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MSK 2 > EXAM 3 - hypomobile shoulder > Flashcards

EXAM 3 - hypomobile shoulder Flashcards

1
Q

two types of shoulder pain

A

primary and secondary

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2
Q

primary shoulder pain often know as

A

Often referred to as idiopathic adhesive capsulitis

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3
Q

presentation of primary shoulder pain

A

Painful loss of shoulder motion of unknown origin
Females >40

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4
Q

primary shoulder pain seen in what population

A

Females >40
40 -65

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5
Q

secondary shoulder pain often occurs secondary to what

A

Soft tissue injury
Fracture
Arthritis
Neurologic issue
Post surgically

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6
Q

4 Stages of Adhesive Capsulitis

A

Stage I – Pre-Freezing phase
Stage II – Freezing phase
Stage III – Frozen phase
Stage IV – Thawing phase, pain is decreasing

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7
Q

what is another name for Adhesive Capsulitis (AC)

A

hypomobile shoulder

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8
Q

is AC issue associated with calcified deposists

A

not associated with calcifies deposits in the RC, RC tears

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9
Q

AC issue may be linked to what

A

thyroid disorders, diabetes and autoimmune diseases

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10
Q

Contralateral involvement of AC issue

A

20-30%

If you have it one you can have it in the other

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11
Q

how much does the chance of getting AC issue increase with thyroid issue

A

10-38%

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12
Q

what do we see during the freezing phase

A

Reactive synovitis

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13
Q

what do we see during the frozen phase

A

Adhesions between the joint surfaces

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14
Q

what is An adhesion

A

a band of scar tissue that joins two internal body surfaces that are not usually connected

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15
Q

what is Synovial angiogenesis

A

increased c growth

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16
Q

insidious

A

comes on slowly

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17
Q

how does AC issues develop

A

insidious

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18
Q

what is the predominant initial feature in AC

A

pain followed by loss of ROM

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19
Q

patient starts to sleep through the night what is this a indicator of

A

transition from stage II to III

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20
Q

o Range of Motion Limitations ER

A

<30

21
Q

ROM limits - elevation

A

<120

22
Q

ROM limits - IR

A

leat limited

23
Q

Capsular pattern - AC issue

A

ER > ABD/FLEX > IR

24
Q

what is Scapular substitution

A

Pt try to increase their ROM with the scapula when the GH is not working well

25
Q

stage 2 II – Loss of ROM reflects what

A

a decrease in the capsular volume

26
Q

Stage I - pain

A

Achy @ rest, sharp with motion, night and rest, a/p capsule and deltoid insertion

27
Q

Stage I - ROM

A

Global loss with ER being most restricted Capsular pattern

28
Q

Stage II - pain

A

Still rest and night pain. Significant sleep disturbances

29
Q

Stage II - ROM

A

Progressive loss in the capsular pattern.

30
Q

Stage III - pain

A

Significant decrease in pain. Usually only at end range

31
Q

Stage III - ROM

A

Marked loss in capsular pattern with no changes after injection of anesthesia.

32
Q

Stage IV - pain

A

Minimal pain. Subj. report of longstanding hx of rest and night pain w/ spontaneous resolution

33
Q

STAGE IV - ROM

A

Progressive improvement 2° to capsular remodeling. Loss is still in capsular pattern

34
Q

things that could have lead to AC issue

A

Trauma
Diabetes
Prolonged immobilization
Thyroid disease
Psychiatric Disease
Stroke / MI
Auto Immune

35
Q

Abduction - actionn

A

Combination of superior roll & inferior translation

36
Q

what are the restraits to inferior translation

A

0 - SGHL & C-H
90 - IGHLC

37
Q

External Rotation - action

A

Combination of posterior roll & anterior glide

38
Q

what restricts ER - 0

A

SGHL, C-H & subscapularis

39
Q

what restricts ER - 45

A

SGHL & MGHL

40
Q

what restricts ER - 90

A

anterior band IGHLC

41
Q

Internal Rotation - action

A

Combination of anterior roll & posterior glide

42
Q

Restraints to IR - 0

A

posterior band IGHLC

43
Q

Restraints to IR - 45

A

anterior & posterior band IGHLC

44
Q

Restraints to IR - 90

A

anterior & posterior band IGHLC

45
Q

Flexion action

A

anterior/superior roll & posterior/inferior glide

46
Q

restriction to flex

A

posterior and inferior capsule

47
Q

what is reactive synovitis

A

A type of synovitis causing an increase in the volume of fluid in the joint

this often causes limited mobility in the join

48
Q

what is Synovitis

A

when the synovial membrane of a joint becomes inflamed (swollen)

MSK 2 (15 decks)

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