EXAM 3 - weak SAPS

Question 1

SAPS involves

Answer 1

bursa
RC tendons
acromion
coracoacromial ligament
capsular or intracapsular tissue

Question 2

what can lead to SAPS

Answer 2

postural/strutural changes
altered shoulder mechanics
overuse

Question 3

supraspinatus outlet

Answer 3

a space formed on the upper rim, humeral head, and glenoid by the acromion, coracoacromial arch, and acromioclavicular joint

Question 4

what is Primary impingement

Answer 4

Structural stenosis of of supraspinatus outlet

Structural Narrowing of the subacromial space

Question 5

Secondary impingement

Answer 5

Functional stenosis of supraspinatus outlet

The result of abnormal Kinematics
- impingement occurring at during motion

Question 6

what are some structural changes that occur to the acormion

Answer 6

Changes to the underside of the acromion - morpholgy

Soft Tissue swelling (maybe)

Question 7

what are some examples of secondary impigment

Answer 7

Humeral head migration
Rotator Cuff

Altered scapular upward rotation
Trap weakness
Serratus weakness

Question 8

what is the effect of capsular tightness

Answer 8

result sin abnormal arthokinomatics and limited joint motion

Question 9

how does scapular movement prevent impingement

Answer 9

it elevated the acromion to avoid impigment

Question 10

what is an internal impingement

Answer 10

occur between the superior posterior glenoid and and the great tub of the humerous when the arm is abd and ER

the supraspinatus is pinched between

Question 11

what is the cause of a internal impigment

Answer 11

dynamic stabilizers of the shoulder are weak or fatigued

opposite direction when the SA and the LT are weak or damaged and the scapula becomes hyperangulated

Question 12

where is pain seen in internal impigment

Answer 12

psoterior pain in the shoudler that is reduced with the application of a posterior force to the humeral head in the apprehension test position

Question 13

External impigment seen with what kind of population

Answer 13

commonly occurs secondary to a repetitive impingement in overhead thrower, swimmers, volleyball players or manual laborers

Question 14

SAPs common complaints

Answer 14

Painful arc
Pain with overhead activities
Pain reaching across the body
Difficulty reaching behind his/her back
Pain in the anterior shoulder region
Pain in the lateral arm
Difficulty sleeping

Question 15

what are three test you can look for general imigment

Answer 15

painful arc
relocation test
neers
hawkins kennedy

Question 16

has arthoscopic acromiolasty been shown to be a benifit to shoulder impigment

Answer 16

no it has not been shown to be helpful

Question 17

stage 1 impingement - what is it

Answer 17

edema and hemorrhage

Question 18

stage 1 impingement - age, clinical course, treatment

Answer 18

,25
reversible
conservative

Question 19

stage 2 impingement - age, clinical course, treatment

Answer 19

25-40
recurrent pain
conservative supervised exercises >acriomoplasty

Question 20

stage 2 impingement - what is it

Answer 20

fibrous and tendonitis

Question 21

stage 2 impingement - what is it

Answer 21

bone spur and RC tear

Question 22

stage 3 impingement - age, clinical course, treatment

Answer 22

> 40
progressive disablity
acriomoplasty or RC repair

Question 23

with flexion what happen ot the humeral head compared to extnesion

Answer 23

anterior translation of the humeral head

extension is the opposite - more extension less anterior translation