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EEO > Lecture 6- Shoulder Complex > Flashcards

Lecture 6- Shoulder Complex Flashcards

1
Q

Shoulder questions to ask?

A

Which hand do you write with?
Activities you are having difficulty with?
Have you ever had a history of neck pain, upper back pain, or headaches?

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2
Q

Shoulder Questionnaire

A

Quick DASH
UCLA shoulder scale
UEFS
Patient Specific Functional Scale

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3
Q

Shoulder performance measures

A

Hand Grip Dynamometry
Time Weighted Overhead Test
Upper Quarter Y Balance
UE Endurance
Apely Scratch
UE CKC Stability Test

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4
Q

from the front the clavicle is elevated __ degrees

A

20

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5
Q

From the side,
the ________ is in line with the ear
___________ kyphosis
transition at ____
elbow is directly below __________ head

A

the acromion in line with the ear
thoracic kyphosis
transition at cervical-thoracic
elbow directly below humeral head

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6
Q

an elevated clavicle leads to a lengthened ________ &
a short _________

A

lengthened pec major (clavicular head)
shorted upper trap

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7
Q

a depressed clavicle leads to a lengthened ___________ and a short ___________

A

lengthened upper trap, short pec major (clavicular)

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8
Q

T or F: cubital fossa should face primarily anteriorly and slightly lateral with arms at side

A

F
Correct answer: cubital fossa should face primarily anteriorly and slightly medial with arms at side

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9
Q

Increased thoracic kyphosis:
gravity has a _________ moment arm for flexion
correlated with scapular _________ and cervical __________

A

gravity has stronger moment arm for flexion
correlated with scapular protraction and cervical extension

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10
Q

decreased thoracic kyphosis:
gravity _____ through vertebral bodies
possibly __________ work on muscles that attach to scapular

A

Gravity more through vertebral bodies
Possible increased work on
muscles that attach to scapula

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11
Q

T or F: the CT junction should have some kyphosis

A

T

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12
Q

in excessive kyphosis, what is the breakdown point for the CT junction?

A

hinge in the lower cervical spine

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13
Q

excessive kyphosis increased the work for what muscles?

A

scapular stabilizer muscles

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14
Q

excessive kyphosis is possibly associate with scapular __________ & _________

A

scapular depression and abduction

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15
Q

decreased kyphosis leads to possible _________ weight bearing though vertebral bodies and ________ movement through vertebral bodies

A

possible increased weight bearing though vertebral bodies and increased movement through vertebral bodies (NOT facets)

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15
Q

T or F: decreased kyphosis is common

A

F!
decreases kyphosis is rare

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16
Q

Scapulae positioned
between which vertebral levels

A

T2-T7

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17
Q

scapulae is about __ inches from spinous processes

A

3

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18
Q

what to look for with overhead reach test

A

symmetry
single versus multiple reps
muscles that are dominant
muscles that are weak

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19
Q

causes of AC joint sprain

A

FOOSH
downward force on acromion
upward force on clavicle

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20
Q

AC joint pt presentation

A

“pop”
weakness at end range arm
pain at 90 degrees shoulder flex
pain with horizontal adduction
pain at joint
piano key sign

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21
Q

causes of AC joint

A

repetitive overhead
prior related injury

22
Q

AC joint pt presentation

A

pain at end range
pain with shoulder flexion, adduction
pain at joint
palpable bony growth

23
Q

shoulder impingement causes

A

bony growth
poor mechanics
prior injury
FOOSH

24
Q

shoulder impingement pt presentation

A

pain at 60-120 abductions
pain irritated with overhead reach
click/pop

25
Q

causes of rotator cuff tendinopathy

A

repeated micro trauma

26
Q

rotator cuff tendinopathy is a progression of what condition

A

shoulder impingement

27
Q

rotator cuff tendinopathy pt presentation

A

pain with contraction or stretching, overhead reach, repetitive load, lying on shoulder
atrophy in muscle belly

28
Q

cause of rotator cuff tear

A

FOOSH, repetitive microtrauma

29
Q

pt presentation of rotator cuff tear

A

weakness and pain based on degree of tear, muscle atrophy, scapular malpositioning

30
Q

what motions are limited after rotator cuff surgery?

A

PROM flexion, abduction, ER, IR
no shoulder AROM

31
Q

what is another name for a labral tear?

A

bankart lesion

32
Q

causes of labral tears

A

FOOSH, direct trauma, violent pull of shoulder, loaded lifting

33
Q

pt presentation labral tear

A

pop, click, clunk
arm feels heavy
pain with overhead reach
weakness

34
Q

type 1 SLAP lesion

A

frayed
not detached or bucket handle

35
Q

type 2 SLAP lesion

A

detached

36
Q

type 3 SLAP

A

frayed and bucket handle

37
Q

type 4 SLAP

A

detached and bucket handle

38
Q

pt presentation of SLAP lesion

A

pop, click, clunk
arm feels heavy
pain with flexion and/or IR
weakness in shoulder/scapular stabilizers
difficulty lying on side

39
Q

frozen shoulder (adhesive capsulitis) causes

A

insidious, may correlate with middle age, T2 DM, or hypothyroidism

40
Q

“freezing” frozen shoulder stage

A

losing ROM, painful

41
Q

“frozen” frozen shoulder stage

A

minimal ROM, less painful

42
Q

“thawing” frozen shoulder stage

A

regaining ROM, pain varies

43
Q

shoulder end feels

A

FIRM

44
Q

subacromial bursitis end feel

A

empty

45
Q

frozen shoulder end feel

A

hard capsular

46
Q

for shoulder MMT, how would you test functionality?

A

you resist at a longer lever arm location

47
Q

normal shoulder flexion range

A

180

48
Q

normal shoulder extension range

A

AAOS- 60
AMA- 50

49
Q

shoulder abduction norm range

A

180
AMA- 170

50
Q

shoulder IR range

A

AAOS- 70
AMA- 80

51
Q

shoulder ER range

A

AAOS- 90
AMA- 60

52
Q
A

EEO (14 decks)

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