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Canadian Exam > MSK- Shoulder > Flashcards

MSK- Shoulder Flashcards

1
Q

4 joints of the shoulder

A

Sternoclavicuar
AC
GH
Scapolothoracic (not a true joint

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2
Q

Capsular pattern of GH joint and loose pack

A

Loss of ER>ABD>IR

30 flex, 60 abd, slight IR (loose pack)

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3
Q

TOS borders

A

Ant: clavicle, crocodile process, pec minor
Post: UFT, scap
Medica: scalene ecusle, R1
Lateral: axial lateral

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4
Q

Contains (TOS)

A

Brachial plexus, subclavian artery and vein

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5
Q

Types of TOS

A

Neurogenic (true TOS) (anatomical abnormalities)
Nonspecific “symptomatic” neurogenic (diagnosed upon exclusion diagnosis )
Vascular- arterial (subclavian artery)
Vascular- venous

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6
Q

TOS S&S

A

Neurogenic
- weak grip, numbness, parathesisa
Vascular
- cool and pale extremities

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7
Q

Classifications of TOS

A

Scalene anterior syndrome
Costoclavicular
Hyperabduction
Cervical rib

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8
Q

TOS- special tests

A

Adson Maneuver
Costoclavicular syndrome test
Halstead maneuver
Wright test
Allen test
ROOS test (elevated arm stress test)
Shoulder girdle passive elevation

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9
Q

Shoulder separation (AC separation)

A

Trauma to the ligs of AC
Look for step deformity, tenderness, pain in add, elevation and HBB (hand behind back)

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10
Q

Shoulder seperation special test

A

Cross body (horizontal) adduction test

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11
Q

Glenohumeral jt stability- classifications

A

Direction
Degree
Etiology
Timing

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12
Q

What direction is more common for shoulder dislocation?

A

Anterior (in ortho)
Inferior for stroke populations

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13
Q

What position causes dislocation to occur?

A

Abduction and external rot

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14
Q

What other tissues can be damaged from ant dislocation

A

Sub scap, long head bicep (fill in more)

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15
Q

Potential complications of Shoulder dislocations

A

Auxiliary nerve
Auxiliary artery
Brachial plexus
Bankart lesion
Hill-Sach’s lesion

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16
Q

Spectrum of instability

A

AMBRI “born loose”
TUBS “torn loose”

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17
Q

Shoulder instability special tests

A

Anterior
- crank (apprehension relocation)
- apprehension release (surprise)
- load shift

Posterior instability
- jerk test
- load shift
- posterior apprehension

Inferior
- sulcus

18
Q

Bankart lesion

A

Anterior tear of labrum (3-7 o’clock)
Sensation of clicking/ popping
Diffuse shoulder pain
Worse with HBB
Feeling insable

19
Q

SLAP lesion

A

Superior labrum anterior and posterior (10-2 o’clock)
Long head bicep tendon pull
GIRD (decrease IR)
Pain overhead and laying on effected side
“Dead arm” syndrome

20
Q

Labral special test

A

Clunk
Active compression of OBrien
Bicep load test

21
Q

Adhesive Capsulitis (frozen shoulder)

A

Shoulder pain with progressive loss of ROM
Follows capsular pattern

22
Q

Frozen SHoulder etiology

A

F>M
40-60
Non-dominant
Diabetics

23
Q

Frzn shoulder etiology

A

Primary (idiopathic)
Secondary (trauma or long periods of immobile)
Correlation with anxiety

24
Q

FRZN shoulder S&S

A

ER>ABD>IR
HBB, HBH, overhead
Reverse scapulohumeral rhythm
Progressive GHJ ROM restrictions

25
Q

Stages of FRZN shoulder

A

1) Gradual onset of pain
2) Freezing
3) Fronzen
4) Thawing

26
Q

Subacromial inpingement syndrome Structures

A

Subacromial bursa
Supraspinatus tendon
Long head
Cromioclavical lit
Capsule

27
Q

Types of impingement

A

Primary (congenital or degenerative)
Secondary (functional)
Calcification tendinitis

28
Q

Glenohumeral painful arc

A

60-120

29
Q

Impingement special test

A

Hawkins Kennedy Impingement t
Needs impingement
Scapular assist test

30
Q

Tendinitis

A

Inflammation of tendon

31
Q

Tendinosis

A

Degeneration changes within tendon w/o inflammation
Repetitive stress/ overuse on the tendon

32
Q

Tenosynovitis

A

Inflammation of the synovium

33
Q

S&S of tendinopathy

A

Pain with muscle contraction
Tenderness upon palpating tendon

34
Q

Biceps special test

A

Speed test
Yergasons (for the transverse lig)

35
Q

Supraspinatus special test

A

Drop can, empty can

36
Q

Sub scap special test

A

Belly pres
Lift off
External rotation lag sign

37
Q

Infraspinatus special test

A

Infraspinatus test
Lateral rot lag test

38
Q

Teres minor special test

A

Horn blowers sign

39
Q

Scapular dyskinesia

A

Alteration in normal position of scap mvmt

40
Q

Scap winging

A

Static
- winging at rest
Dynamic
- serratus anterior weakness, long thoracic nerve issue, C7

Canadian Exam (55 decks)

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