Sample Q&A Shoulder Flashcards
Positive finding for dawbarn’s
when pain over the subacromial bursa disappears on abduction of the arm
what if dawbarn’s is negative? (pain stays)
may be due to inferior humerus, sore pectoralis muscle
what is the indication of a positive dawbarn’s
subacromial bursitis
3 parts to drop arm test
- patient raises arm against gravity
- patient holds against doctor’s pressure
- patient holds up arm when doctor taps arm
indication of pain during part 1 of drop arm
grade 3 rotator cuff tear
what is a positive for part 1 of drop arm?
arm drops, or they cannot fight against gravity
indication of pain during part 2 of drop arm
grade 2 rotator tear
what is a positive for part 2 of drop arm?
can raise arm against gravity, but not hold against resistance
indication of pain during part 3 of drop arm
grade 1 rotator tear
what is a positive for part 3 of drop arm?
can raise arm against gravity, and against resistance, but there is pain
positive sign for dugas
when patient can’t touch chest wall with affected arm/elbow while holding the opposite shoulder
indication for a positive dugas
current shoulder dislocation/separation
what kind of test is dugas best for?
post check
shoulder apprehension test positive
a look of alarm on the face and/or the patient pulls away from the rpessure
indication of a positive shoulder apprehension test?
glenohumeral joint is unstable, or has a propensity to dislocate
yergason’s positive
click or pop that occurs when the bicipetal tendon pops out of the groove
indication for a positive yergason’s
bicipetal tendon instability
bicipetal tendon instability can be due to?
shallow groove or lax/tear/sprain of the transverse humeral ligament
differential diagnosis for bicipetal tendon instability?
inferior humerous
AC PS visualization
distal end of the clavicle sits higher possibly cauing a slight bump
compare trapezius muscles on each side to see if there is a smooth transition over the distal clavicle
GHI visualization
will see sulcus sign
STL visualization
more than 3 of the patient’s finger widths between the medial border of the scapula and the spine
STM visualization
less than 3 of the patient’s finger widths between the medial border of the scapula of the spine
St Cl S visualization
proimal end of the clavicle sits higher than the opposite side
fluid motion for AC PS
stabilize the humeral head into the glenoid fossa, then apply S-I pressure over the distal end of the clavicle
GH fluid motion
stabilize the AC joint and scapular spine with hand closest to the patient. the other hand will hold the elbow and draw the humerus I-S
STM fluid motion
place thumb at medial inferior angle of scapula and press M-L while prestressing the shoulder girdle in the same direction
STL fluid motion
doctor places their thumb at the lateral inferior angle of the scapula and press L-M while prestressing the shoulder girdle in the same direcction
St Cl fluid motion
doctor stands behind the patient and places their 2nd and 3rd digits at St-Cl joints and asks the patient to shrug their shoulders up and roll them backward/forward
which part of the adjustment takes care of the superiority in the AC PS?
pushing down on the distal end of the clavicle
which part of the adjustment takes care of the posteriority in the AC PS?
pushing slightly forward and eternally rotating arm
what is a “shoulder separation”?
dislocation/hypermobility of the AC joint
treatment for AC PS (with fixation)
ROM, not immobilize
treatment for AC separation?
immobilize with a brace or “reminder” tether, ice
move of choice for GH joint
GH traction supine because you can palpate the joint during this procedure
give at least 3 diagnoses that GH traction would work for
frozen shoulder GHI GHP GH dislocation osteoarthritis with fleion