Chapter 22 Flashcards
Axillary Nerve Supply
C5, C6
Dorsalscapular Nerve Supply
C5
Musculocutaneous Nerve Supply
C5-C7
Radial Nerve Supply
C5. T1
Recurrent Anterior Instability - Signs and Symptoms
- 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
Recurrent Multidirectional Instability - Signs and Symptoms
- some inferior laxity
- positive sulcus sign
- pain and clicking with arm head at side
Recurrent Posterior Instability - Signs and Symptoms
- may cause pain to occur posteriorly, anteriorly or both as a result of subluxation
Special Tests: for Bicep Tendon Irritation
- Yergason’s Test
- Speeds Test
- Ludington’s Test (Popeye’s)
- Circulatory Assessment
Special Tests: for GHJ Instability
- Load and Shift
- Anterior and Posterior Drawer Tests
- Sulcus Test
- Clunk Test
- O’Brien’s Test (active compression test)
- Apprehension Test (crank) and Relocation
Special Tests: For Shoulder impingement
- Neer’s Test
- Hawkins Kennedy Test
Special Tests: for Supraspinatus Muscle Weakness
- Drop arm test
- empty can test
Special Tests: SC Joint Instability
- 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
Special Tests: Test for AC Joint Stability
- 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
Special Tests: Thoracic Outlet Syndrome
- Anterior Scalene Syndrome Test (adson’s)
- Hyperabduction Syndrome Test (Allen)
- Military Brace Position
- Costoclavicular Syndrome Test (Roo’s)
- Sensation Testing
Specific Injuries: Adhesive Capsulitis (Frozen Shoulder) - Management
- objectives are to relieve discomfort and restore motion
- treatment involved aggressive joint mobilization and stretching of tight muscles
- US and electrical stimulation useful
Specific Injuries: Adhesive Capsulitis (Frozen Shoulder) - Signs and Symptoms
- pain reported in all directions of movement
Specific Injuries: Shoulder Impingement - Management
- restoring normal biomechanics to the shoulder joint in an effort to maintain space under the coraco-acromial arch during overhead activities
Specific Injuries: Shoulder Impingement - Signs and Symptoms
- c/o diffuse pain around acromion and may not complain of stiffness
- palpation of subacromial space may increase pain
Specific Injuries: Thoracic Outlet Compression Syndrome - Management
- conservative should be taken with early and mild cases
- correcting anatomical condition with stretching and strengthening
Specific Injuries: Thoracic Outlet Compression Syndrome - Signs and Symptoms
- paresthesia and pain
- sensation of cold
- impaired circulation in fingers
- muscle weakness
- muscle atrophy
- radial nerve palsy
Subscapular Nerve Supply
C5,C6
Suprascapular Nerve Supply
C5,C6
