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PT9133 - Lecture/Textbook/Research Paper Notes > Shoulder > Flashcards

Shoulder Flashcards

1
Q

What are burners and stingers

A

Some type of impingement in the arm that injures the nerve network and causes paraesthesia or burning sensation in shoulder, forearm, hand and fingers (usually unilateral)

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2
Q

Describe shoulder dislocation incidence rate and most common type

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3
Q

What are some red flags in the shoulder

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4
Q

Review shoulder functional anatomy

A
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5
Q

Describe the glenoid labrum

A
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6
Q

Describe the inferior glenohumeral ligament

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7
Q

Describe the superior glenohumeral ligament

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8
Q

Describe the middle glenohumeral ligament

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9
Q

Describe the rotator cuff interval

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10
Q

What muscles/structures provide primary and secondary stabilization to the shoulder

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11
Q

Describe the brachial plexus

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12
Q

What are the structures that contribute to static and dynamic stability of the shoulder

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13
Q

What is the algorithm for a first time dislocation

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14
Q

What are the classifications of shoulder instability

A
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15
Q

What is the most common pathologies found at first time dislocation

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16
Q

Describe a Bankart lesion

A
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17
Q

Describe a bony bankart lesion

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18
Q

Describe a hill sachs lesion

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19
Q

Describe a SLAP lesion

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20
Q

Compare the location of SLAP, posterior, and bankart lesions

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21
Q

Describe an ALPSA lesion

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22
Q

Describe AMBRI

A
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23
Q

What is the Beighton score

A
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24
Q

What are the recommendations for shoulder dislocation and the chance of recurrence for individuals

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25
Q

Describe provocative tests (shoulder dislocation)

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26
Q

Describe laxity tests (shoulder subluxation)

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27
Q

The clinical utility of each test

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28
Q

Treatment programs for shoulder subluxation

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29
Q

What are the shoulder instability guidelines for TUBS, AMBRI, and AIOS

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30
Q

When do we need a referral for imaging for shoulder dislocations

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31
Q

What is the prognosis/return to sport for dislocation

A
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32
Q

According to Brownson et al. what is the common MOI, common presentations and recurrence of shoulder dislocations

A
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33
Q

What features are important to consider for shoulder dislocation according to brownson et al.

A
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34
Q

According to Brownson et al. what are the red flags of the shoulder

A
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35
Q

Diagnosis of shoulder problems in primary care

A
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36
Q

How long is physio rehab for shoulder dislocation rehab according to Brownson et al.

A

4-12 weeks

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37
Q

Is imaging indicated for shoulder dislocation for treatment according to Brownson

A

Should have 2 views on an Xray -> antero-posterior and and an axial view

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38
Q

What is a suggested management for shoulder dislocation according to brownson et al.

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39
Q

According to Brownson et al. what factors can lead to shoulder instability after a dislocation

A
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40
Q

According to Longo et al. what are the 2 best surgical procedures if rehab management fails for shoulder dislocation

A

Arthroscopic capsular plication and open capsular shift

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41
Q

Compare direct vs indirect MOI for ligament tear in AC Joint

A
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42
Q

What is the etiology of the AC Joint

A
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43
Q

What is the difference between dislocation and separation of the AC Joint

A

Dislocation: Shoulder comes out of joint
Separation: Clavicle separates from ligamentous tears
**Both very commonly used interchangeably so make sure you clarify what actually happened

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44
Q

What are the ligaments of the AC joint

A
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45
Q

Describe the Rockwood classification for AC joint tears

A
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46
Q

What is the intervention for AC joint tears

A
47
Q

Describe the treatment strategies based on the Rockwood classification

A
48
Q

What are 4 key factors to remember for AC joint injuries

A
49
Q

Describe a proximal humerus fracture

A
50
Q

What does the examination look like for someone with a proximal humerus fracture

A
51
Q

What does the interventions look like for someone with a proximal humerus fracture

A

NOTE: If in sling for too long can lead to frozen shoulder (capsular and ligament tightness) and lots of atrophy

52
Q

What are surgical intervention for proximal humerus fracture

A
53
Q

Is surgery or a sling recommended for proximal humerus fractures?

