Common Shoulder Diagnoses Flashcards

1
Q

open-packed position

A

joint position in which the capsule and ligaments are most lax and separation of joint surfaces are greatest

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2
Q

close-packed position

A

joint position in which the capsule and ligaments are under the most tension with maximal contact between joint surfaces

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3
Q

force couple

A

two resultant forces of equal magnitude in opposite directions that produce rotation of a structure

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4
Q

Cervical Screen (3)

A
  1. ROM Testing
  2. Repeated Motion Testing
  3. Cervical Radiculopathy Test Cluster
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5
Q

Cervical Radiculopathy Test Cluster (4)

A
  1. Spurling’s Test
  2. Cervical Distraction
  3. Cervical Rotation ROM
  4. Upper Limb Neurodynamic Test
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6
Q

Spurling’s Test

A

for cervical radiculopathy
lateral cervical flexion to end range and apply 7 kg axial compression
+ w/ pain

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7
Q

Cervical Distraction Test

A

for cervical radiculopathy
patient supine head neutral
place hand under chin and base of skull and distract C - spine
+ w/ relief/decrease symptoms

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8
Q

Cervical Rotation ROM

A

for cervical radiculopathy
measure with goni
+ w/

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9
Q

Upper Limb Neurodynamic Test

A

for cervical radiculopathy

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10
Q

Thoracic Outlet Syndrome Regions (4)

A
  1. sternocostovertebral space
  2. scalene triangle
  3. costoclavicular space
  4. pectoralis minor space
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11
Q

Proximal Humerus Fx

A

most common fx of the humerus

may involve articular surface, greater tubercle, lesser tuberosity, or surgical neck

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12
Q

Precautions: Proximal Humerus Fx

A

RC injuries often overlooked
high risk for adhesive capsulitis
many have concurrent axillary nerve or brachial plexus injury so screen at eval

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13
Q

Adhesive Capsulitis

A

frozen shoulder

primary: idiopathic
secondary: precipitates event

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14
Q

Freezing Phase

A

shoulder pain interrupting sleep
pain w/ ADLs
pain at rest
ROM close to full with pain before end range
nonspecific tenderness at ant, lat, and post aspects
over 2-9 months pain subsides and turns to typical FS pain at end range

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15
Q

Frozen Phase

A

may last up to 1 year
distinct movement patterns as client attempts to substitute ST motion to compensate for lack of GH mobility
pain with stretching joint capsule at end range

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16
Q

Thawing Phase

A

gradual return of motion

lasts up to 26 months

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17
Q

Precautions: Adhesive Capsulitis

A

don’t push ROM during freezing phase to point that lasts beyond a few minutes–will enhance inflammatory/fibrosing processself-imposed immobilization by client

18
Q

Glenohumeral Instability - TUBS

A
"torn loose"
T raumatic etiology
U nidirectional instability
B ankhart lesion
S urgery required
19
Q

Glenohumeral Instability - AMBRII

A
"born loose"
A traumatic or microtrauma
M ulitdirectional instabilty
B ilateral symptoms
R ehab is treatment of choice
I nferior capsular shift
I nterval between supraspinatus and subscapularis closed surgically if conservative measures fail
20
Q

SLAP Lesion

A

Superior Labrum Anterior to Posterior

21
Q

Treatment: GH Instability NonOP

A

strengthen RC and subscap stabilization

22
Q

Treatment: GH Instability Op

A

in AMBRII - only after 3 month rehab failed
most common: Open Inferior Capsular Shift or Arthroscopic Capsular Plication
less common: Thermal Capsulorrhaphy

23
Q

Precautions: GH Instability

A

do not perform end range or grade IV joint mobs/stretches on client with MDI
clients w/ anterior instability need posterior capsule stretched - avoid anterior stretch
pay close attention to ROM restrictions for postop patients

24
Q

Rotator Cuff Disease

A

70% shoulder disorders related to RC disease

structures involved: muscles of RC, long head of biceps tendon, subdeltoid-subacromial bursa, and CA arch

25
Extrinsic RC Lesions
result from repeated impingement of RC tendon against different structures of GH joint
26
Intrinsic RC Lesions
result from age-related degeneration of RC tendon | related to vascularization of RC cuff and are on articular side of tendon
27
Neer's Three-Stage Classification of Impingement Syndrome
Stage I: 40 years old, bone spurs and tears of RC and long head of biceps tendon
28
Precautions: Rotator Cuff Disease
watch for tight posterior capsule if showing impingement signs, take care to avoid impinging shoulder during overhead motions monitor for excessive scapular elevation discourage clients from sleeping on involved side
29
Neer system classification: one-part fractures
no fracture fragments displaced more than 1 cm and no more than 45 deg angulation
30
Neer system classification: two-part fractures
exceed limits of one-part fractures and can involve the humeral head and surgical neck or the humeral head and greater tuberosity
31
Neer system classification: three- and four-part fractures
involve the humeral head, greater tuberosity, and lesser tuberosity
32
Roos Test
aka elevated arm stress test (EAST) | for TOS
33
Sulcus Sign
for GH instability
34
Apprehension Test
for GH instability
35
Relocation Test
for GH instability
36
Hawkins-Kennedy Test
for shoulder impingement
37
Neer's Test
for shoulder impingement
38
Empty Can Test
for RC tear | specifically tests supraspinatus
39
Gerber Lift-Off Test
for RC tear | specifically tests subscapularis
40
Speed's Test
for biceps tendinosis