OMM of the Shoulder

Question 1

what is the most common bone to fracture

Answer 1

clavicle

Question 2

4 joints of the shoulder anatomy

Answer 2

glenohumeral
acromioclavicular
sternoclavicular
scapulothroacic

Question 3

________-is a ball and socket joint designed for mobility

Answer 3

glenohumeral joint

Question 4

what joint becomes restricted or frozen if not used

Answer 4

glenohumeral joint

Question 5

_____joint is prone to dislocation in some people

Answer 5

glenohumeral joint

Question 6

glenohumeral joint is responsible

Answer 6

120 degree of shoulder abduction

Question 7

what is the function of the rotator cuff muscles on the glenohumeral joint

Answer 7

glide it inferiorly during abduction

Question 8

what joint has a lot of motion but limited stability

Answer 8

glenohumeral joint

Question 9

dysfunctions of glenohumeral joint can be treated and diagnosed by the

Answer 9

spencer technique

Question 10

major muscles involve in the glenohumeral involved

Answer 10

rotator cuff, deltoid, teres major, triceps, biceps, coracobrachialis, and lattisimus dorsi

Question 11

________is the most commonly torn rotator cuff muscle

Answer 11

supraspinatus

Question 12

action if the infraspinatus

Answer 12

external rotator

Question 13

subscapularis action

Answer 13

internal rotator

Question 14

teres minor

Answer 14

external rotator and adductor

Question 15

what is the primary motion of the AC joint

Answer 15

rotation with some Flexion and Extension

Question 16

major muscles involved in the AC joint

Answer 16

trapezius and deltoid

Question 17

________-is a common site for joint separation

Answer 17

acromioclavicular joint

Question 18

___________-is the only structural attachment of the UE to the body

Answer 18

sternoclavicular joint

Question 19

function of the scapulothoracic articlation

Answer 19

keeps the glenoid in optimal position with the humerus allowing increased ROM of the GH joint

Question 20

for each 15 degrees of abduction of the shoulder there is

Answer 20

10 degrees at glenohumeral joint and 5 degrees rotation of the scapula

Question 21

lateral scapular winging

Answer 21

trapezius, spinal accessory injury

Question 22

medial scapular winging

Answer 22

injury to the serratus anterior, long thoracic nerve

Question 23

function of the intrinsic muscles

Answer 23

maintains the integrity of the glenohumeral joint

Question 24

flexion of the shoulder girdle is mostly by

Answer 24

anterior deltoid

Question 25

extension of the shoulder girdle is mostly by

Answer 25

posterior deltoid, latissimus dorsi

Question 26

abduction of the shoulder girdle is mostly by

Answer 26

medial deltoid and supraspinatous, serratus anterior

Question 27

adduction

Answer 27

pectoralis major, latissimus dorsi, teres major and subscapularis

Question 28

internal rotation of shoulder girdle is mostly by

Answer 28

subscapularis, teres mjor and pectoralis major, anterior deltoid

Question 29

external rotation

Answer 29

infraspinatous and teres minor

Question 30

does the shoulder have structural stability

Answer 30

no it relies heavily on the muscular control

Question 31

shoulder examination

Answer 31

``` history inspection bony/soft tissue palpation motion testing neurological exam special tests examination of related areas ```

Question 32

what are the four clinical zones of soft tissue palpation

Answer 32

rotator cuff subacromial/subdeltoid bursa axilla prominent muscles of the shoulder girdle

Question 33

apley scratch test

Answer 33

tests active and combined ROM in the shoulder joint; dominant arm usually has less ROM than the non-dominant; should test both sides for comparison

Question 34

what is the general rule for motion testing

Answer 34

if a patient is able to perform a complete active ROM without pain or discomfort there is no need to carry out passive testing

Question 35

what muscles starts the first 15 degree of abduction

Answer 35

supraspinatus

Question 36

limitations such as restriction or pain in abduction is caused by

Answer 36

supraspinatus usually impingement

Question 37

limitations in adductiion ususally caused by

Answer 37

bursitis, rotator cuff tears especially supraspinatus

Question 38

full abduction of the shoulder is

Answer 38

externally rotated

Question 39

limitations in flexion and extension of the shoulder are usually

Answer 39

indicate bicipital tendonitis and or impingement

Question 40

limitations to protraction or retraction of the shoulder usually from

Answer 40

forward shoulder posture

Question 41

90% of shoulder problems are from

Answer 41

Rain (rotator cuff, referred) A- (adhesive capsulitis, AC joint) I- impingemetn, instability N- neck/nerve

Question 42

rotator cuff problems

Answer 42

history of overhead activities, weakness with abduction, external rotation, , hawkins test can be used

Question 43

mechanisms of injury in the biceps tendon

Answer 43

repetitive overhead use, shoulder instability, disruption of the transverse ligament of the humerus

Question 44

what test is used for the apprehension test

Answer 44

glenohumeral dislocation

Question 45

is a common condition characterized by restriction and pain of shoulder complex

Answer 45

frozen shoulder

Question 46

who are predisposed to adhesive capsulitis

Answer 46

greater 40 year old women, insulin dependent diabetes mellitus, prolonged immobility

Question 47

what are the scapular stabilizers

Answer 47

trapezius, rhomboids, serratus anterior

Question 48

Hawkins test

Answer 48

patient seated,, physician standing, physician flexes patient shoulder and elbow at 90 degrees; physician internally rotates shoulder making sure it remains straight. positive sign if pain upon internal rotation (indicates shoulder impingement)

Question 49

Yeargason's test

Answer 49

bicipital tendinitis

Question 50

7 steps of spencer technique

Answer 50

``` extension flexion cirumduction with compression circumduction with traction abduction and adduction internal rotation traction stretch ```