Shoulder Flashcards
SIS: key symptoms
*Painful arc thru MID-RANGE (60-120).
-P! located: anterior lateral.
-Pain at night.
RC tear: key symptoms
*Loss of strength.
-Weakness & atrophy.
-Age >40 for overuse cases.
-P! located: anterior, posterior, superior.
-Pain at night (sleep disturbances common).
SLAP: key symptoms
*Clicking, clunking, locking.
*Sudden traumatic onset.
-P! located: deep anterior.
-P! with throwing.
-P! with biceps loading (sh flex + arm supination).
AC injury: key symptoms
*Painful arc at END-RANGE (170-180).
*Step deformity.
-P! located: top of shoulder.
-P! with horiz add.
-MOI: heavy weightlifting, trauma that displaces shoulder girdle inferiorly.
Biceps Tendonitis: key symptoms
-P! located: anterior.
-Age 20-40.
-Common in throwing athletes.
-Agg by OH.
-Limited active ER at 90 abduction.
-P! with passive sh + elbow extension.
Adhesive Capsulitis: key symptoms
-P! located: poorly localized.
-Age 35-70.
-Common w/ thyroid diseases & DM.
-Agg by all sh movements.
-All ROM limited; follows capsular pattern (ER>abd>IR).
-Capsular end feel.
SIS: special tests
Cluster:
-Neer
-Hawkins
-Empty Can
-P! Arc
Non-Cluster:
-Yocum
RC tear: special tests
Cluster:
-ER Lag
-Empty Can
-Abduction AROM <90
Non-Cluster:
-Hornblower (teres minor)
-Liftoff (subscap)
-Belly press (subscap)
SLAP: special tests
Cluster:
-Obrien
-Biceps Load
-Compression
Non-Cluster:
-Clunk
-SLAPrehension
AC injury: special tests
Cluster:
-Horiz add (AKA Cross-over)
-Obrien
-Resisted AC extension
Non-Cluster:
-Shear
-Paxinos Sign (pinch AC joint = pain)
Biceps Tendonitis: special tests
-Speed
-Yergason
Adhesive Capsulitis: special tests
Capsular pattern of reduced AROM & PROM:
1. ER most limited
2. Abduction
3. IR least limited
GH Instability: special tests
Anterior:
-Apprehension Relocation
-Anterior Load & Shift
-Rockwood
Superior:
-Sulcus at 0
Posterior:
-Push/Pull
-Jerk
Neer procedure & involved structure
Supraspinatus SIS.
Raise arm OH in scapular plane, thumb down.
Apply overpressure.
Hawkins procedure & involved structure
Supraspinatus SIS.
Abd to 90 with elbow at 90.
PROM IR at slight horiz abd.
PROM IR at midline.
PROM IR at slight horiz add.
Empty Can procedure & involved structure
Supraspinatus SIS or RC tear.
Flex in scapular plane, thumb down.
Resist elevation.
ER Resist procedure & involved structure
Infraspinatus SIS.
Resisted ER with forearm neutral & elbow 90.
ER Lag procedure & involved structure
Supraspinatus RC full thickness tear.
Elbow 90, sh 20 abd in scapular plane, palm up.
PROM ER.
Let go.
Yocum procedure & involved structure
Supraspinatus SIS or RC tear.
Hand on opp shoulder, lift elbow up to nose.
Horizontal Adduction (Cross-Over) procedure & involved structure
AC.
90 flex, PROM to max horiz add.
Hornblower procedure & involved structure
RC tear, teres minor.
Resisted ER with sh flexed to 90 in scap plane & elbow flex.
Liftoff procedure & involved structure
RC tear, subscapularis.
Back of hand on lower back, lift away.
Belly Press procedure & involved structure
RC tear, subscapularis.
Hand on belly.
Resisted IR (try to pull hand away).
Obrien procedure & involved structure
AC injury or SLAP.
Empty Can but in slight horiz add instead of scap plane.
Repeat resistance w/ palm up.
Biceps Load procedure & involved structure
SLAP.
Supine, sh abd 120, elbow flex, forearm supinated.
PROM to max ER.
Resisted elbow flex.
Resisted AC Extension procedure
Shoulder & elbow flex, forearm parallel to floor.
Resist horiz abd.
Shear procedure & involved structure
AC.
Cup hands around delt, squeeze.
Apprehension Relocation procedure & involved structure
Anterior GH instability.
Supine, sh abd to 90, PROM ER.
Posterior glide on HH to relocate (relieves pain).
Speed procedure & involved structure
Biceps tendinitis or SLAP.
Forearm supinated, elbow ext with arm down at side.
Resisted sh flex (light resistance, not a break test).
Yergason procedure & involved structure
Biceps tendonitis, transverse ligament.
Resisted “flip the pancake.”
Start w/ forearm pronated, elbow flex, arm at side.
Resist supination, flexion, & ER (light resist, not a break test).
Palpate biceps tdn.
Yergason: positive for biceps tendinopathy
tender but no popping in biceps tendon
Yergason: positive for transverse ligament rupture
tender + palpable popping of biceps tendon in/out of groove
Clunk procedure & involved structure
SLAP.
Supine, bring sh to overhead abd.
Anterior glide on HH while PROM into ER.
Compression procedure & involved structure
SLAP or Bankart.
Supine, shoulder abd overhead in scapular plane, elbow flex.
Axial pressure into elbow while PROM ER/IR.
SLAPrehension procedure
SLAP.
Shoulder abd 90, thumb down.
AROM horiz adduct.
Repeat w/ thumb up.
Sulcus at 0 procedure & involved structure
Superior GH instability.
Excessive inferior motion while applying distraction force (pull down) at elbow.
Rockwood procedure & involved structure & (+)
Anterior GH instability.
PROM ER at varying degrees of sh abd.
(+) Most P! at 90 sh abd.
Anterior Load & Shift procedure & involved structure & (+)
Anterior GH instability.
Slow oscillating ant/post glides on HH.
(+) Translates anteriorly but not posteriorly.
Push/Pull procedure & involved structure & (+)
Posterior GH instability.
Supine, sh abd 90, elbow flex.
Posterior glide on HH while pulling wrist superiorly.
(+) >50% of HH translates posteriorly.
Jerk procedure & involved structure & (+)
Posterior GH instability.
Sh flex 90, elbow flex, IR (forearm parallel to floor).
Apply compressive force (one hand on scapula, one hand on elbow, push together).
Horizontal adduct.
Return to start position.
(+) jerk motion while moving into add, jerks again (relocates) when moving back to start.
What pathologies/limitations is a posterior GH glide good for?
ER limitation
What pathologies/limitations is a inferior GH glide good for?
Abduction, flexion, & overhead limitations
What pathologies/limitations is a lateral GH glide good for?
Horizontal adduction limitation
AC joint injury
