Shoulder

Question 0

R sided shoulder strap pain

Answer 0

consider gallbladder

Question 1

three components of assessment of ortho injury

Answer 1

focused history
attentive physical examination
thoughtfully ordered tests/studies

Question 2

night pain on affected side

Answer 2

rotator cuff tear

Question 3

catching, popping, clicking

Answer 3

GH, AC arthritis, labral tear, SLAP lesion

Question 4

list 5 steps of focused physical exam - shoulder

Answer 4

inspection
palpation
ROM
Strength Testing
Special Tests

Question 5

Squaring of shoulder

Answer 5

anterior dislocation

Question 6

Scapular Winging

Answer 6

Shoulder instability, Serratus anterior or trapezius dysfunction (long thoracic nerve lesion)

Question 7

Atrophy over scapula

Answer 7

supraspinatus or infraspinatus, consider rotator cuff tear, suprascapular nerve entrapment or neuropathy

Question 8

go take a netter quiz on shoulder

Answer 8

Did you? Do it silly lady, seriously.

Question 9

SLAP lesion

Answer 9

superior labrum from anterior to posterior. insertion of biceps tendon onto labrum

Question 10

Test for SLAP lesion

Answer 10

Pour one out for the homies. Positive test: pain or painful clicking with thumb down, decreased or eliminated with thumb up

Question 11

decreased range of motion in shoulder found with

Answer 11

adhesive capsulitis and arthropathy

Question 12

external rotation muscles (jesus wants a hug)

Answer 12

Infraspinatus, teres minor

Question 13

internal rotation muscles (jesus is hugging)

Answer 13

subscapularis

Question 14

empty can muscle

Answer 14

supraspinatus

Question 15

lift off muscle

Answer 15

subscapularis

Question 16

test for rotator cuff tear

Answer 16

drop arm test

Question 17

drop arm test

Answer 17

reach for the sky, bring them down to jesus pose. positive test, patient can’t keep arm in jesus pose

Question 18

neers sign

Answer 18

use one hand to stabilize the scapula, use other to make the patient hail hitler (with a little empty can), positive test is pain

Question 19

neers sign tests for

Answer 19

impingement

Question 20

hawkins test (what for and how)

Answer 20

impingement, make patient chin salute, push hand down, holding elbow up

Question 21

speeds test

Answer 21

against your counterpressure, have the patient straight-arm gesture for “all rise for the honorable judge speeds” pain indicates biceps tendon or labral pathology

Question 22

obriens test (what for and how)

Answer 22

labral tear, empty can against your pressure

Question 23

test for glenohumeral joint stability

Answer 23

apprehension test

Question 24

apprehension test (what for and how)

Answer 24

glenohumeral joint stability, pt raises hand like they are swearing in, push their hand back and watch for scaredy face

Question 25

positive drop arm test (two things)

Answer 25

rotator cuff tear, supraspinatus dysfunction

Question 26

liftoff test tests patency of

Answer 26

subscapularis

Question 27

empty can test tests

Answer 27

supraspinatus

Question 28

sensitivity

Answer 28

can i pick up a station

Question 29

specificity

Answer 29

is it the station i wanted

Question 30

bony bits prone to Avascular Necrosis (AVN)

Answer 30

ball and socket, humeral head, femoral head, talus, scaphoid, lunate, head of second metatarsal

Question 31

causes of AVN

Answer 31

fractures, steroids, alcoholism

Question 32

adhesive capsulitis aka

Answer 32

frozen shoulder

Question 33

who tends to have more adhesive capsulitis

Answer 33

females over males

Question 34

s/sx of adhesive capsulitis

Answer 34

dull ache at rest, decreasing ROM, pain with ROM, pain at night

Question 35

risk factors for adhesive capsulitis

Answer 35

menopause, DM, thyroid disease, Hx R BrCa

Question 36

scapular dyskenisis without winging, active motion of glenohumeral joint painful and limited, passive motion better, strength testing intact but limited by pain, shoulder impingement tests positive, sensation and deep tendon reflexes intact

Answer 36

think subacromial bursitis