Midterm Flashcards
What is the DDx for rotator cuff tears?
Impingement, instability, adhesive capsulitis, bursitis
What are the orthopedic tests for rotator cuff tears?
There are 6 tests Apley's 1&2 Codmans arm drop Lift off Trumpeters Napoleans and hug tests Empty can
What is the difference between primary and secondary shoulder impingement?
Primary is caused by a pathological narrowing of the subacromial space
Secondary is caused by anterior shoulder instability
What is the DDx for shoulder impingement?
RCT, instability, adhesive capsulitis, bursitis
What is stage 1 of Neer’s pathogenesis characterized by and what is the age range?
edema and tendonitis in patients under 25
What is stage 2 of Neer’s pathogenesis characterized by and what is the age range?
chronic inflammation, thickening, and fibrosis on the impinged tendon which makes the AHI smaller and typically between 25-40 years old
What is stage 3 of Neer’s pathogenesis characterized by and what is the age range?
tendon degeneration and rupture usually in those over 40 also usually a partial or full thickness tear of the rotator cuff tendon as well
what is Neer’s pathogenesis associated with?
Shoulder impingement
Which stages of Neer’s pathogenesis respond to conservative care?
1&2 BUT 3 requires multidisciplinary action
What are the 6 parts of the physical exam for shoulder impingement?
Impingement sign painful arc painful active internal rotation tenderness hawkins kennedy crepitis and or instability
What is the age range for bicipital tendonitis?
Athletes 18-25 and most common in those over 50
WHat is the popeye sign associated with bicipital tendonopathy?
bulge above elbow due to distal muscle retraction with bruise indicative of rupture
what are the 3 orthopedic tests for bicipital tendonitis?
Speed’s test
hyperextension test
Modified Yergason’s
What are the 3 findings with subscapularis tendonitis?
tender subscap with active trigger points, positive Napoleans and bear hug tests
Calcific tendonitis affects which muscle most commonly?
supraspinatus
What is the age range for calcific tendonitis?
40-60 and women more thn men
There are no orthopedic tests for calcific tendonitis but what are 4 significant findings in the history?
unclear mode of injury, non-dominant arm, acute and rapid onset, worse at night
Calcific tendonitis and adhesive capsulitis have the same age group…what is it?
40-60 y/o
What are 2 similarities between calcific tendonitis and adhesive capsulitis?
sudden onset of pain and significant loss of ROM
What are 2 big differences between calcific tendonitis and adhesive capsulitis in location?
Calcific tendonitis hurts in a very localized spot with loss of internal and external rotation. Where as adhesive capsulitis hurts all over the shoulder with a more significant loss of passive ROM in more directions
What are 3 general GH instability tests?
Sulcus sign
sulcus test
Faegins test
What are 3 GH anterior instability tests?
Anterior apprehension, relocation, release
What are 2 GH tests for posterior instability?
Posterior apprehension and Norwoods
What is a slap lesion?
Anterior detachment of the labrum from repetitive over use
What is a bankart lesion?
Anterior-inferior detachment of the labrum often due to dislocation
What are 3 general tests for GH labral tears?
O’Brien’s
Crank
Clunk
What are 3 orthopedic tests for SLAP lesions?
Anterior shift
Provocation
Biceps load
What are the orthopedic tests for AC sprain?
O'Briens horizontal passive adduction resisted horizontal abduction paxino's pinch Dugas test
