Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

ACoMSC > Exam 2 Injury > Flashcards

Exam 2 Injury Flashcards

1
Q

shoulder subjective

A 
what happened
hurts?
how long?
quality of pain?
previous history
alleviates/aggravates
numbness/radiating
dominant arm
same as throwing/hitting arm
noticeable muscle weakness
what activities cause instability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

shoulder objective

A 
discoloration/deformity/swelling
muscle tone/ atrophy
dominant arm
symmetry/ scapular winging
posture/sprengei deformity/ step deformity
scars
arm position/ vertebral alignment
palpation starts at SC joint 
point tenderness, crepitus,
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

order of shoulder objective

A 
palpation
joint and muscle assessment
apley scratch
special tests
neurological assessment
vascular assessment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

order of special tests

A 
instability
SLAP
tendnopathy
thoracic outlet
scapular dyskinesis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

sternoclavicular joint sprain

subjective

A

FOOSH or lateral force; sometimes traction
force; receiving an anterior blow to clavicle with
shoulder in extension; c/o pain over joint, may
experience paresthesia in upper extremity due
to swelling/compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

sternoclavicular joint sprain

objective

A 
swelling over jt; deformity if dislocated;
maybe discoloration; pt tend; sometimes
crepitus; AROM painful c abd (@ end
ROM), flex &/or horiz abd,
protraction/retraction; + SC Glide test
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

sternoclavicular joint sprain

plan

A

immobilize; ice, ROM leading to strength

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Acromioclavicular Joint Sprain

subjective

A

FOOSH in flex or direct blow; pain over

AC jt, lat deltoid &/or lat neck

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Acromioclavicular Joint Sprain

objective

A

: Pt tend AC jt; may have step deformity;
AROM dec c flex, horiz add & motions
above 90 degs; PROM same results;
RROM dec due to pain; + Crossover, +
Piano Key, + Traction, + Apley’s Scratch,
+ Compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Acromioclavicular Joint Sprain

assesment

A

grade I-VI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

acromioclavicular joint sprain

plan

A

Grade 1 – Ice, Protect/RTP as tolerated,
Grade 2-6 - Immobilize, ice, may need x-ray;
ROM ex progressing to proprioception &
strength; may be surgically repaired
(controversial)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

rotator cuff tendionpathy/subacromial bursitis

subjective

A

Muscle imbalance b/t IR & ER, *poor
scapular control, capsular laxity or secondary
due to *impingement; usually affects
supraspinatus tendon; poor vascularization
leads to inc injury and dec healing; shape of
acromion process may predispose (see Box 15-
5, p. 667)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

rotator cuff tendionpathy/subacromial bursitis

objective

A

Pain progressing before to during to after
activity; achy pain to begin c; + Drop Arm,
+ Empty Can, + SRT, +Scapular
Dyskinesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

rotator cuff tendionpathy/subacromial bursitis

plan

A

Dec inflam c ice, US &/or NSAIDS;
allow rest in Grade 2-3; strengthen
scapular and RC muscles; correct
biomechanics prn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

subacromial impingement

subjective

A 
Dec space under coracoacromial arch
leads to inflam of RC tendons (see p.
667, box 15-5 for acromion shape
classification), subacromial bursae &/or
long head biceps tendon also inflammed;
overuse, *scapular weaknesses; c/o pain
under acromion process and may radiate
down arm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

subacromial impingement

objective

A 
May be guarding; pt tend greater
tuberosity & bicipital groove; AROM may
be limited/painful above 90 degs abd,
IR/ER, flex may be weak/painful, may
experience painful arc; + Neers, +
Hawkins-Kennedy, + Empty Can, + SRT,
\+ Scapular Dyskinesis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

subacromial impingement

plan

A

ce, US, NSAIDS, rest, *scapular
strengthening, *review mechanics, RC
strengthening,

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

acromion shape types

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

glenohumeral instabiltiy

A

Can be ant, post, or multidirectional
Involves ligamentous or labral pathology,
muscular weakness or capsular instability
Severity is based on the amount of humeral
head glide/translation on the glenoid fossa

20
Q

Superior Labral Pathology (SLAP Lesion)

A

Tear of the Superior Labrum
Often times will avulse origin of the long head of
biceps brachii from the supraglenoid tubercle
(Type II and IV) (see Box 15-10, p. 674)
Must differentiate it from impingement. Currently,
efficacy studies being conducted to determine
which special tests are sensitive to SLAP lesions
and NOT impingement syndrome – O’Brien Test