A
54
Q

Describe clavicle fractures

A
55
Q

What are the types of clavicle fractures

A
56
Q

What are the classifications of clavicle fractures

A
57
Q

What is the operative and non-operative interventions for clavicle fractures

A
58
Q

Describe sterno-clavicular injuries

A
59
Q

Describe the intervention for SC injuries

A
60
Q

Describe the staging for SC injuries

A
61
Q

According to Pearl et al. what are some key things with SC injuries

A
62
Q

Describe rupture of the long head of the biceps

A
63
Q

Describe pec major tears

A
64
Q

Describe subscapularis tears

A
65
Q

What is the prognosis for shoulder pain

A
66
Q

Compare A/C joint vs proximal humerus fracture vs clavicle fracture vs S/C joint

A
67
Q

Where does adhesive capsulitis occur (frozen shoulder)

A
68
Q

What is the demographic, prevalence, risk factors and presentation for frozen shoulder

A
69
Q

Compare a diagnosis of frozen shoulder to secondary stiff shoulder

A
70
Q

What is the pathophysiology of frozen shoulder

A
71
Q

What are the 3 stages of frozen shoulder and how long do they last

A
72
Q

What are 2 key facts to keep in mind for frozen shoulder

A
73
Q

How de we diagnose frozen shoulder

A
74
Q

What is the pathophysiology of glenohumeral joint OA

A
75
Q

Describe the process of glenohumeral joint OA

A

-Cartilage cracks form over time which then widen from cell proliferation which can cause pieces of cartilage to peel off, exposing bone that rubs on the fossa

76
Q

What are the demographics, prevalence, risk factors and MOI for glenohumeral OA

A
77
Q

What are 4 factors that affect the prognosis for shoulder pain

A
78
Q

What factors result in poor prognosis of shoulder pain with non-surgical management

A
79
Q

On clinical assessment (history and exam) what would help us rule in frozen shoulder

A
80
Q

What are the special tests to use for frozen shoulder

A

NOTE: Only good for seeing mobility but these tests can also be used as treatment

81
Q

What are some outcome measures to use for frozen shoulder

A
82
Q

What are the recommendations for frozen shoulder intervention based on CBG

A
83
Q

What should our dosage be for frozen shoulder

A
84
Q

What is the medical management for frozen shoulder and shoulder OA

A

NOTE: None of these treatments will work without PT

85
Q

Comparison chart for anterior GH dislocation, reactive tendinopathy, reactive degenerative tendinopathy, adhesive capsulitis (frozen shoulder), and shoulder OA

A
86
Q

CPG recommendations for forzen shoulder

A
87
Q

According to Mertens et al what is important interventions for frozen shoulder

A

-Mobilization with exercise
-Patient education with pharmacotherapy
-PNF
-Mirror therapy

88
Q

Explain the deltoid-rotator cuff force couple

A
89
Q

Describe the function of the supraspinatus

A
90
Q

Describe the function of the infraspinatus and teres minor

A
91
Q

Describe the function of the subscapularis

A
92
Q

Describe the function of the long head of the biceps

A
93
Q

What are the 3 stages of tendinopathy and describe them

A
94
Q

Intrinsic factors that can impact rotator cuff tendinopathy are

A
94
Q

Describe a rotator cuff tear in terms of tendinopathy resulting in poor function, pain and its pathology

A
94
Q

List extrinsic factor that can impact rotator cuff tendinopathy

A
95
Q

Describe acromion type tendinopathy

A
96
Q

Summary chart rotator cuff tendinopathy

A
97
Q

Describe scapular and humeral head kinematics extrinsic factors

A
98
Q

Should surgery be performed on subacromial impingement

A
99
Q

Describe the recommendations for subacromial pain syndrome and rotator cuff disease

A
100
Q

Describe subacromial impingement syndrome

A
101
Q

Compare a symptomatic rotator cuff and its ability to heal based on tendinopathies

A
102
Q

Outcome measures to use for shoulder tendinopathies

A
103
Q

What should the physical exam look like for rotator cuff tendinopathies

A
104
Q

Compare the findings between impingement, rotator cuff pathology, scapular dyskinesis, instability, slap and biceps related pathology

A
105
Q

What does chemo do to the muscles (cancer treatment)

A

Can cause degeneration due to steroids and also less use can lead to atrophy and weakness making more prone to degenerative tendinopathies and potentially rotator cuff tears

106
Q

Describe the shoulder symptom modification procedure (SSMP)

A
107
Q

Exercises for tendinopathy

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108
Q

What kind of functional testing can you do for rotator cuff tendinopathies

A
109
Q

What should dosage look like for rotator cuff tendinopathies

A
110
Q

List factors that affect the prognosis of shoulder pain

A
111
Q

Rehab strategies for the shoulder

A
112
Q

What are poor prognostic factors for non-surgical shoulder management

A

PT9133 - Lecture/Textbook/Research Paper Notes (9 decks)

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