Lab 5: Shoulder Random Stuff OSCE Flashcards
What structures of the shoulder should you inspect for a TART exam?
- Shoulder Height
- Spine of Scapula
- Angle of Scapula
- Shoulder Position in Sagittal Plane
What joints and muscles should you inspect for a shoulder TART?
Joints
- Glenohumeral
- Sternoclavicular
- Acromioclavicular
Myofascial
- Upper Trapezius
- Levator Scapulae
- Supraspinatus
- Deltoids
- Pectoralis
- Rhomboids
How would you perform Scapular Motion Testing for downward and upward rotation?
Downward Rotation of Scapula
- Turning on an anterior/posterior axis so that the scapula rotates in the frontal plane to tilt the glenoid fossa downward
Upward Rotation of Scapula
- Turning on an anterior/posterior axis so that the scapula rotates in the frontal plane to tilt the glenoid fossa upward
How would you perform Scapular Motion Testing for elevation and depression?
Elevation of Scapula
- Superior/Cephalad glide in a vertical direction along the coronal plane
- Muscles: Upper Trapezius and Levator Scapulae
Depression of Scapula
- Inferior/Caudal glide in a vertical direction along the coronal plane
- Muscles: Lower Trapezius and Lower Rhomboids
How would you perform Scapular Motion Testing for abduction (protraction) and adduction (retraction)?
Abduction of Scapula (Protraction)
- Away from spine with lateral tilt around thorax
- Muscles: Serratus Anterior
Adduction of Scapula (Retraction)
- Closer to spine
- Muscles: Middle Trapezius and Rhomboids
How would you perform Scapular Motion Testing for backwards and forwards tilts?
Backward Tilt
- Turning on an horizontal axis so that the posterior surface faces downward and the inferior angle is anterior
Forward Tilt
- Turning on an horizontal axis so that the posterior surface faces upward and the inferior angle protrudes
What are the 7 stages of Spencer’s Techniques?
Is it an Articulatory or MET treament
Articulatory Treatment
- Stage 1: Extension
- Stage 2: Flexion
- Stage 3: Compression Circumduction
- Stage 4: Traction Circumduction
- Stage 5A: Adduction and External Rotation
- Stage 5B: Abduction
- Stage 6: Internal Rotation
- Stage 7: [Pump] Traction with Inferior Glide
Every Fine Cat Takes An An Indoor Pee
Acromioclavicular Joint: General Exam
How would you go about this?
Inspect for Asymmetry:
- Look for shifted clavicle: Superior/Inferior, “Step-off”
Palpate:
- Clavicle on Acromion for “Step-off” (Clavicle Superior)
- Tenderness & Tissue texture changes
Motion Screen: Cross-arm Adduction Test
Assess glides springing inferiorly on distal clavicle (compare bilaterally):
- Resistant to springing inferiorly (Clavicle Superior)
- Presence of springing inferiorly (Clavicle Inferior)
- (Ant./Post.) – springing ant/post.
