arc is equal in both arms it is fine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the impairments associated with the glenerohumeral instability bucket?

A

Anterior instability (most common)

Posterior instability/posterior labral injury

Multidirectional instability/global instability

Bankart/reverse bankart tear

17
Q

What does someone with anterior instability present with?

A

Anterior pain

Pain in abduction and ER

Recurrent anterior subluxations

Joint clicking or locking

Dead arm syndrome

18
Q

What are the special tests for anterior instability?

A

Apprehension test

Relocation test

Surprise test (must be done in this order)

19
Q

How do we know if the relocation test is a positive test?

A

If symptoms get better

20
Q

What is the special test for a bankart lesion?

A

Crank test

21
Q

How does someone with posterior instability/posterior labral lesion present?

A

Deep posterior shoulder pain

Pain in horizontal adduction

Pain in activities that involve pushing

Pain in closed chain activities (plank)

Recurrent posterior subluxations

Joint clicking

22
Q

What are the special tests for posterior instability/posterior labral tear?

A

Jerk test

Kim test

23
Q

What are the special tests for multidirectional/global instability?

A

Load and shift

Sulcus

24
Q

What are categories in the “other” bucket?

A

ACJ

GHJ arthritis

Fracture

Nerve entrapment

Post op

25
Q

What does someone with an ACJ injury present with?

A

Superior joint pain

Pain with end range elevation

Pain with horizontal abduction and adduction

Pain with ACJ palpation

Notable AC joint step off

26
Q

What is the MOI for the ACJ?

A

Fall on shoulder

27
Q

What are the special tests for the ACJ?

A

Paxinos test

Crossover test

Painful arc (150-180°)

28
Q

What does someone present with that has GHJ arthritis?

A

Joint pain

Crepitus

AM stiffness

Age > 65

Pain with end range

29
Q

Where in the labrum do you see a SLAP tear?

A

Between 10 and 2

30
Q

Where in the labrum do you see a bankart lesion?

A

Between 3 and 6

31
Q

What muscles do you want to protect immediately following a full shoulder replacement?

A

Subscapularis (do not do resisted IR)

32
Q

What is immediate post op recommendation?

A

Using sling in neutral position

33
Q

What happens in a Hills-Sachs lesion?

A

Anterior glenoid impacts the posterior humeral head

MSK 4 (24 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions