Cuff Stuff Flashcards
What are the impingement tests?
Hawkins Neer Horizontal Add Jobe Empty Can Speed’s
HNAES
SHANE
(Speed’s, Hawkin’s, Adduction, Neer, Empty)
What are the RC tear tests?
Drop Arm, ER lag sign, Belly Press (Subscap)
DEB
Drop, ER, Belly
What are the instability signs?
Apprehension/Relocation/Anterior Release
Load and Shift (A+P Glide)
Sulcus
ALS
Which is the best of the SLAP tests?
Dynamic Shear
What are the tests for scapular dyskinesia?
Dysk Test (Weighted Flexion)
Scap Repos
Scap Assist
Upper Limb Tension
What is a formula for referred pain?
Convergence + Conditioning = Error in Perception
Referred pain is _____________ of nerve compression.
independent
Where does the cervical plexus NOT refer pain to? Where does the brachial plexus NOT refer pain to?
The arm. The head.
What is more important as a sign of the gravity of referred pain?
The distance from the spine.
What is true AP called in imaging and what is it for?
Grashey.
It’s done perpendicular to the scap and useful for seeing GH joint space / specifically in patients at risk for complications from arthritis. You can also see the concavity of the glenoid.
What is the Y view used for?
Fix and position of hum on the glenoid.
What is the best view for seeing acromion type?
Suprapinatus outlet
What is the axillary view best for?
Looking at the inferior shoulder, but also Hill Sachs.
For shoulder trauma, what views are usually chosen?
Axillary, Scap Y, AP (ER/IR w/ grashey rec)
For a labral tear or instability, what is usually chosen for imaging?
Arthrography
If you have less glenoid retroversion, which way will the humeral head shift?
Anterior
What do pitchers typically develop excessive amounts of as bar as bony geometry of the humerus goes?
More retroversion, and there for the capacity to have much more ER.
What is the “shelf mechanism”?
The more downward tilt, the more instability bc the glenoid flattens.
What are some examples of extrinsic mechanisms for frozen shoulder?
C-spine, CVA, Parkinson’s, MI, Humeral Fox, Post Op (Mastectomy)
What is the main difference between someone with SAP and FS?
Near normal ER/IR vs. a definitely loss of passive IR/ER
How would you treat a non-structurally changed shoulder with FS vs. a structural changed shoulder?
Non-structural should not be vigorously stretched or strengthened.
Structural, should be TERT and should be vigorously stretched and strengthened but never beyond the pain threshold.
Where, specifically, is the tear in a Bankart Lesion?
Usually in the capsulolabral complex at the insertion of the anterior band of the IGHL.
What bony mechanism is responsible for getting a modified latarjet procedure?
“Inverted Pear” shape of the glenoid.
What surgery is often done for a Hill Sachs?
Remplissage, or reattachment of the infraspinatus and the posterior capsule.
