SCS Study Guide- Shoulder Flashcards
1
Q
pec major innervation
A
medial and lateral perctoral nerve
2
Q
lats innervation
A
thoracodorsal
3
Q
delt and teres minor innervation
A
axillary
4
Q
supra, infra, subscap, teres major
A
suprascap
5
Q
coracobrachialis innervation
A
MSK nerve
6
Q
trap innervation
A
spinal accessory nerve
7
Q
rhomboids and lev scap innervation
A
drosal scap nerve
8
Q
SA innervation
A
long thoracic nerve
9
Q
load and shift tests for instability/laxity where
A
anterior/posterior
10
Q
sulcus sign for instability/laxity where
A
multidirectional
11
Q
anterior and posterior drawer tests for instability/laxity where
A
ant/post laxity
12
Q
apprehension test looks at
A
shoulder instability
13
Q
Fowler’’s sign is for
A
anterior GH instability
14
Q
super GH lmitis…
A
inferior humeral head sublux
15
Q
superior GH ligament limits ER where
A
at 0 degrees ABD
16
Q
middle GH ligament limits ___ translation at ___-ABD
A
anterior translation at 45 degrees ABD
17
Q
inferior GH ligament has ___ bands
A
3
18
Q
posterior capsule blends with the ___ and enhances ____
A
posterior RTC and enhances stability
19
Q
what are the special tests for RTC
A
empty/full can
ER lag sign
Drop arm
Belly press
20
Q
what does the Hawkins Kennedy test look at
A
impingement
21
Q
O’Briens looks at
A
SLAP vs AC involvement
22
Q
biceps load is for
A
SLAP tear
23
Q
crank test is for
A
labral
24
Q
compression/rotation
A
SLAP lesion
25
Yergason tests for
biceps tendon
26
speed's test tests for
LH patholgy and possible SLAP
27
Ludington's test for
biceps rupture
28
what kind of modality is good for full RTC tear
US
29
what 2 views are used for bankart and hill sach;s
west point and striker
30
the zanca view is for
AC joint
31
what causes a clavicular fracture
FOOSH, direct impact
32
how do you assess for a clavilcaur fracture
tilt head towards affected side with chin toward unaffected side, and check tenderness and deformity of
33
how long do you immobilize for calvilce fx
6-8 weeks
34
how long do you sling for a scapular fx? how does it happen and how to assess
3 weeks sling
swelling and point tenderness
direct blow to the humerus
35
cause, exam and treatment with humerus fracture
cause: FOOSH, dislocation, direct blow
Exam: pain, inability to move arm, swelling,
treatment: splint and refer
36
if humerus fracturre is at the shaft vs proximal, how long are they out?
shaft out 3-4 months, proximal out 2-6 months
37
MOI, exam and treatment of SC joint sprain
MOI: blow to clavicle or torsion of posteriorly extended arm
exam: swelling, displacement, point tenderness
38
how long do you immobilize an SC joint sprain
3-5 weeks
39
Grades 1 AC joint sprain
mild sprain AC and CC lig
sling 2-4 days
40
Grade II AC Sprain
complete AC lig tear, sprain CC lig
sling 10-14 days
41
Grade III AC joint sprain
complete tear AC and CC ligament
sling 2-3 weeks
42
Grade IV AC joint sprain
copmlete Tear CC and AV lig, separation of clavicle
surgery
43
grade V AC joint
clavicle goes through trap
surgery
44
Grade VI AC joint sprain
clavicle is locked under coracoid process
surgery
45
MOI of AC joint sprain, exam and treatment:
FOOSh on partially flexed arm or direct blow to tip of shoulder
46
what are some findings of RTC tear
night pain, weak, tender
47
special tests for RTC tear/cluster!
(+) drop arm, (+) painful arc, (+) infra MMT
48
how long is post op RTC braced
ABD pillow 6 weeks
49
First 6 days post op RTC tear, how much PROM into flexion
110
50
when can you start isometrics post op RTC medium tear
2-7 weeks
51
post op RTC medium should have full PROM by week
8
52
AAROM, strengthening and r/s should start when post op RTC medium
7-12 weeks
53
weeks 18 and 24 post op RTC medum tear starts what
18 weeks light sports
24 weeks interval sport program
54
anterior instability general MOI
trauma in ER and ABD
most of them are this direction!!!
55
what direction dislocatin has higher risk of bankart and SLAP issues
anterior
56
multidirectional instability is usually from...
reccurent dislocations or sulkuxations
57
arthroscopic anterior stabilization post op- isomterics start at week
3
58
arthroscopic anterior stabilization post op-PROM can start at week
4-5
59
arthroscopic anterior stabilization post op-weaning from sling, and full PROM, initiation AROM and isotonic strengthening at week
6-7
60
arthroscopic anterior stabilization post op- can begin tennis and golf when
weeks 12-16
61
arthroscopic anterior stabilization post op- initiate interval sport program
16-20 weeks
62
MOI of SLAP tear
FOOSH, dislocation, peel back from throwing
63
exam findings of SLAP tear
instability, popping, decreased throwing power
64
tests for SLAP tear
Obreiens, biceps load, clunk
65
type I SLAP
degenerative fraying of superior labrum biceps intact
66
type II SLAP
biceps anchor pulled away from attachment at gelnoid
67
Type III SLAP
bucket-handle tear of superior labrum with intact biceps anchor
68
Type IV SLAP
like type III (bucket handle tear) that extends into the biceps anchor
69
which SLAP types are debrided, which are repaired
debrided are types 1 and 3
repaired are 2 and 4
70
post op SLAP how long in sling
4 weeks
71
when can submax RTC start for SLAP surgery
1-2 weeks
72
when can isotonics, throwers 10, submax iso biceps start post op SLAP
7-9 weeks
73
ressited biceps at what time post op SLAP
10-12 weeks
74
post op SLAP, when can light resited sports, plyo and swim/golf start
12-14 weeks
75
RTS following SLAP surgery
6-9 months
76
how do you get a bankart
anterior dislocation
77
exam and treatment of bankart lesion
instability, popping, decreased throwing power.
arthroscopic bankart repair
78
how long do you wear a sling after a bankart repair
3-4 weeks
79
when can you do AROM and isometrics wiht a Bankart repair
4-6 weeks
80
full ROM should be achieved by week... with bankart repair
10-12 weeks
81
RTS for bankart
6-9 monthsAC
82
joint osteolysis cause
Bench and weigth lifitng and overhead pressing will inc incidence. usually repetitive micro trauma with microfx over time,
83
exam and treatment of AC joint osteolysis
localized pain, swelling, weakness and (+) corss body add test, pain with resisted flexion and crepitis
activity mod, rest and anti-inflam
84
GH joint arthroplasty when can you add sumax isometrics
at 4-6 weeks
85
TSA, when can you passive ER and isometric IR
6-8 weeks
86
GH TSA when can resistance start
8-12 weeks
87
list the phases of a throw
windup
early cocking
late cocking
acceleration
deceleration
follow through
88
where/what phase does max ER and ABD happen
late cocking
89
when does the shoulder start to go into IR with throwing
acceleration
90
when do the hands come apart, between what phases
windup and early cocking
91
when is the foot down (between what phases)
between early and late cocking
92
ball release happens between what phases
acceleration and deceleration
93
follow through has high ____ contractions
eccentric
94
