Shoulder

Question 1

Name the muscles of the rotator cuff

Answer 1

supraspinatus, infraspinatus, subscapularis, teres minor

Question 2

Typically as a result of falling directly on the tip of the shoulder or hockey player getting checked into the boards

Answer 2

AC separation

Question 3

Classic complaint for AC separation

Answer 3

pain with doing a dip

Question 4

Treatment of AC separation or clavicle fracture

Answer 4

rest, ice, NSAIDs, sling. rarely treated with surgery

Question 5

Pain with adduction of the shoulder. Patient will be sitting with shoulders rolled forward

Answer 5

Clavicle fracture

Question 6

Pain can be insidious without specific injury. Localized to the anterior lateral aspect of the shoulder. Pain is worse with reaching overhead or behind the body.

Answer 6

Rotator Cuff Tendonitis

Question 7

No weakness and full range of motion. Tenderness to palpation over the greater tuberosity or bicepital groove. Pain with resisted supraspinatus testing

Answer 7

rotator cuff tendonitis

Question 8

Special tests you can do to check for rotator cuff tendontitis

Answer 8

Hawkins and Neers

Question 9

most commonly a degenerative processes with tears occurring as a result of breakdown of the tendon and eventual wearing out

Answer 9

rotator cuff tear

Question 10

Most commonly torn rotator cuff tendons

Answer 10

Supraspinatus and Infraspinatus

Question 11

One difference between rotator cuff tear symptoms and rotator tendonitis symptoms

Answer 11

rotator cuff injuries have weakness (active ROM decreased)

Question 12

Special test that assesses rotator cuff tear, specifically the subscapularis. Patient has arm behind back and is unable to lift it off

Answer 12

lift off test

Question 13

Deposition of calcium “hydroxyapatite” the rotator cuff tendon. Supraspinatus most common. extremely painful

Answer 13

calcific tendonitis

Question 14

loss of motion of the shoulder as a result of tightening and shrinking of the shoulder capsule. also known as frozen shoulder

Answer 14

adhesive capsulitis

Question 15

What are the risk factors for frozen shoulder?

Answer 15

female, DM, hypothyroidism

Question 16

Symptoms of adhesive capsulitis

Answer 16

loss of both passive and active ROM. Pain at end range of motion

Question 17

Injury to the soft tissue cartilage ring around the socket of the shoulder which provides stability to the shoulder.

Answer 17

labral tear

Question 18

Common complaint of labral tear besides difficulty throwing ball and mild sense of instability

Answer 18

painful pop

Question 19

Physical exam findings of labral tear

Answer 19

full ROM but crepitus with internal and external rotation

Question 20

Treatment for first time dislocation of shoulder

Answer 20

reduction and early immobilization followed by PT

Question 21

Pain with range of motion and guarding with reaching overhead. Positive apprehension sign and relocation test

Answer 21

anterior dislocation

Question 22

Why is osteroarthritis of the shoulder uncommon?

Answer 22

shoulder is non weight bearing

Question 23

Loss of range of motion especially external rotation and internal rotation. Strength will be normal. Crepitus with range of motion of glenohumeral joint “cogwheeling”

Answer 23

glenohumeral osteoarthritis

Question 24

first experience severe pain across the shoulder and upper arm. Within a few hours or days, weakness, wasting (atrophy), and paralysis may affect the muscles of the shoulder

Answer 24

Parsonage-Turner Syndrome