Joint Exam Flashcards
Steps to examine a joint
Inspection - what do you see (symmetry, swelling, ecchymosis, abrasions, DCAPBTLS)
Palpation - what do you feel (tenderness, edema, hot/cold, in one area or all over?)
ROM - active vs passive
Neuro - strength and sensation
Vascular - pulses and cap refil
What is the painful arc test
Tests for subacromial impingement and rotator cuff tendon injury
Positive sign is shoulder pain from 60 - 120 abduction
What is positive and negative LR for painful arc test
\+ = 3.7 - = 0.36
Highest + and lowest - of all rotator cuff tests
What is the VINDICATE pneumonic to make a diff dx
V - vascular I - inflammatory N - neoplastic D - degenerative/deficiency I - idiopathic/intoxication C - congenital A - autoimmune/allergic T - trama E - endocrine
Some common causes of shoulder pain
Rotator cuff injury Biceps tendon tear Labral tear Myofascial injury Fractures Synovitis Bursitis Arthritis Gout Referred pain - STEMI
Clavicle fracture is most common in who
Kids and young adults
Proximal humerus fx is most common in who
The elderly
Scapular fracture is most common in who
Trauma patients
Most common type of glenohumeral dislocation
Anterior dislocation
What does an AC joint injury result from
Direct trauma to the superior or lateral aspect of the shoulder with the arm adducted such as a direct blow of falling onto the shoulder
Classic sign of AC separation?
Step off
Type I AC injury
Ligament stretched
Type II AC joint injury
Partial rupture of AC L.
Type III AC joint injury
Complete AC and CC rupture
Most injured rotator cuff muscle?
Supraspinatus
