Shoulder

Question 1

AC joint injury and Clavicular fracture

Answer 1

present similar
pain w/ adduction of the arm
pain over fracture or AC joint respectively
AC joint- paxinos test 
tx- rest, ice, nsaids

Question 2

Rotatorcuff tendonitis

Answer 2

pain in 4th or 5th decade of live usually
pain in anterior lateral of shoulder
painful when sleeping
hawkins and neer test
pain w/ palpation of bicepital groove
no weakness (if weakness think rotator cuff tear)
tx- 6 weeks of rest for throwers, strengthen muscles, possible steroid shot

Question 3

hawkins test

Answer 3

flex arm 90 degree flex elbow 90 degrees and internal rotate arm. if pain positive

Question 4

neer test

Answer 4

flex arm to side of head. if hurts it is positive

Question 5

2 largest risk factors for rotator cuff tear

Answer 5

1- age

2 smoking

Question 6

test for rotator cuff tear

Answer 6

subscap- belly compressoin test
subscap- lift off test from back
subscap- bear hugger
supraspinatus- pop can
infraspinatus- resist external rotation

Question 7

calcific tendonitis

Answer 7

horrible pain
usually the supraspinatus
pain w/ any shoulder movement
weakness just because of amt of pain
tx- nsaids, ice, rest, steroid injection of subacromion w/ needling calcium deposit

Question 8

adhesive capsulitis

Answer 8

frozen shoulder
risk factors- 50 yr old female, diabetes, hypothyroid
insidious onset of pain and lack ROM
may follow trauma but can be idiopathic
LOSS OF BOTH PASSIVE AND ACTIVE ROM
tx- physical therapy, manipulation under anesthesia, arthroscopic capsular release

Question 9

labral injuries (SLAP tear)

Answer 9

usually under 20 yrs old
common in throwers/athletes
complaints of pop
obrien test
tx- conservative- strengthen rotator cuff

Question 10

obrien test

Answer 10

flex arm 90 degrees, adduct arm 30 degrees, w/ thumb facing down resist upward force. then turn thumb up and resist upward force again. if positive w/ thumb down and now w/ thumb up positive

Question 11

what causes posterior shoulder dislocation

Answer 11

football linemen, electrocution, seizure

Question 12

test for anterior dislcoation

Answer 12

apprehension test

relocation test

Question 13

shoulder arthritis

Answer 13

not as common cause non weight bearing
insidious onset of anterior/lateral pain
pain at end of ROM
loss of rom of external and internal rom
crepitus
tx- nsaids, tylenol, glucosamine/chondritin, steroid shot, shoulder replacemnt

Question 14

parsonage turner syndrome

Answer 14

brachial plexus neuritis
usually occurs 6 weeks after viral infxn
inflammation of brachial plexus (supra scapular nerve)
severe pain immediately of shoulder
in 2 days weakness and possible paralysis of arm
atrophy of supra and infraspinatus
tx- oral steroids, neurontin, pain med