MSK upper extemity Flashcards
red flags
different types of pain can indicate certain diagnosis
Sharp pain –
Crampy pain –
Pain more prominent in morning –
Pain worse in morning, better midday
Pain progressing through the day –
Proximal weakness –
Distal weakness –
Morning stiffness – Rheumatoid arthritis (usually lasts longer), Osteoarthritis (goes away after 30 minutes or so)
physical exam of upper extremity
swelling, crepitus, tenderness, temperature
IPROMS”
-Inspect
-Palpate
-Range of Motion (first active
then passive)
-Special Maneuvers
inpection:
sad sad mf
swelling asymmetry deformity— scarring, abnormal positioning, discoloration—muscle-atrophy fasciculation
palpation: CSTT
crepitus,swelling, tenderness, temperature
inspection of upper extremity
inpection:
sad sad mf
swelling asymmetry deformity— scarring, abnormal positioning, dislocation —muscle-atrophy fasciculation
palpation: SCTT
swelling, crepitus, tenderness, temperature
palpation of upper extremity
range of Motion of upper extremity
inspection of shoulder
shoulder palpation
Normal Range of Motion for Shoulder degree
Normal Range of Motion for Shoulder
Flexion: 180 degrees
Extension: 50 degrees
Abduction: 180 degrees
Adduction: 50 degrees
shoulder range of motion, active range of motion
shoulder range of motion- active
stabilize shoulder
Pain/limitation on active ROM but not on passive ROM indicates a structural problem with the muscles/tendons
Crepitus indicates degenerative disc disease
Clinical Spotlight– Shoulder Impingement or Bursitis
Subacromial Palpation
how do you do it
what does it test for
what type of test is it
– Shoulder Impingement: Neer Impingement
how do you do it
what does it test for
Hawkin’s Impingement
rotator cuff injury
common symptoms
Empty Can Test
how do you do it
what does it test for
External Rotation Lag Test
how do you do it
what does it test for
External Rotation Resistance Test
how do you do it
what does it test for
Internal Rotation Lag Test (Gerber’s Lift Off)
how do you do it
what does it test for
Drop Arm Test
how do you do it
what does it test for