shoulder 2/14 kahoot Flashcards
which are triaxial joints?
GH jt
AC jt
SC jt
which organ/structure refers pain to the shoulder region
gallbladder, diaphragm, & heart
shoulder capsular pattern of restrictions most to least
ER, ABD, IR, FLEX
adhesive capsulitis, periarthritis, frozen shoulder
idiopathic frozen shoulder
which age/sex is most affected by frozen shoulder
women 40-65 y/o
stages of frozen shoulder
- pain at night, loss of ER, intact strength
- freezing, pain at rest and limited motion in all directions
- frozen, compensation of scap
- thawing, min pain, & motion gradually improve
stage 3 of frozen shoulder is also
frozen shoulder
indication for TSA
osteonecrosis
late stage OA
RA
RC arthropathy
necrosis
What is the primary goal for GH arthroplasty
pain relief
What type of GHarthoplasty is used for rotator cuff integrity?
reverse total shoulder
hemi - gh head, just the ball
mm not to be used via there during the acute phase
subscapularis
- no IR/ER
best exercise for max scap depression isolating lower traps
prone, w 90 degrees of shoulder abd & elbow flexion, perform ER
TSA principles managament vs rTSa
limited rom x 406 weeks
no immobilizer unless RC repaired
begin light weight bearing in phase II
- rTSA = abduction splint
during ROM when do you expect someone w impingement syndrome might have pain
60-120 deg “painful arc”
impingement d/t tissue tension overload is classified as which type of impingement
intrinsic - something wrong w the tendon (vascular, repetitive issues)
- extrinsic primary - acromion is bad
- ex secondary - faulty mechanics of scap & humeral head
- ex internal - positional impingement (90 deg ABD, ER) baseball players
hypermobility of GH
extrinsic secondary
resistance to shoulder ER, pain being a positive sign
infraspinatus
- drop arm = supraspiatus tendon
- empty can/ supraspinatus = same
what test resists shoulder while in scaption, thumb sown with pain as a positive sign
- empty can/ supraspinatus = same
Yergason’s test indicates
bicipital tendonitis, pain is positive test
not a universal concept for RC repair recovery
early AROM as tolerated
RTC tear of 6cm undergoes repair, how long are they immobilized
4-8 weeks
what should be avoided during the acute phase of RC repair
closed-chain exercise
stretching of repaired tissue
grade III jt mobs
dynamic strength training
pt has a history of atraumatic hypermobility in the anterior direction, what activities will be restricted
throwing
volleyball
swimming
which direction is the shoulder most vulnerable for anterior dislocation?
extension
ER
ABD