MedU Case 25

Question 1

hold arm adducted and internally rotated

Answer 1

posterior dislocation of shoulder

Question 2

Poor posture with scapulae protracted

Answer 2

Impingement syndrome

Question 3

Bony deformity in the area of the clavicle or AC joint

Answer 3

Fracture of the clavicle or sprain of the acromioclavicular (AC) joint

Question 4

Fullness of the anterior shoulder with a large dimple in the posterior shoulder

Answer 4

Anterior dislocation of shoulder

Question 5

Atrophy of the larger muscles of the shoulder girdle, like the deltoid or pectoralis major

Answer 5

Immobilization or lack of use of the joint

Question 6

Atrophy of smaller muscles such as the supraspinatus or infraspinatus

Answer 6

Torn rotator cuff or nerve impingement

Question 7

loss of both active and passive range of motion

Answer 7

joint disease

Question 8

loss of just active range of motion

Answer 8

muscle damage

Question 9

adhesive capsulitis is common in people with what diseases

Answer 9

diabetes

hypothyroidism

Question 10

empty can sign tests for what muscle

Answer 10

supraspinatus

Question 11

differential for positive Apley scratch test

Answer 11

rotator cuff tendinopathy

impingement syndrome w/ bursitis

Question 12

indications for sling immobilization

Answer 12

shoulder dislocation

proximal humerus fracture

Question 13

indications for x ray

Answer 13

acute injury involving fracture or dislocation

Question 14

swelling, bruising, and tenderness of AC joint after fall of adducted arm

Answer 14

AC joint sprain

Question 15

risk factors for adhesive capsulitis

Answer 15

decr mobility
- stroke
- mastectomy
- injury recovery
diabetes

Question 16

MRI is good for looking for

Answer 16

rotator cuff tears