quiz #1 - shoulder: KAHOOT Flashcards
what should be performed during acute bursitis?
-lymph drainage proximal to bursitis
-strokes/techniques towards bursa
-compressions distal to bursa
*NOT deep moist heat to affected area
biceps brachii special test
Yergason’s test
to assess integrity of rotator cuff, which special tests would be most appropriate to perform?
Codman’s (drop arm) test
T/F - positive painful arc between 60-120º is indicative of impingement in the subacromial space
TRUE
*no pain within 45-60º
*last 10-20º, pain = AC joint pathology
best home-care to give a patient in the subacute stage of adhesive capsulitis?
-active pendulum movements
-heat
-self stretch U.T & lev scap
-wall walking exercises
-isometric exercises for shoulder girdle mm
best home-care to give a patient in the acute stage of adhesive capsulitis?
-sleep side-lying with affected arm up
-cold
-pendulum exercises
-wand exercises to maintain ROM
patient seated with humerus internally rotated to 20º or in a “hands on lap” position is best to locate…
biceps brachii tendon
type of deformity with an AC dislocation where distal end of clavicle lies superior to acromion process
step deformity
type of deformity that can appear when traction is applied to arm, seen lateral to acromion & should not be confused with a step deformity
sulcus deformity
classic winging of scapula when whole medial border of scapula lifts away from chest wall (type)
type II
inferior medial border of scapula is prominent as seen in which type of scapular dyskinesia? (type)
type I
superior border of scapula is elevated at rest & during movement, seen in which type of scapular dyskinesia? (type)
type III
both scapulae symmetrical at rest & during motion, they rotate symmetrically upward with inferior angles rotating laterally away from midline (rotary winging) - seen during movement & may indicate scapular control mm are not stabilizing scapula
type IV
most important ligament of GH joint, acts like a hammock to support humeral head above 90º of abduction
inferior glenohumeral ligament
limits inferior translation in adduction & restrains anterior translation & lateral rotation at GH joint
superior glenohumeral ligament
primarily limits inferior translation & helps limit lateral rotation below 60º abduction
coracohumeral ligament
forms an arch over humeral head, acting as a block to superior translation
coracoacromial ligament
forms a roof over bicipital groove to hold long head of biceps tendon within groove
transverse humeral ligament
the GH joint has ___ degrees of freedom & the closed packed position is ___ & ___?
3
full abduction & lateral (external) rotation
resting position of the GH joint
40-55º ABD, 30º horizontal ADD
GH capsular pattern of restriction
lateral rotation, ABDuction, medial rotation
3 special tests associated with instability at the GH joint
rockwood, push-pull, Feagin
list the 3 stages of adhesive capsulitis in order
1: painful / freezing
2: stiffening / frozen
3: resolution / thawing
which stage of adhesive capsulitis is: diffuse pain & inflammation, lasts 2-9m?
ACUTE
which stage of adhesive capsulitis is: diminished pain, stiffness, restriction in capsular pattern, pain at end ranges, lasts 4-12m
SUBACUTE
which stage of adhesive capsulitis is: pain localized & continues to diminish, motion & function gradually return, resolved in 2yrs
CHRONIC
which special test assesses the combined movement at the shoulder?
Apley’s scratch test
a painful, leathery end feel anywhere before 90º of abduction is a positive result for which special test?
adhesive capsulitis abduction test
which special test assesses for a subscapularis lesion?
lift off sign
which special test is indicated to assess if rotator cuff tendons are frayed?
abrasion sign
T/F - a dislocation is a complete dissociation of the articular surfaces
TRUE
T/F - a dislocation of the shoulder usually refers to the AC joint while a separation usually refers to the GH joint
FALSE
-dislocation = GH joint
-separation = AC joint
T/F - a subluxation or separation is where the articulating surfaces of a joint remain in partial contact with each other
TRUE
