Quiz 10: 2 Flashcards
What are the borders of the subacromial space?
- coracoid
- CA ligament
- acromion
- soft tissue of the superior surface of the humeral head
What is the normal amt of space available in the subacromial space?
11 mm
6 with elevation
What RTC tendons attach to the superior surface (greater tubercle) of the humeral head?
- supraspinatus
- infraspinatus
- teres minor
Which RTC tendons attach to which facets of the humeral head?
- superior facet: supraspinatus
- middle facetL infraspinatus
- inferior facet: teres minor
What is the most commonly fractured bone in the body?
clavicle
Where is the clavicle most commonly fractured?
middle 1/3
What is the old and new way of treating a clavicular fx?
- old: figure 8 taping
- new: surgical place to stabilize and facilitate union
Name 2 pathological healing processes of a fx
- non-union
- delayed union
What is the most dangerous risk of a clavicular fx/SC joint dislocation?
- posterior translation of clavicle
»» compression of veins/arteries
Sequential injury of ligaments involved in a third degree sprain?
AC lig » CC ligaments
Grade I AC sprain
- mild
- stretching and/or partial AC tear
Grade II AC sprain
- mod
- rupture of AC ligament
- partial tear of CC ligaments
- upward displacement of distal clavicle less than full width of clavicle
Grade III AC sprain
- severe
- rupture of AC and CC ligaments
- upward displacement of clavicle above level of acromion
Describe type of radiographic technique used to look at clavicle after an injury
- stress radiograph
- hang weights from wrist
Describe the most common clinical presentation of displaced clavicle fx
- 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
What are 2 classifications of frozen shoulder?
- primary
- secondary
List the 3 antecedent episodes due to secondary frozen shuolder
- intrinsic
- extrinsic
- systemic
Name 1 associated pathologic with this type of antecedent episode of 2˚ frozen shoulder
intrinsic
- RTC disorder
- LHB tendinosus
- calcific tendonitis
Name 1 associated pathologic with this type of antecedent episode of 2˚ frozen shoulder
extrinsic
- ipsilateral breast surgery
- CVA
- fx of humerus, clavicle,
- AC arthritis
Name 1 associated pathologic with this type of antecedent episode of 2˚ frozen shoulder
systemic
- DM
- hyper/hypothyroidism
- hypoadrenalism
What is the final component of the core rehabilitation of the shoulderr complex?
Total arm strengthening (TAS)
What kind of exercises should be prescribed after the top 10 foundational shoulder exercises are completed?
advanced NM dynamic stability exercise
Describe 2 examples of advanced NM dynamic stability exercises
- plyo push-ups
- plank reach through on bosu
What special test would you do for anterior instability (macrotraumatic)?
apprehension test
What would a positive test finding be for apprehension test
- apprehension
- hypermobility
What are the tissues implicated for the apprehension test?
anterior capsule and ligaments
What special test would you do for anterior instability (microtraumatic)
Jobe sublux/relocation test
What are the tissues implicated in the jobe sublux/reloc test?
- ant capsule
- IGHL
- anterior synovial lining
Name 1 of the top 10 shoulder exercises that recruits both scapulo-thoracic and GH muscles
- press downs (low traps, lats, infraspin, pec minor, pec major, teres major)
- scaption (upper traps)
