Chapter 7 Shoulder Flashcards

1
Q

Bones making up the shoulder?

A

Clavicle, scapula, humerus

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1
Q

Joints of the shoulder/

A

Scapulothoracic (pseudo-joint), AC joint, glenohumeral, SC joint

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2
Q

Rotator cuff muscles?

A

Supraspinatus, Infraspinatus, teres minor, Subscapularis (SItS)

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2
Q

Primary flexor?

A

Deltoid (anterior portion)

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3
Q

Primary abductor?

A

Deltoid (middle portion)

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3
Q

Primary extensors?

A

Lat dorsi, teres major, deltoid (posterior portion)

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4
Q

Primary adductors?

A

Pec major, lat dorsi

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4
Q

Primary external rotators?

A

Infraspinatus, teres minor

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5
Q

Primary internal rotator?

A

Subscapularis

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5
Q

Subclavian artery passes bt which 2 muscles?

A

Anterior and middle scalenes–contracture of these muscles affects arterial supply but not venous drainage

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6
Q

Subclavian vein passes where?

A

Anterior to anterior scalene

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6
Q

When does subclavian a become axillary a?

A

Lateral border of 1st rib

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7
Q

When does the axillary a become the brachial a?

A

Inferior border of teres minor

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7
Q

1st major branch of brachial a?

A

Profunda brachial a–accompanies radial n in its posterior course of radial groove

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8
Q

Where does brachial a divide into ulnar and radial aa?

A

Under bicipital aponeurosis

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8
Q

What becomes the deep palmar arterial arch?

A

Radial a

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9
Q

What becomes the superficial palmar arterial arch?

A

Ulnar a (Ulnar is Up in the palm)

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9
Q

Tx technique to relieve lymph congestion of UE?

A

1) Open thoracic inlet
2) Redome diaphragm
3) Posterior axillary fold technique

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10
Q

Nerve roots of brachial plexus?

A

C5-T1

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10
Q

Degrees of motion during arm abduction?

A

120 degrees due to glenohumeral motion, 60 degree due to scapulothoracic motion

11
Q

For every 3 degrees of abduction…

A

Glenohumeral joint moves 2 degrees and the scapulothoracic joint moves 1 degree

11
Q

Most common somatic dysfunction of shoulder?

A

Restriction in internal and external rotation

12
Q

Second most common somatic dysfunction of shoulder?

A

Restriction in abduction

12
Q

Least common somatic dysfunction of shoulder?

A

Restriction in extension

13
Motion of clavicle during internal/external rotation?
Around transverse axis
13
Most common somatic dysfunction of SC joint?
Clavicle anterior and superior on sternum
14
Most common somatic dysfunction of AC joint?
Clavicle superior and lateral on acromion
14
"Step-off" seen at the AC joint?
Superior and lateral clavicle on acromion
15
Sites of compression of nv bundle in thoracic outlet syndrome?
1) Bt anterior and middle scalenes 2) Bt clavicle and 1st rib 3) Bt pectoralis minor and upper ribs
15
Pathogenesis of supraspinatus tendinitis?
Continuous impingement of greater tuberosity against acromion as arm is flexed and internally rotated
16
Site of pain in supraspinatus tendinitis?
Tip of acromion
16
"Painful arc"?
Pain exacerbated by abduction from 60-120 degrees in supraspinatus tendinitis
17
Pathogenesis of bicipital tenosynovitis?
Inflammation of tendon and its sheath of long head of biceps
17
Aggravating factors in bicipital tenosynovitis?
Elbow flexion or supination
18
Most commonly affected rotator cuff muscle?
Supraspinatus
18
Location of pain in rotator cuff tear?
Tenderness just below tip of acromion
19
Motions most often affected in adhesive capsulitis?
Abduction, internal and external rotation (extension is preserved)
19
Etiology of frozen shoulder?
Prolonged immobility of shoulder
20
When is pain elicited in frozen shoulder?
End of ROM
20
Most common shoulder dislocation?
Anterior and inferior--affects axillary n
21
Pathogenesis of winging of scapula?
Weakness of anterior serratus due to long thoracic n injury
21
Most common brachial plexus injury?
Erb-Duchenne's palsy
22
Erb-Duchenne's?
Upper trunk (C5-6)
22
What is paralyzed in Erb-Duchenne's?
Abduction, external rotation, flexion, supination
23
Most commonly affected nerve injured in UE due to direct trauma?
Radial n
23
Crutch palsy?
Radial n
24
Most common cause of injury to radial n?
Humeral fracture
24
Saturday night palsy?
Compression of radial n against humerus as arm is draped over back of chair