Midterm

Question 0

What is the DDx for rotator cuff tears?

Answer 0

Impingement, instability, adhesive capsulitis, bursitis

Question 1

What are the orthopedic tests for rotator cuff tears?

Answer 1

There are 6 tests
Apley's 1&2 
Codmans arm drop 
Lift off 
Trumpeters 
Napoleans and hug tests 
Empty can

Question 2

What is the difference between primary and secondary shoulder impingement?

Answer 2

Primary is caused by a pathological narrowing of the subacromial space
Secondary is caused by anterior shoulder instability

Question 3

What is the DDx for shoulder impingement?

Answer 3

RCT, instability, adhesive capsulitis, bursitis

Question 4

What is stage 1 of Neer’s pathogenesis characterized by and what is the age range?

Answer 4

edema and tendonitis in patients under 25

Question 5

What is stage 2 of Neer’s pathogenesis characterized by and what is the age range?

Answer 5

chronic inflammation, thickening, and fibrosis on the impinged tendon which makes the AHI smaller and typically between 25-40 years old

Question 6

What is stage 3 of Neer’s pathogenesis characterized by and what is the age range?

Answer 6

tendon degeneration and rupture usually in those over 40 also usually a partial or full thickness tear of the rotator cuff tendon as well

Question 7

what is Neer’s pathogenesis associated with?

Answer 7

Shoulder impingement

Question 8

Which stages of Neer’s pathogenesis respond to conservative care?

Answer 8

1&2 BUT 3 requires multidisciplinary action

Question 9

What are the 6 parts of the physical exam for shoulder impingement?

Answer 9

Impingement sign 
painful arc
painful active internal rotation 
tenderness
hawkins kennedy 
crepitis and or instability

Question 10

What is the age range for bicipital tendonitis?

Answer 10

Athletes 18-25 and most common in those over 50

Question 11

WHat is the popeye sign associated with bicipital tendonopathy?

Answer 11

bulge above elbow due to distal muscle retraction with bruise indicative of rupture

Question 12

what are the 3 orthopedic tests for bicipital tendonitis?

Answer 12

Speed’s test
hyperextension test
Modified Yergason’s

Question 13

What are the 3 findings with subscapularis tendonitis?

Answer 13

tender subscap with active trigger points, positive Napoleans and bear hug tests

Question 14

Calcific tendonitis affects which muscle most commonly?

Answer 14

supraspinatus

Question 15

What is the age range for calcific tendonitis?

Answer 15

40-60 and women more thn men

Question 16

There are no orthopedic tests for calcific tendonitis but what are 4 significant findings in the history?

Answer 16

unclear mode of injury, non-dominant arm, acute and rapid onset, worse at night

Question 17

Calcific tendonitis and adhesive capsulitis have the same age group…what is it?

Answer 17

40-60 y/o

Question 18

What are 2 similarities between calcific tendonitis and adhesive capsulitis?

Answer 18

sudden onset of pain and significant loss of ROM

Question 19

What are 2 big differences between calcific tendonitis and adhesive capsulitis in location?

Answer 19

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

Question 20

What are 3 general GH instability tests?

Answer 20

Sulcus sign
sulcus test
Faegins test

Question 21

What are 3 GH anterior instability tests?

Answer 21

Anterior apprehension, relocation, release

Question 22

What are 2 GH tests for posterior instability?

Answer 22

Posterior apprehension and Norwoods

Question 23

What is a slap lesion?

Answer 23

Anterior detachment of the labrum from repetitive over use

Question 24

What is a bankart lesion?

Answer 24

Anterior-inferior detachment of the labrum often due to dislocation

Question 25

What are 3 general tests for GH labral tears?

Answer 25

O’Brien’s
Crank
Clunk

Question 26

What are 3 orthopedic tests for SLAP lesions?

Answer 26

Anterior shift
Provocation
Biceps load

Question 27

What are the orthopedic tests for AC sprain?

Answer 27

O'Briens
horizontal passive adduction
resisted horizontal abduction 
paxino's pinch 
Dugas test