Quiz 10: 2 Flashcards

1
Q

What are the borders of the subacromial space?

A
  • coracoid
  • CA ligament
  • acromion
  • soft tissue of the superior surface of the humeral head
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2
Q

What is the normal amt of space available in the subacromial space?

A

11 mm

6 with elevation

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3
Q

What RTC tendons attach to the superior surface (greater tubercle) of the humeral head?

A
  • supraspinatus
  • infraspinatus
  • teres minor
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4
Q

Which RTC tendons attach to which facets of the humeral head?

A
  • superior facet: supraspinatus
  • middle facetL infraspinatus
  • inferior facet: teres minor
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5
Q

What is the most commonly fractured bone in the body?

A

clavicle

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6
Q

Where is the clavicle most commonly fractured?

A

middle 1/3

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7
Q

What is the old and new way of treating a clavicular fx?

A
  • old: figure 8 taping

- new: surgical place to stabilize and facilitate union

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8
Q

Name 2 pathological healing processes of a fx

A
  • non-union

- delayed union

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9
Q

What is the most dangerous risk of a clavicular fx/SC joint dislocation?

A
  • posterior translation of clavicle

»» compression of veins/arteries

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10
Q

Sequential injury of ligaments involved in a third degree sprain?

A

AC lig » CC ligaments

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11
Q

Grade I AC sprain

A
  • mild

- stretching and/or partial AC tear

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12
Q

Grade II AC sprain

A
  • mod
  • rupture of AC ligament
  • partial tear of CC ligaments
  • upward displacement of distal clavicle less than full width of clavicle
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13
Q

Grade III AC sprain

A
  • severe
  • rupture of AC and CC ligaments
  • upward displacement of clavicle above level of acromion
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14
Q

Describe type of radiographic technique used to look at clavicle after an injury

A
  • stress radiograph

- hang weights from wrist

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15
Q

Describe the most common clinical presentation of displaced clavicle fx

A
  • extremity against body
  • supporting elbow with contralateral hand
  • head tilt forward with chin away from affected side to relax the SCM
  • leaning toward affected shoulder
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16
Q

What are 2 classifications of frozen shoulder?

A
  • primary

- secondary

17
Q

List the 3 antecedent episodes due to secondary frozen shuolder

A
  • intrinsic
  • extrinsic
  • systemic
18
Q

Name 1 associated pathologic with this type of antecedent episode of 2˚ frozen shoulder

intrinsic

A
  • RTC disorder
  • LHB tendinosus
  • calcific tendonitis
19
Q

Name 1 associated pathologic with this type of antecedent episode of 2˚ frozen shoulder

extrinsic

A
  • ipsilateral breast surgery
  • CVA
  • fx of humerus, clavicle,
  • AC arthritis
20
Q

Name 1 associated pathologic with this type of antecedent episode of 2˚ frozen shoulder

systemic

A
  • DM
  • hyper/hypothyroidism
  • hypoadrenalism
21
Q

What is the final component of the core rehabilitation of the shoulderr complex?

A

Total arm strengthening (TAS)

22
Q

What kind of exercises should be prescribed after the top 10 foundational shoulder exercises are completed?

A

advanced NM dynamic stability exercise

23
Q

Describe 2 examples of advanced NM dynamic stability exercises

A
  • plyo push-ups

- plank reach through on bosu

24
Q

What special test would you do for anterior instability (macrotraumatic)?

A

apprehension test

25
Q

What would a positive test finding be for apprehension test

A
  • apprehension

- hypermobility

26
Q

What are the tissues implicated for the apprehension test?

A

anterior capsule and ligaments

27
Q

What special test would you do for anterior instability (microtraumatic)

A

Jobe sublux/relocation test

28
Q

What are the tissues implicated in the jobe sublux/reloc test?

A
  • ant capsule
  • IGHL
  • anterior synovial lining
29
Q

Name 1 of the top 10 shoulder exercises that recruits both scapulo-thoracic and GH muscles

A
  • press downs (low traps, lats, infraspin, pec minor, pec major, teres major)
  • scaption (upper traps)