Chapter 22

Question 1

Axillary Nerve Supply

Answer 1

C5, C6

Question 2

Dorsalscapular Nerve Supply

Answer 2

C5

Question 3

Musculocutaneous Nerve Supply

Answer 3

C5-C7

Question 4

Radial Nerve Supply

Answer 4

C5. T1

Question 5

Recurrent Anterior Instability - Signs and Symptoms

Answer 5

• throwing athlete may c/o pain or clicking
• may experience dead arm syndrome on cocking phase of overhead throwing
• pain often posterior, followed by extreme weakness of entire arm
• apprehension tests may be positive

Question 6

Recurrent Multidirectional Instability - Signs and Symptoms

Answer 6

• some inferior laxity
• positive sulcus sign
• pain and clicking with arm head at side

Question 7

Recurrent Posterior Instability - Signs and Symptoms

Answer 7

• may cause pain to occur posteriorly, anteriorly or both as a result of subluxation

Question 8

Special Tests: for Bicep Tendon Irritation

Answer 8

• Yergason’s Test
• Speeds Test
• Ludington’s Test (Popeye’s)
• Circulatory Assessment

Question 9

Special Tests: for GHJ Instability

Answer 9

• Load and Shift
• Anterior and Posterior Drawer Tests
• Sulcus Test
• Clunk Test
• O’Brien’s Test (active compression test)
• Apprehension Test (crank) and Relocation

Question 10

Special Tests: For Shoulder impingement

Answer 10

• Neer’s Test
• Hawkins Kennedy Test

Question 11

Special Tests: for Supraspinatus Muscle Weakness

Answer 11

• Drop arm test
• empty can test

Question 12

Special Tests: SC Joint Instability

Answer 12

• sitting, pressure applied anteriorly, superiorly and inferiorly to proximal clavicle to determine instability
• pressure applied to tip of shoulder in medial direction may increase pain

Question 13

Special Tests: Test for AC Joint Stability

Answer 13

• palpate AC to determine instability
• apply pressure to distal clavicle in all four directions to determine stability and any associated increase in pain
• pressure applied to tip of shoulder may increase pain

Question 14

Special Tests: Thoracic Outlet Syndrome

Answer 14

• Anterior Scalene Syndrome Test (adson’s)
• Hyperabduction Syndrome Test (Allen)
• Military Brace Position
• Costoclavicular Syndrome Test (Roo’s)
• Sensation Testing

Question 15

Specific Injuries: Adhesive Capsulitis (Frozen Shoulder) - Management

Answer 15

• objectives are to relieve discomfort and restore motion
• treatment involved aggressive joint mobilization and stretching of tight muscles
• US and electrical stimulation useful

Question 16

Specific Injuries: Adhesive Capsulitis (Frozen Shoulder) - Signs and Symptoms

Answer 16

• pain reported in all directions of movement

Question 17

Specific Injuries: Shoulder Impingement - Management

Answer 17

• restoring normal biomechanics to the shoulder joint in an effort to maintain space under the coraco-acromial arch during overhead activities

Question 18

Specific Injuries: Shoulder Impingement - Signs and Symptoms

Answer 18

• c/o diffuse pain around acromion and may not complain of stiffness
• palpation of subacromial space may increase pain

Question 19

Specific Injuries: Thoracic Outlet Compression Syndrome - Management

Answer 19

• conservative should be taken with early and mild cases
• correcting anatomical condition with stretching and strengthening

Question 20

Specific Injuries: Thoracic Outlet Compression Syndrome - Signs and Symptoms

Answer 20

• paresthesia and pain
• sensation of cold
• impaired circulation in fingers
• muscle weakness
• muscle atrophy
• radial nerve palsy

Question 21

Subscapular Nerve Supply

Answer 21

C5,C6

Question 22

Suprascapular Nerve Supply

Answer 22

C5,C6