Shoulder Flashcards
Name the muscles of the rotator cuff
supraspinatus, infraspinatus, subscapularis, teres minor
Typically as a result of falling directly on the tip of the shoulder or hockey player getting checked into the boards
AC separation
Classic complaint for AC separation
pain with doing a dip
Treatment of AC separation or clavicle fracture
rest, ice, NSAIDs, sling. rarely treated with surgery
Pain with adduction of the shoulder. Patient will be sitting with shoulders rolled forward
Clavicle fracture
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.
Rotator Cuff Tendonitis
No weakness and full range of motion. Tenderness to palpation over the greater tuberosity or bicepital groove. Pain with resisted supraspinatus testing
rotator cuff tendonitis
Special tests you can do to check for rotator cuff tendontitis
Hawkins and Neers
most commonly a degenerative processes with tears occurring as a result of breakdown of the tendon and eventual wearing out
rotator cuff tear
Most commonly torn rotator cuff tendons
Supraspinatus and Infraspinatus
One difference between rotator cuff tear symptoms and rotator tendonitis symptoms
rotator cuff injuries have weakness (active ROM decreased)
Special test that assesses rotator cuff tear, specifically the subscapularis. Patient has arm behind back and is unable to lift it off
lift off test
Deposition of calcium “hydroxyapatite” the rotator cuff tendon. Supraspinatus most common. extremely painful
calcific tendonitis
loss of motion of the shoulder as a result of tightening and shrinking of the shoulder capsule. also known as frozen shoulder
adhesive capsulitis
What are the risk factors for frozen shoulder?
female, DM, hypothyroidism
Symptoms of adhesive capsulitis
loss of both passive and active ROM. Pain at end range of motion
Injury to the soft tissue cartilage ring around the socket of the shoulder which provides stability to the shoulder.
labral tear
Common complaint of labral tear besides difficulty throwing ball and mild sense of instability
painful pop
Physical exam findings of labral tear
full ROM but crepitus with internal and external rotation
Treatment for first time dislocation of shoulder
reduction and early immobilization followed by PT
Pain with range of motion and guarding with reaching overhead. Positive apprehension sign and relocation test
anterior dislocation
Why is osteroarthritis of the shoulder uncommon?
shoulder is non weight bearing
Loss of range of motion especially external rotation and internal rotation. Strength will be normal. Crepitus with range of motion of glenohumeral joint “cogwheeling”
glenohumeral osteoarthritis
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
Parsonage-Turner Syndrome
