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SCS Study Guide- Shoulder Flashcards

1
Q

pec major innervation

A

medial and lateral perctoral nerve

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2
Q

lats innervation

A

thoracodorsal

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3
Q

delt and teres minor innervation

A

axillary

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4
Q

supra, infra, subscap, teres major

A

suprascap

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5
Q

coracobrachialis innervation

A

MSK nerve

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6
Q

trap innervation

A

spinal accessory nerve

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7
Q

rhomboids and lev scap innervation

A

drosal scap nerve

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8
Q

SA innervation

A

long thoracic nerve

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9
Q

load and shift tests for instability/laxity where

A

anterior/posterior

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10
Q

sulcus sign for instability/laxity where

A

multidirectional

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11
Q

anterior and posterior drawer tests for instability/laxity where

A

ant/post laxity

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12
Q

apprehension test looks at

A

shoulder instability

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13
Q

Fowler’’s sign is for

A

anterior GH instability

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14
Q

super GH lmitis…

A

inferior humeral head sublux

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15
Q

superior GH ligament limits ER where

A

at 0 degrees ABD

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16
Q

middle GH ligament limits ___ translation at ___-ABD

A

anterior translation at 45 degrees ABD

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17
Q

inferior GH ligament has ___ bands

A

3

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18
Q

posterior capsule blends with the ___ and enhances ____

A

posterior RTC and enhances stability

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19
Q

what are the special tests for RTC

A

empty/full can
ER lag sign
Drop arm
Belly press

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20
Q

what does the Hawkins Kennedy test look at

A

impingement

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21
Q

O’Briens looks at

A

SLAP vs AC involvement

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22
Q

biceps load is for

A

SLAP tear

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23
Q

crank test is for

A

labral

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24
Q

compression/rotation

A

SLAP lesion

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25
Q

Yergason tests for

A

biceps tendon

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26
Q

speed’s test tests for

A

LH patholgy and possible SLAP

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27
Q

Ludington’s test for

A

biceps rupture

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28
Q

what kind of modality is good for full RTC tear

A

US

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29
Q

what 2 views are used for bankart and hill sach;s

A

west point and striker

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30
Q

the zanca view is for

A

AC joint

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31
Q

what causes a clavicular fracture

A

FOOSH, direct impact

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32
Q

how do you assess for a clavilcaur fracture

A

tilt head towards affected side with chin toward unaffected side, and check tenderness and deformity of

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33
Q

how long do you immobilize for calvilce fx

A

6-8 weeks

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34
Q

how long do you sling for a scapular fx? how does it happen and how to assess

A

3 weeks sling
swelling and point tenderness
direct blow to the humerus

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35
Q

cause, exam and treatment with humerus fracture

A

cause: FOOSH, dislocation, direct blow
Exam: pain, inability to move arm, swelling,

treatment: splint and refer

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36
Q

if humerus fracturre is at the shaft vs proximal, how long are they out?

A

shaft out 3-4 months, proximal out 2-6 months

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37
Q

MOI, exam and treatment of SC joint sprain

A

MOI: blow to clavicle or torsion of posteriorly extended arm
exam: swelling, displacement, point tenderness

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38
Q

how long do you immobilize an SC joint sprain

39
Q

Grades 1 AC joint sprain

A

mild sprain AC and CC lig
sling 2-4 days

40
Q

Grade II AC Sprain

A

complete AC lig tear, sprain CC lig
sling 10-14 days

41
Q

Grade III AC joint sprain

A

complete tear AC and CC ligament
sling 2-3 weeks

42
Q

Grade IV AC joint sprain

A

copmlete Tear CC and AV lig, separation of clavicle
surgery

43
Q

grade V AC joint

A

clavicle goes through trap
surgery

44
Q

Grade VI AC joint sprain

A

clavicle is locked under coracoid process
surgery

45
Q

MOI of AC joint sprain, exam and treatment:

A

FOOSh on partially flexed arm or direct blow to tip of shoulder

46
Q

what are some findings of RTC tear

A

night pain, weak, tender

47
Q

special tests for RTC tear/cluster!

