Shoulder

Question 1

SLAP tear Type 1

Answer 1

Labrum only, frayed and degenerated

Question 2

SLAP tear Type 2

Answer 2

labrum plus bicep detachement

Question 3

SLAP tear Type 3

Answer 3

bucket handle tear of labrum

Question 4

SLAP tear Type 4

Answer 4

bucket handle labrum + bicep peel back

Question 5

Bankart lesions: soft tissue

Answer 5

• anterior/inferior labrum avulsion
• posterior capsule stretched
• inf glenohumeral ligament torn

Question 6

Bankart lesions: Bony

Answer 6

fracture of ant/inf glenoid rim

Question 7

Most specific labrum test

Answer 7

Speeds (67-99%)

Question 8

Most sensitive labrum test

Answer 8

O’Brien’s Test (47-78%)

Question 9

SLAP cluster

Answer 9

• Crank
• anterior apprehension
• O’Brien’s Test
• Speeds/yergeson/bicep load

75% sensitivity
90% specificity

Question 10

Posterior Inferior Labrum testing

Answer 10

Jerk Test

Kim Test

Question 11

Hill Sachs lesion

Answer 11

Fracture of posterior lateral humeral head
Grade 1: articular surface lesion
Grade 2: subchondral
Grade 3: larger

Question 12

Testing for hill sachs lesino

Answer 12

Sensitive: bony apprehension, olecranon manubrium percusion
Specific: relocation

Question 13

RTC testing

Answer 13

Sensitive: Empty can
Specific: full can
Both: lateral jobe test

Question 14

RTC signs

Answer 14

age >45, men>women, hx smoking, systemic disease, pain at night with horizontal add and IR
Limited AROM vs PROM

Question 15

Painful arc

Answer 15

80-120 = RTC
higher = AC jt

Question 16

Impingement Testing

Answer 16

Neer
Hawkins-Kennedy
(tests have better sensitivity – rule out)

Question 17

Instability testing

Answer 17

• Sulcus sign
• subluxation/relocation
• apprehension
• anterior/posterior translatin/provication

Question 18

ER/IR strength ratio

Answer 18

66% (lower in shoulder pathology patients)

Question 19

Primary Shoulder Impingement

Answer 19

direct result of compression of RTC tendons between humeral head and AC/coracoid.

Question 20

Secondary Shoulder Impingement

Answer 20

Resulting from underlying instability of GH jt

Question 21

TUBS

Answer 21

Traumatic Unilateral Bankart Surgery

Question 22

AMBRI

Answer 22

Atraumatic Multidirectional Bilateral Rehab Inferior capsular shift
rehab usually works but they may need inf capsular shift

Question 23

MDI

Answer 23

Multidirectional instability

unstable in at least 2 directions

Question 24

Ligament affected with anterior dislocation

Answer 24

Anterior/Inferior GH lig: compromised in abd and ER

Question 25

Best imaging view for hill sachs

Answer 25

striker notch or shoulder IR views

Question 26

Best for viewing glenoid (dislocation)

Answer 26

Scapular Y/Lateral scapular view

Question 27

Rockwood Classification for AC jt injury

Answer 27

type 1: AC lig sprained
type 2: AC lig torn, sprain of coracoclavicular ligaments
type 3: everything torn
type 4: post displacement of clavicle
Type 5: elevation of clavicle
Type 6: inf displacement of clavicle

Question 28

Radiograph for AC injury

Answer 28

B AP view
lat axillary view
Zanca view

Question 29

Adson’s test

Answer 29

interscalene triangle TOS test

vein not in there

Question 30

Costoclavicular test

Answer 30

costoclavicular space TOS test

Question 31

Passive shoulder shrug test

Answer 31

TOS - relieve symptoms

costoclavicular space test

Question 32

Wrights test, Roos test, hyperabd

Answer 32

implicate pec minor and subcoracoid space

Question 33

Bankart Repair prognosis

Answer 33

Full ROM in 10-12wks