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Clinical Interventions > RTC tears and pathology > Flashcards

RTC tears and pathology Flashcards

1
Q

Where do most RTC tears occur in a muscle? Why?

A

musculotendinous junction due to poor vascularization

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2
Q

(true/false) Full thickness tears can also involved complete detachment of the tendon from the humeral head

A

true

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3
Q

(+) LR is considered as diagnostically accurate when it is ____.

A

> 10

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4
Q

(-) LR is considered as diagnostically accurate if it is ___.

A

< 0.1

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5
Q

The _____ Test & _____ Test are commonly used in clinical practice to determine whether or not impingement exists along with a rotator cuff tear.

A

NEER
Hawkins-Kennedy

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6
Q

What is a test specifically for a teres minor tear?

A

Hornblower’s sign

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7
Q

What is a valid test for a supraspinatus tear?

A

Empty can test

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8
Q

What does a full can test look for?

A

supraspinatus tear

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9
Q

What does a drop arm test look for?

A

full thickness tear of the supraspinatus

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10
Q

What does a lift off test look for?

A

subscapularis tear

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11
Q

What does a bear hug test look for?

A

subscapularis tear

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12
Q

What does a belly press test look for?

A

subscapularis tear

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13
Q

What is the best indicators of a full thickness rotator cuff tear?

A

palpation (high specificity and sensitivity)

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14
Q

What are the diagnostic tests that can accurately diagnose a full thickness RTC tear?

A

palpation
hornblower’s sign
empty can
rent sign
lift off test
belly press test

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15
Q

What is the CPR for RTC impingement?

A

(+) HK test
Painful arc
weak Infraspinatus/ER

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16
Q

What is the CPR cluster for RTC tear/pathology?

A

(+) drop arm
painful arc
weak infraspinatus/ER

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17
Q

What is considered as the gold standard of diagnostic imaging for RTC tears?

A

diagnostic arthroscopy (most valid and reliable but is invasive)

18
Q

definition: X-Ray or MRI with injected contrast medium.

A

arthrography

19
Q

definition: magnetic fields & pulses of radio wave energy to produce images of soft tissue.

A

MRI

20
Q

definition: uses a high frequency transducer to record images of the tendons.

A

ultrasound

21
Q

What modalities ARE supported for RTC rehabilitation?

A

Cryotherapy
E-stim (no US)
manual therapy

22
Q

External rotary force increased by ___% when performed with Neuromuscular electrical stimulation (NES) during rehabilitation.

A

22%

23
Q

Force production was (decreased/increased) regardless of age, size of tear, intensity of current, or the number of days post op when using electrical stimulation.

A

increased

24
Q

What is the location used for e-stim of the RTC?

A

infraspinatus belly and inferior to the scapular spine

25
Q

What is a good diagnosis for scapular mobilizations?

A

manual therapy

26
Q

When performing manual therapy in the acute phase, you must use the (open/close)-packed position

A

open packed

27
Q

Early (active/passive) ROM exercises after RC surgery is beneficial.

A

passive ROM

28
Q

What are the benefits of continuous passive motion (CPM)?

A

improves ROM
decrease pain
improve strength
limits adhesions
shortened hospital stay
cost affective

29
Q

For rehabilitation BEFORE a RTC repair, what motions should you avoid?

A

overhead motions

30
Q

What should be done for maximum protection for days 1-2 of post-op?

A

sling
cryotherapy
medication
pendulums if tolerated
PROM if tolerated

31
Q

What motions should you avoid during the acute phase of healing s/p RTC repair?

A

PROM: IR, ABD, and HADD

AROM: IR/ER, ABD, HADD

resisted: IR/ER

32
Q

What are the goals for maximum protection during days 3-4 of post-op?

A
  • promote healing
  • reduce swelling
  • pain control
  • increase ROM
  • slow atrophy
  • HEP
33
Q

What are the goals for maximum protection during weeks 1-2 of post-op?

A
  • promote healing
  • reduce swelling
  • pain control
  • increase ROM
  • HEP
34
Q

What are the goals for maximum protection during weeks 2-4 of post-op?

A
  • promote healing
  • reduce swelling
  • pain control
  • increase ROM
  • postural exercises
  • HEP
35
Q

What are the goals for maximum protection during weeks 4-6 of post-op?

A
  • promote healing
  • monitor swelling
  • pain control
  • increase ROM
  • postural exercises
  • scapular stabilization
  • HEP
36
Q

What are the goals for maximum protection after week 12 of post-op?

A
  • complete and painless ROM
  • UE strength and endurance
  • NM control
  • improve GH and scapular motion
  • provide functional and sport specific training
37
Q

Full ROM s/p RTC repair should be reached between weeks ___ - ____.

A

10-12

38
Q

RTC and shoulder exercises should be started during weeks __-__ s/p repair as tolerated.

A

6-12

39
Q

Although arthrography and arthroscopy are both good diagnotic imaging choices, What diagnostic imaging choices are more commonly used due to being less invasive but still accurate?

A

MRI and US (although MRI is the best choice out of the two)

40
Q

What exercises should definitely be used for RTC rehabilitation?

A
  1. Full can (ABD: 90, FLX: 30, neutral supraspinatus ROT)
  2. ER in S/L
  3. shoulder shrugs
  4. Prone Y’s and T’s

Clinical Interventions (25 decks)

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