medsibridge course

Question 1

what are the classifications of impingement

Answer 1

1. primary - pathology of the structures of the shoulder anatomy, degenerative process, true compression of the tissues into the bone
2. secondary - instability from failure of passive stabilizers and loss of dynamic control

Question 2

Neer’s impingement stages represents what classification of shoulder impingement

Answer 2

1. primary

Question 3

what are Neers stages of impingement

Answer 3

1. edema and hemorrhage
2. fibrosis and tendonitis
3. bone sure and tendon rupture

Question 4

what cluster of tests are recommended for diagnosis of RTC impingement syndrome

Answer 4

. HK

• Neers
• Rotation@90 isometric ER>IR with IR painful
• painful arc

Question 5

What are the different classifications of shoulder MSK pathology

Answer 5

1. Acap
2. subacrominal impingement
3. GH instability
4. other

Question 6

what is the difference between shoulder laxity and instability

Answer 6

1. unstable has pain

2. unstable unable to maintain GH position

Question 7

what are the instability classifications

Answer 7

1. TUBS - Traumatic, Unidirectional, Bankart, Surgery

2. AMBRI - Atraumatic, Multidirectional, Bilateral, Rehab, Inferior capsular shift, Interval closure

Question 8

what functional differences will you notice with anterior and posterior instability

Answer 8

1. anterior - cocking phase of throwing or painful ER with horz abduction
2. posterior - pain with follow through or IR with horz adduction

Question 9

what is the load shift test

Answer 9

• compression of the GH and shift it forward
• patient seated
• assess both anterior and posterior
  SN .71 SP .90

Question 10

what the it sulcus sign test

Answer 10

seated, let the arm relax and distract

SN .27-.7 SP .86-.97