Shoulder

Question 1

abduction ROM

Answer 1

180

Question 2

flexion ROM

Answer 2

180

Question 3

scaption

Answer 3

170-180

Question 4

ER

Answer 4

80-90

Question 5

IR

Answer 5

60-100

Question 6

extension

Answer 6

50-60

Question 7

adduction

Answer 7

50-75

Question 8

CPP of shoulder (glenohumeral joint)

Answer 8

abduction to 90 and ER

Question 9

OPP of shoulder?

Answer 9

55 degrees of abduction, 30 deg. of horizontal adduction and ER

Question 10

diagnose external primary impingement stage 1

Answer 10

intermittent mild pain with OH activities

>over age 35

Question 11

diagnose external primary impingement stage 2

Answer 11

mild to moderate pain w/ OH activities, over age 35

Question 12

diagnose external primary impingement stage 3

Answer 12

pain at rest or with activities, night pain, scapular or rc weakness is noted

Question 13

diagnose full thickness rc tear

Answer 13

classic night pain
most weakness in abduction and lateral rotation
loss of motion

Question 14

diagnose adhesive capulitis (idopathic frozen shoulder)

Answer 14

inability to perform ADLs secondary to loss of motion

Question 15

rotator cuff mm

Answer 15

supraspinatus
infraspinatus
teres minor
subscapularis

Question 16

Neer’s classification of rotator cuff disease:

Answer 16

stage 1: edema and hemmorrhage of the tendon and/or bursa
stage 2: tendinitis and fibrosis of the rc
stage 3: tear of rc (full or partial)

Question 17

rc tear MOI

Answer 17

traumatic: usually falling onto an abducted and extended arm
atraumatic: overuse, degeneration

Question 18

S&S of rc tear

Answer 18

weak and painful mmt

Question 19

tests for rc tear

Answer 19

empty can
neers
painful arc
drop arm
hawkins kennedy

Question 20

tx of rc tear

Answer 20

prom only for awhile after sx
aarom
arom
blackburn exercises

Question 21

adhesive capsulitis

Answer 21

inflammation and fibrosis of the glenohumeral capsule and ligaments causing severe limitation of mobility

Question 22

causes of primary adhesive capsulitis

Answer 22

idiopathic

Question 23

causes of systemic secondary adhesive capsulitis

Answer 23

associated with DM, thyroid dysfunction, adrenal dysfunction

Question 24

causes of intrinsic secondary adhesive capsulitis

Answer 24

rc disorders, biceps tendonitis, calcific tendons

Question 25

causes of extrinsic secondary adhesive capsulitis

Answer 25

associated with a known abnormality of the shoulder or surrounding tissues, mastectomy, cervical ridiculopathy, tumors, CVA, humeral shaft or clavicular fractures, scapulothoracic abnormalities, acromioclavicular arthritis

Question 26

how do u diagnose adhesive capsulitis?

Answer 26

u simply have to rule everything else out!, also they will have deep burning pain all around the shoulder girdle, and pain that wakes them up at night and positive shrug sign.

Question 27

hallmark of adhesive capsulitis?

Answer 27

shrug sign! and … loss of PROM AND AROM following the CPR for the shoulder (ER> abduction > IR)–ER MOST effected!

Question 28

ad. cap. stage 1

Answer 28

less than 3 mo.
achy pain at rest, sharp pain at end range
often misdiagnosed as rc tear

Question 29

ad. cap. stage 2

Answer 29

freezing
lasts about 6 months
very painful with any motion

Question 30

ad. cap. stage 3

Answer 30

frozen
lasts about 5 mo
no more pain but shoulder is beyond stiff

Question 31

ad. cap stage 4

Answer 31

thawing
lasts up to 14 mo
painless stiffness begins to improve with tx

Question 32

SLAP lesion

Answer 32

superior labral tear, labrum and biceps tendon anchor tear away. horizontal abduciton and ER= pain

Question 33

Bankart lesion

Answer 33

ligament tears during shoulder dislocation, the inferior glenohumeral ligament pulls the inferior labrum away from the glenoid rim (called a bony bankart if a piece of bone is pulled away as well)

Question 34

MOI of bankart lesions

Answer 34

repetitive OH throwing (pitchers and QBs)
foosh
violent OH reach (sliding into home)
sudden pull (wt. lifters)
catching a heavy object
hx of shoulder instability eventually leads to a tear

Question 35

S&S of labral tear

Answer 35

pain with OH movement
catching, locking, popping, grinding
weakness
instability
loss of ROM
difficult to pin point the pain
night pain
NO SWELLING

Question 36

special tests for labral tears

Answer 36

SLAPrehension test
biceps load test
speeds test
load and shift test
active compression test
clunk test
crank test

Question 37

how to perform an active compression test

Answer 37

have pt put arm in 90 deg. flexion and 10 deg. horizontal adduction and full IR, place a downward force through the arm like a MMT. Positive for labral tear when pain present in IR but relieved by putting arm in full ER.

Question 38

Shoulder instability

Answer 38

the body’s inability to keep the humeral head in the glenoid fossa

Question 39

static stabilizers

Answer 39

ligaments, tendons, capsule, articular surfaces, coracoacromial arch

Question 40

dynamic stabilizers

Answer 40

mm–> rc + deltiod & biceps, negative pressure

Question 41

anterior instability MOI

Answer 41

abduction+extension+ER+posterior force

Question 42

S&S ant. instability

Answer 42

clicking, pain, dead arm feeling when throwing, inc. joint motion in ant. direction

Question 43

posterior instability MOI

Answer 43

axial loading when arm is adducted and IR (seizure or electric shock)

Question 44

S&S of post instabliity

Answer 44

impingement signs, IR deficit, pain and clicking, inc joint motion in the post. direction

Question 45

multidirectional instability

Answer 45

instability in 3 areas, anterior, posterior, inferior

Question 46

tests for shoulder instability

Answer 46

load and shift
anterior drawer
apprehension relocation test

Question 47

what do u NEVER do in the same plane of instability?

Answer 47

mobs/manual therpay