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Oh See Ess > Shoulder > Flashcards

Shoulder Flashcards

1
Q

AC Ligament -sprain
Coracoclavicular ligaments - intact and stable

A

Type 1

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2
Q

AC Ligament - rupture
Coracoclavicular ligaments -sprain
distal clavicle - not stable

A

Type 2

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3
Q

AC Ligament - rupture
Coracoclavicular ligaments - rupture
Joint instability - step off deformity

A

Type 3

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4
Q

AC Ligament -rupture
Coracoclavicular ligaments -rupture
clavicle displaced posteriorly

A

Type 4

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5
Q

AC Ligament - rupture
Coracoclavicular ligaments -rupture
superior displacement of the clavicle

A

Type 5

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6
Q

AC Ligament - rupture
Coracoclavicular ligaments - rupture
subcoracoid or subacromial displacement of distal clavicle

A

Type 6

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7
Q

TUBS

A

Traumatic, Unilateral, Bankart, Surgery

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8
Q

AMBRI

A

Atrauamtic multidirectional bilateral rehab inferior capsular shift

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9
Q

Special Test used to assess for elevated first rib

A

Cervical rotation lateral flexion test - kappa .84

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10
Q

CPR for Thoracic Manipulation for shoulder pain

A

89% success with 3
4 or more = 100%

Pain free shoulder flexion < 127 degrees
IR < 52 at 90 of abduction
negative neer
not taking pain meds
sx < 90 days

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11
Q

Adhesive Capsulitis with a MOI is defined as

A

Secondary AC

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12
Q

Adhesive capsulitis without a MOI / insidious onset is defined as

A

Primary AC

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13
Q

This ligament restrains inferior humeral movement at 0 degrees of shoulder elevation

A

Superior GH

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14
Q

This ligament restrains the GH joint when the shoulder is abducted

A

Inferior GH

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15
Q

This ligament restrains anterior translation / ER of the GH joint

A

Middle GH

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16
Q

Painful arc of 60-120

A

subacromial impingement

17
Q

painful arc of 120-160

A

AC joint issue

18
Q

Best position to strengthen the supraspinatus

A

Full can - minimizes contribution from the deltoid

19
Q

Cluster for RTC Tear

A

Drop arm
Painful arc
Infraspinatus muscle test / ER weakness
Age > 60

20
Q

There is pain reduction and/or a gain in ROM by assisting the scapula into upward rotation with shoulder flexion, this is an example of a (+) what special test?

A

Scapular assistance test

21
Q

a (+) Flip sign is what?

A

The medial border of the scapula will protrude/”flip” up when resisting shoulder ER. This indicates a loss of scapular stability and you need to strengthen the scapula with serratus anterior and trap force couple

22
Q

Whats the test position for Champagne Test? What Muscle is this testing?

A

Supraspinatus

30degree of abduction, slight ER, 30 degree of flexion

23
Q

Whats the difference between the MMT for Infrspinatus and teres minor testing?

A

Both ER - Teres Minor at 90 degrees of abd, Infraspinatus ER at neutral

24
Q

Hill Sach Lesion

A

Compression fix of posterior lateral humeral head when it hits the glenoid rim upon dislocation

25
Q

Bankart Leison

A

Anterior labral detachment. IGHLC disrupted

26
Q

How would you grade the following GH joint assessment? The humeral head translates over the glenoid rim with spontaneous return on removal of stress

A

Grade 2 - Also, presence of translation without pain indicates laxity not instability

Grade 1 - translation within the glenoid
Grade 3 - dislocation

27
Q

What are the 3 views for radiography for the shoulder?

A

AP
Scapular Y
Axillary

28
Q

What is primary impingement?

A

compression of the rotator cuff tendons between the humeral head and the overlying anterior third of the acromion, coracoacromial ligament, coracoid, or acromioclavicular joint

29
Q

What is posterior impingement?

A

Shoulder at 90-90 position causes the supraspinatus and infraspinatus tendons to rotate posteriorly

This more posterior orientation of the tendons aligns them such that the undersurfaces of the tendons rub on the posterior-superior glenoid lip and become pinched or compressed between the humeral head and the posterior-superior glenoid rim

Late cocking phase of throwing makes this all worse

30
Q

What is an optimal ER/IR ratio for strength?

A

66% - 1:2

31
Q

Sizes and grades of RTC tears

A

small - < 1 cm
Medium 1-3cm
large 3-5cm
massive >5cm
full thickness - actual measurment

32
Q

risk factors for post op stiffness following RTC repair

A

calcific tendinitis, partial articular supraspinatus tendon avulsion lesions, concomitant superior labrum anterior to posterior repairs, preoperative adhesive capsulitis, and single-tendon rotator cuff repairs

33
Q

What is the reasoning for early motion in the rehab process following surgery?

A

is intended to promote healing, enhance collagen organization, stimulate joint mechanoreceptors, and aid in decreasing the patient’s pain through neuromuscular modulation

34
Q

Types of SLAP Tears

A

Type I: Debridement
Typer 2: Repair Biceps anchor attachment
Type 3: Debridement of bucket handle type tear
Type 4: same as 3; repair biceps tenodesis or tenotomy

35
Q

Stages of Adhesive Capsulitis

A
  1. Pre Adhesive Stage
    Demonstrates mild erythematous synovitis and may last up to 3 months while the patient experience sharp pain at end ranges of motion, achy pain at rest, sleep disturbance
    May be diagnosed with RTC impingement (incorrectly). To avoid this, know that ER is lost with an intact RTC

Stage 2: Acute Adhesive or Freezing Stage
Thickened red synovitis during a 3-9 month period
Patients have acute discomfort and very painful end ranges of all motions. Mild rom loss

Stage 3: Fibortic Stage or Frozen
Less synovitis. More mature capsuloligamentous fibrosis results in significant stiffness with less pain. Limited motion under anesthesia

Stage 4: Thawing
No synovitis
Painless stiffness and motion improves by remodeling from 15-24 months

Oh See Ess (9 decks)

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