A

(+) drop arm, (+) painful arc, (+) infra MMT

48
Q

how long is post op RTC braced

A

ABD pillow 6 weeks

49
Q

First 6 days post op RTC tear, how much PROM into flexion

50
Q

when can you start isometrics post op RTC medium tear

51
Q

post op RTC medium should have full PROM by week

52
Q

AAROM, strengthening and r/s should start when post op RTC medium

A

7-12 weeks

53
Q

weeks 18 and 24 post op RTC medum tear starts what

A

18 weeks light sports
24 weeks interval sport program

54
Q

anterior instability general MOI

A

trauma in ER and ABD
most of them are this direction!!!

55
Q

what direction dislocatin has higher risk of bankart and SLAP issues

56
Q

multidirectional instability is usually from…

A

reccurent dislocations or sulkuxations

57
Q

arthroscopic anterior stabilization post op- isomterics start at week

58
Q

arthroscopic anterior stabilization post op-PROM can start at week

59
Q

arthroscopic anterior stabilization post op-weaning from sling, and full PROM, initiation AROM and isotonic strengthening at week

60
Q

arthroscopic anterior stabilization post op- can begin tennis and golf when

A

weeks 12-16

61
Q

arthroscopic anterior stabilization post op- initiate interval sport program

A

16-20 weeks

62
Q

MOI of SLAP tear

A

FOOSH, dislocation, peel back from throwing

63
Q

exam findings of SLAP tear

A

instability, popping, decreased throwing power

64
Q

tests for SLAP tear

A

Obreiens, biceps load, clunk

65
Q

type I SLAP

A

degenerative fraying of superior labrum biceps intact

66
Q

type II SLAP

A

biceps anchor pulled away from attachment at gelnoid

67
Q

Type III SLAP

A

bucket-handle tear of superior labrum with intact biceps anchor

68
Q

Type IV SLAP

A

like type III (bucket handle tear) that extends into the biceps anchor

69
Q

which SLAP types are debrided, which are repaired

A

debrided are types 1 and 3
repaired are 2 and 4

70
Q

post op SLAP how long in sling

71
Q

when can submax RTC start for SLAP surgery

72
Q

when can isotonics, throwers 10, submax iso biceps start post op SLAP

73
Q

ressited biceps at what time post op SLAP

A

10-12 weeks

74
Q

post op SLAP, when can light resited sports, plyo and swim/golf start

A

12-14 weeks

75
Q

RTS following SLAP surgery

A

6-9 months

76
Q

how do you get a bankart

A

anterior dislocation

77
Q

exam and treatment of bankart lesion

A

instability, popping, decreased throwing power.
arthroscopic bankart repair

78
Q

how long do you wear a sling after a bankart repair

79
Q

when can you do AROM and isometrics wiht a Bankart repair

80
Q

full ROM should be achieved by week… with bankart repair

A

10-12 weeks

81
Q

RTS for bankart

A

6-9 monthsAC

82
Q

joint osteolysis cause

A

Bench and weigth lifitng and overhead pressing will inc incidence. usually repetitive micro trauma with microfx over time,

83
Q

exam and treatment of AC joint osteolysis

A

localized pain, swelling, weakness and (+) corss body add test, pain with resisted flexion and crepitis
activity mod, rest and anti-inflam

84
Q

GH joint arthroplasty when can you add sumax isometrics

A

at 4-6 weeks

85
Q

TSA, when can you passive ER and isometric IR

86
Q

GH TSA when can resistance start

A

8-12 weeks

87
Q

list the phases of a throw

A

windup
early cocking
late cocking
acceleration
deceleration
follow through

88
Q

where/what phase does max ER and ABD happen

A

late cocking

89
Q

when does the shoulder start to go into IR with throwing

A

acceleration

90
Q

when do the hands come apart, between what phases

A

windup and early cocking

91
Q

when is the foot down (between what phases)

A

between early and late cocking

92
Q

ball release happens between what phases

A

acceleration and deceleration

93
Q

follow through has high ____ contractions

SCS (26 decks)

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