ortho- shoulder

Question 1

Hoffman SIgn

Answer 1

Raise arm forward and feel grinding on the acromion– sub acromial impingement

Question 2

cut the end of the acromion off to increase amount of space

Answer 2

Acromioplasty

Question 3

1. cut part of the clavicle off distally with a saw (i.e., distal clavicle resection)

Answer 3

Mumford Procedure

Question 4

depression at area where humeral head used to be , indicative of

Answer 4

Sulcus sign, GH dislocation

Question 5

2 signs of chronic subluxed GH

Answer 5

deltoid atrophy, poor abduction

Question 6

pt prone, weight tied to wrist, hang arms off table

Answer 6

Stimson Tenchnique

Question 7

sheet through axilla, pull up while another person pulls arm down

Answer 7

Traction Countertraction

Question 8

Foot in axilla

Answer 8

Hippocratic Method

Question 9

restraction, int/ext rotation, contraindicated in elderly women with osteoperosis

Answer 9

Kocher Method

Question 10

> 40 y/o = <__% re-dislocation

Answer 10

10

Question 11

repair the joint capsule and subscapularis by tightening it down to treat a______

Answer 11

GH dislocation

Question 12

ii. Results from forceful impaction of the humeral head against the glenoid rim when the shoulder is dislocated anteriorly

Answer 12

Hill Sachs Lesion

Question 13

i. Injury of the anterior glenoid labrum from repeated anterior shoulder dislocation
ii. Torn labrum

Answer 13

Bankart Lesion

Question 14

two etiologies of rotator cuff tear

Answer 14

poorly vascularized and chronic impingement

Question 15

three types of objective testing for rotator cuff tear

Answer 15

X-ray, MRI (x ray + soft tissue tears) and arthrogram (tear, extravastion, contrast into the subacromial bursa)

Question 16

test for subscapularis tear

Answer 16

Gerber’s Lift Off- arm behind back and try to lift

Question 17

test for supraspinatus tear

Answer 17

Empty Can test- arm out laterally and try to pour out can

Question 18

two places that you should NEVER inject cortisone

Answer 18

achilles and biceps

Question 19

have pt supinate and feel over the bicipital groove, name and what it is used for

Answer 19

Yerguson’s, biceps tendon tear assesment

Question 20

pain with abduction above 90o because the clavicle begins to rotate and cause discomfort

Answer 20

AC separation

Question 21

objective testing for BC tear

Answer 21

MRI and ultrasound

Question 22

catching sensation which occurs at the scapula-thoracic joint
when patient raises his or her arm

Answer 22

Snapping Scapula

Question 23

Objective testing of adhesive capsulitis

Answer 23

MRI

Question 24

treatment for adhesive capsulitis

Answer 24

PT to cause breakdown of the adhesions

Question 25

2 CCs of thoracic outlet syndrome

Answer 25

numbness of 4th and 5th fingers, coldness of hand with abduction

Question 26

palpate the ulnar pulse and continue to palpate as arm is lifted above head. Positive sign is when pulse disappears with abduction

Answer 26

Adson’s Maneuver

Question 27

most common clavicle fracture and the position it results in

Answer 27

Midle Third Clavicle Fracture, bayonet overriding position