21
Q

SLAP

MOI

A

Direct Blow, Traumatic dislocation, Distal Upper Extremity

Traction

22
Q

SLAP

symptoms

A

Popping, clicking, or catching
Weakness, stiffness, or pain while lying on the affected
shoulder
Deep pain

23
Q

SLAP

physical findings

A 
Deep crepitus, snapping
 Biceps tenderness
 Positive Neer Test
 Positive Apprehension (39%)
 Positive Cross-over Test
 Positive Compression Test
 Positive Speeds Test
 Positive O’Brien Test
24
Q

anterior instability

subjective

A

laxity in the middle GH lig, ant portion of
inf GH lig &/or muscle weakness or injury
to superior and middle GH lig; Mxexcessive ER and Abd of humerus

25
Q

anterior instability

objective

A 
If dislocated = deformity, pain, dec ROM
If chronic = Muscle atrophy may be
present; pt tend ant GH jt; A/PROM dec
ER; RROM weakness c ER, may be c
pain; + Ant Glide, + Apprehension, +
Relocation
26
Q

anterior instability

assesment

A 
Bankart Lesion – IGHL is avulsed from
labrum or IGHL is avulsed with labrum;
c/o pain and crepitus during GH glide
testing, loading and shifting or ER
Hill-Sachs Lesion – Defect in post
humeral head’s articular cartilage due to
relocation of the humerus
27
Q

anterior instability

plan

A

Immobilize & refer to physician if
dislocated; if chronic, ice, e-stim, scapular
and RC strengthening, possibly brace;
may require surgical intervention

28
Q

posterior instability

subjective

A

Humerus is IR and flexed while
longitudinal force is applied; may be due
to repetitive forces (blocking, swimming)

29
Q

posterior instability

objective

A

Deformity, dec ROM & general pain; if
chronic, subscapularis weakness c laxity
of coracohumeral and post band of IGHL;
+ Post Apprehension

30
Q

posterior instability

assesment

A

may have a reverse hills sachs lesion

31
Q

posterior instability

A

Immobilize & refer to physician if
dislocated; if chronic, ice, e-stim, scapular
and RC strengthening, possibly brace;
may require surgical intervention

32
Q

inferior instability

subjective

A

Location of laxity varies according to
position of humerus; not always acute in
nature (multi-directional)

33
Q

inferior instability

objective

A

Atrophy of deltoids, + Sulcus

34
Q

inferior instability

plan

A

Immobilize & refer to physician if
dislocated; if chronic, ice, e-stim, scapular
and RC strengthening, possibly brace;
may require surgical intervention

35
Q

Bicipital Tendinopathy/Subluxing BicepsTendon

subjective

A 
Overuse usually long head, RC dysfxn or
impingement; rupture of transverse lig
creates subluxing long head (forced ER);
c/o pain over greater tuberosity/bicipital groove, may radiate, feels sharp if
subluxing
36
Q

Bicipital Tendinopathy/Subluxing BicepsTendon

objective

A

Pt tend bicipital groove &/or coracoid
process; weakness or pain c elbow flex
&/or shoulder flex + Yergason’s for
sublux, + Speed’s for tend., + Ludington’s
for rupture

37
Q

Bicipital Tendinopathy/Subluxing BicepsTendon

plan

A

Ice, US, &/or NSAIDS, strengthen

scapular & RC, correct biomechanics prn

38
Q

Thoracic outlet syndrome

subjcetive

A

overdeveloped scalene muscles, cervical
rib & scar tissue/callus formation around
nerve roots (brachial plexus, subclavian
artery & vein); achy pain across shoulder,
radiating pain from neck to arm; heavy or
weak feeling esp when arm is overhead (it
may change color &/or temp, swell, and
paresthesia may be present

39
Q

TOS

objective

A

+ Allen, + Roos, + Adson’s, + Military

Brace

40
Q

TOS

plan

A

limit overhead activities; strengthen
scapular muscles; improve posture, limit
ROM; stretching

41
Q

clavicular fracture

subjective

A

FOOSH, fall of tip of shoulder or direct
blow; usually occurs in middle third of
bone

42
Q

clavicular fracture

objective

A

Athlete carries c support of arm, head
tilted toward injury, chin away; deformity,
pain/pt tend, swelling

43
Q

clavicular fracture

plan

A

immobilize and refer

44
Q

scapular fracture

subjective

A 
direct impact (usu high velocity) or force
transmitted up through humerus
45
Q

scapular fracture

objective

A

pain during mvt, swelling, pt tend

46
Q

scapular fracture

plan

A

immobilize and refer

ACoMSC (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions