Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Musculoskeletal I > Shoulder > Flashcards

Shoulder Flashcards

1
Q

shoulder

CROSS BODY ADDUCTION TEST:

A
  • AC sprain, pathology
  • Patient: sitting
  • Have the patient flex shoulder to 90°
  • Examiner horizontally adducts the patient’s arm to end range
  • +ve test is pain reproduction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

shoulder

Which is the most common type of shoulder dislocation?

A

80-90% are anterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

shoulder

Types of RCT surgeries:

A
  1. Athroscopic (doens’t mean it heals faster)
  2. Mini-open: masive tears, partial deltoid detachment
  3. Open: deltoid detachment
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

shoulder

When does the structural inspection occur during the examination process?

A

after ROS, then make a decission to refer out

before the screening exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

shoulder

Labral tears usually present with:

A

RCT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

shoulder

Humeral shaft Fx healing time and tx:

A
  • rapid healing
  • ORIF
  • immobilization achieved by cast, splint, external fixation
  • PROM until fx is healed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

shoulder

What is AMBRI?

A
  • Atraumatic
  • Multidirectional
  • Bilateral (frequently)
  • Rehabilitation (often responds to)
  • Inferior capsular shift (surgery)

AKA Multidirectional Shoulder Instability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

shoulder

What is a Bankart lesion?

A
  • Detachment inferior GHL complex
  • 3-7 o’clock
  • common with dislocations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

shoulder

when does PROM (a. osteokinematic b. arthrokinematic) occur during the examimation?

A

after AROM

before Resistive test (MMT / MSTT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

shoulder

Visceral organs can refer pain to R and L shoulder:

A
  • Right shoulder: liver, stomach, pancreas, gall
    bladder
  • Left shoulder: heart, spleen
  • Both: Pancoast’s Tumor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

shoulder

MOI of shoulder dislocation

A

AB/ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

shoulder

Why a Humeral Shaft Fx may damage the radial nerve? How would asses a radial nerve injury?

A
  • radial nerve raps around the the mid shaft of the humerus
  • sensation examination
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

shoulder

when does resistive test: MMT / MSTT, occur during the exam?

A

after PROM

before muscle lenght (if needed)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

shoulder

Pain with clicking during over head motions could be…

A

labral tear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

shoulder

Difficulty moving the arm not due to pain:

A
  • nerve issue
  • frozen shoulder (adhesive capsulitis)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

shoulder

The higher the positive LR…

A

the better it is

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

shoulder

when does ROS occur during the examination?

A

after history

before structural inspection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

shoulder

Structures that give pasive stability to the shoulder:

A
  • bony fit
  • capsule
  • labrum
  • ligaments:
    • SGHL (0 degress)
    • MGHL (45 degrees)
    • IGHL (90 degress)
    • CHL (0 degrees)
    • CAL
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

shoulder

What type of joint is the AC joint?

A

plane joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

shoulder

Adhesive capsulitis tx:

A
  • Modalities
  • Mobilization
  • Stretching
  • Corticosteroid injection (after one month of PT)
  • Manipulation under anesthesia (if no progress in 6 months)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

shoulder

Type I slap associated with:

A

RCT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

shoulder

Arm feels loose or slips “in or out”

A

possible dislocation, instability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

shoulder

Moderate irritability pain scale:

A

4-6/10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

shoulder

which RC muscles are prone to lenghten?

A

supraspinatus and infraspinatus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

shoulder

What happens in a GRADE II AC sprain?

Surgery? Sling for how long?

Back to normal in how long?

A
  • Complete Tear of the AC ligament and a sprain (stretching) of the CCL
  • No surgery. Sling 2-4 weeks
  • Rehab a minimun of 3 months
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

shoulder

Stages of adhesive capsulitis:

A
  1. Pre-adhesive stage: Mild synovitis patients present with mild end-range pain
  2. Freezing stage: Thickened synovitis acute discomfort and very painful end range movement
  3. Frozen stage: Less synovitis and mature adhesions significant
    stiffness with less pain (established contractures)
  4. Thawing phase: Capsular restrictions without synovitis painless stiffness motion slowly improves
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

shoulder

Treatment of a prox humerus fx that opend reduced

A
  • Some evidence that ‘immediate’ PT compared to 3 weeks immobilization (then PT) had reduced pain and better function for non-displaced fractures
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

shoulder

Which ligament s give the greatest passive stability to the shoulder at rest?

A
  • SGHL
  • CHL
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

shoulder

How is atraumatic multidirectional bilateral instability of the shoulder treated?

A
  • Rahabilitation initially (3months)
  • Inferior capsular shift repair (incision of the capsule)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

shoulder

Adhesive capsulitis:

Limitations

Demographics

Other facts?

A
  • Limitation in ext rotation the most
  • Insidious onset
  • Usually between 40-65 years old with an incidence greater in females
  • There is between 5-35% chance it happens on the other side
  • Increases to 10-40% in patients with diabetes or thyroid dysfunction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

shoulder

What is the position of the pt for palpattion of infasp/teresminor?

A

prone on elbows, shifting their weight to the side being palpated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

shoulder

most common fxs?

A

humerus and clavicle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

shoulder

What is the goal of adhesive capsulitis PT tx?

A
  • GOAL: treat based on irritability
    • LESS is MORE
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

shoulder

True or false:

Adhesive capsulitis increases to 10-40% in patients with diabetes or thyroid dysfunction

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

shoulder

Pt c/o R shoulder pain that does not change with rest. Activities/movements do not change symptoms

A

referred pain from liver, stomach, pancreas, gall
bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

shoulder

Post operative Massive > 5cm RCT guideline:

A
  • Sling: 8 weeks
  • Full PROM: 12 weeks
  • Isotonics: 12 weeks
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

shoulder

AC sprain examination test?

A
  • AC compression
  • Cross body ADD
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

shoulder

When are special tests performed in the examination process?

A

after muscle lenght if needed

before palpation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

shoulder

two capsular labral pathologies:

A
  • SLAP: 10-2 biceps involved, avoid biceps contractions
  • Bankart: 3-7 (R) or 5-9 (L)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

shoulder

Is the biceps tendon attached to the superior labrum?

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

shoulder

50 y/o overweigh man, smoker, c/o billateral shoulder pain that does not change with rest. Activities does not change the symptoms:

A

Pancoast’s Tumor, referred pain

A Pancoast tumor, also called a pulmonary sulcus tumor or superior sulcus tumor, is a tumor of the pulmonary apex. It is a type of lung cancer defined primarily by its location situated at the top end of either the right or left lung. It typically spreads to nearby tissues such as the ribs and vertebrae. Most Pancoast tumors are non-small cell cancers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

shoulder

scapular winging (internal rot)?

tiping?

A
  • SA weakness (long thoracic n damage)
  • Short pec minor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

shoulder

Rule in RCT:

A
  1. Supraspinatus weakness
  2. Weakness in ER
  3. Positive impingement signs
  • Nigh pain
  • Over 60 y/o?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

shoulder

Most common clavicle fx?

Mechanism of fx?

A

middle 1/3rd ~ 80%

fall onto or a direct blow to the shoulder, giving an axial compressive force on the clavicle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

shoulder

Which ligament gives the best pasive stability at o degrees of shoulder abb?

A

SGHL and CHL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

shoulder

Which structures give active stability to the shoulder?

A
  • RC muscles
  • Scapulothorathic muscles:
    • SA
    • Deltoid
    • Triceps
    • Teres major
    • Rhomboids
    • Levator scapulae
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

shoulder

The lower the negative LR…

A

the better it is

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

shoulder

Shoulder muscles prone to shortness:

A
  • Levator scapulae
  • Pectoralis major and minor
  • Suboccipitals
  • Sternocleidomastoid
  • Upper trapezius
  • Scalenes
  • Teres major and minor
  • Subscapularis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

shoulder

Which 4 signs have a great positive likehood ratio for dectecting RCT?

A

(+LR 28)

  • Age greater than 60
  • ER weakness
  • Positive drop arm
  • Night pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

shoulder

How does proximal humerus fx usually occurs?

A

trauma, FOOSH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

shoulder

Which ligament gives the best pasive stability at 45 degrees of shoulder abb?

A

MGHL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

shoulder

What is the next adhesive capsulitis tx if after 6 months of conservative mgmt (PT) there is no improvement?

A

manipulation under anesthesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

shoulder

Weakness and atrophy in supraspinatus and infraspinatus may be due to what?

A

suprascapular nerve entrapment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

shoulder

which is the most common arthritic condition of the shoulder?

A

GHJ OSTEOARTHRITIS

55
Q

shoulder

What is the chance of Hill-Sachs lesion in an anterior dislocation?

recurrence?

A
  • 35% of dislocations
  • 80% of recurrent dislocations
56
Q

shoulder

What MUST the therapist check in a shoulder dislocation (can become a complication)?

A
  • Nerve integrity, Axillary nerve
  • vascular integrity, check radial pulse
57
Q

shoulder

How is an intrarticular fx of the scapula treated?

A

ORIF

58
Q

shoulder

Think instability/impingement for

A

younger patients especially overhead athletes

59
Q

shoulder

Point scale to rule in RCT:

A
  • 0-1 = 42%
  • 2-3 = 68%
  • 4-5 = 91%
  • Age > 65 (2 points)
  • ER weaknes (2 points)
  • Night pain (1 point)
60
Q

shoulder

Biceps load test:

A
  • Labral tear (Sp: 90%)
  • Examiner puts the shoulder in 120°shoulder AB and 90° elbow flexion
  • Move the patient’s shoulder to end range ER
  • Examiner should now resist elbow flexion
  • +ve test is pain reproduction
61
Q

shoulder

a positive LR of 1 to 2 and

negative LR of 0.5 - 1.0

A

not good

A small and rarely important shift in probability

62
Q

shoulder

Objective examination includes:

A
  1. Structural inspection
  2. Screening exam (if there are radicular symptoms)
  3. Movement Analysis
  4. AROM
  5. PROM:
    • Joint mobility assessment: GHJ, STJ, SCJ, ACJ
  6. Resistive test:
    • MMT / MSTT
  7. Muscle lenght if needed
  8. palpation
63
Q

shoulder

What is the the “QuickDASH”

A
  • A functional outcome measure
  • The higher the percentage the higher the disability
  • 0-100%
64
Q

shoulder

What nerve can get injured in prox fractures of the humerus?

A

axillary

65
Q

shoulder

After one month of conservative mgmt (PT) if there is no improvement in adhesive capsulitis…

A

1 injection of corticosterois is indicated

66
Q

shoulder

How are 85% of prox humerus fx treated?

The other 15?

A
  • closed means: sling + early motion
  • Surgery: pins, traction, ORIF, joint replacement
67
Q

shoulder

What is likehood ratio?

A

combine sensitivity and specificity

68
Q

shoulder

Complications in shoulder dislocation:

A
  • axillary artery and nerve damage
  • may be an associated fx to the glenoid (ORIF)
  • stiffness: loss of AB/ER
  • Hill- Sacks lesion
69
Q

shoulder

MOI of AC sprains?

A
  • Direct trauma
  • FOOSH
70
Q

shoulder

Structures through subacromial space:

A
  • Supraspinatus
  • Subacromial bursa
  • LH Biceps
71
Q

shoulder

A positive Biceps Load II test means that:

(in terms of 90% specificity)

A
  • 90% sure they have a labral tear
  • 10% chance to get a false positive
72
Q

shoulder

direction of joint mobilization to increase external rotation?

A

anterior

73
Q

shoulder

volleyball female player shows difficulty with external rotation. The MRI shows a cyst underneath the spine lat scapula:

A

may be spinoglenoid notch impigment

74
Q

shoulder

Think RCT for older individuals presenting with

A

night pain

75
Q

shoulder

Which ligament gives the best pasive stability at 90 degrees of shoulder abb?

A

IGHL

76
Q

shoulder

Post operative Small RCT guidelines:

A
  • Sling 1-2 weeks
  • Full PROM: 6-8 weeks
  • Isotonics 8 weeks
77
Q

shoulder

Screening out RCT:

A
  • No night pain (Sn 87.7)
  • No arc of pain (Sn 97.2)
  • No impingement signs (Sn 97.2)
  • No weakness
78
Q

shoulder

True or false:

Anterior shoulder dislocations always causes Bankart lesions

A

false

79
Q

shoulder

Post operative Med-large 2-5cm RCT guideline:

A
  • Sling: 4-6 weeks
  • Full PROM: 8-10 weeks
  • Isotonics: 10 weeks
80
Q

shoulder

which RC muscles are prone to shortness?

A

subscapularis and teres minor

81
Q

shoulder

Pt c/o L shoulder pain that does not change with rest. Activities/movements do not change symptoms

A

referred visceral pain from heart or spleen

82
Q

shoulder

Classification of irritability:

A
83
Q

shoulder

when does movement analysis occur during the examination test?

A

after screeening exam

before AROM

84
Q

shoulder

What happens in a GRADE I AC sprain?

Sling for how long?

Back to normal in how long?

A
  • a simple stretching of the AC ligament
  • sling 1-2 weeks
  • 5-6 wks back to full competition
  • (ACJ sprain, direct trauma or FOOSH)
85
Q

shoulder

when does the MMT test occur during the exam?

A
  • after PROM
  • before muscle lenght
86
Q

shoulder

What happens in a GRADE III AC sprain?

Surgery? Sling for how long?

Back to normal in how long?

A
  • AC and CC ligaments completetly tear
  • No surgery. Sling at least 1 month (4-6 wks)
  • Rehab 6 months before back to normal
  • Sometimes surgery required
87
Q

shoulder

What is a Hill Sachs lesion?

A
  • Indentantion fx of the posterior humeral head
  • casued by anterior dislocation
88
Q

shoulder

Sulcus sign:

A
  • Multidirectional instability
  • Grasps elbow and pulls down causing an inferior distraction force
  • Examiner notes in cm distance between inferior acromion and superior humeral head
  • +ve test is excessive movement
89
Q

shoulder

which are the 1st three steps of the examination process?

A
  1. Review of pt reported materials: intake form, imaging
  2. Observation
  3. History
90
Q

shoulder

How would you differenciate a RCT from Pancoast’s tumor in older individuals presenting with night pain?

A

In pancoast’s tumor activities/movements do not change symptoms

91
Q

shoulder

Think labral injuries for…

A

repetitive overhead activities or trauma

92
Q

shoulder

Pt complains of pain ranges from posterior joint line to the insertion of the deltoid, RC muscle are intact, pain gets worse at night, loss of motion which has an bony end-feel

A

GHJ Osteorarhritis

93
Q

shoulder

What is FOOSH?

A

Fall on Outstretched Hand

94
Q

shoulder

Labral tears MOA:

A

traumatic or repetitive stress:

  • FOOSH
  • Repetitive: high eccentric activity of the biceps muscle during deceleration phase of throwing (peel-back mechanism)
95
Q

shoulder

How is a traumatic unidirectional dislocation that includes a Bankart lesion treated?

A

surgery

96
Q

shoulder

What is suprascapular nerve entrapment?

A
  • Impigment of the suprascapular nerve in the suprascapular notch
  • Weakness in supraspinatus and infraspinatus
97
Q

shoulder

Who may be prone to posterior dislocation:

A
  • extremelly rare
  • MOI: ad/ir
  • swimmers when they hit the wall to turn
98
Q

shoulder

What is TUBS?

A

Shoulder instability

  • Traumatic
  • Unidirectional
  • Bankart lesion (3-7 on the R shoulder 5-9 on the L)
  • Surgery

All bankart lesions are treated with surgery

99
Q

shoulder

When does AROM occurs during the examination?

A

after movement analysis

before PROM

100
Q

shoulder

3 questions for differential diagnosis of the shoulder:

A
  1. Are the patient’s symptoms reflective of a
    * *visceral disorder**?
  2. From where is the patient’s pain arising?
  3. What has gone wrong with this person as a whole to cause pain?
101
Q

shoulder

Type III/IV SLAP associated with:

A

traumatic instabilities

​

102
Q

shoulder

direction of joint mobilization to increase abb?

A

inferior

103
Q

shoulder

Scapulohumeral rhythm:

A
  • GHJ 120
  • STJ 60:
    • SCJ 30
    • ACJ 30
104
Q

shoulder

  • Elevated cytokine levels which cause inflammation.
  • Inflammation eventually causes scarring of the rotator cuff interval, superior GH ligament and coracohumeral ligament.
  • This leads to a limitation in all motion but mostly ER of the GHJ (capsular pattern)
A

adhesive capsulitis

105
Q

shoulder

short pect minor and lower trapezius weakness may create what movement of the scapula?

A

anterior tipping of the scapula

106
Q

shoulder

Which 3 shoulder special tests, when performed together, have a great positive likehood ratio for dectecting subacromial impigment?

A
  • Positive Hawkins Kennedy
  • Positive Painful Arc
  • Infraspinatus test
  • +LR 10.54
107
Q

shoulder

the higher the value, the better the chance to rule in the condition or pathology

A

Specificity

SpIN

108
Q

shoulder

Spinoglenoid notch impigment:

A
  • difficul to diagnose
  • may be confused with RCT
  • supraclavicular nerve has already innervated the supraspinatus, therefore only the infraspinatues is affected (ext rota)
  • volleyball players
  • mostly female
  • there may be a cysts
109
Q

shoulder

Shoulder muscles prone to lengthen:

A
  • Middle and lower trapezius
  • Serratus anterior
  • Longus colli and capitis
  • Supraspinatus
  • Infraspinatus
  • Rhomboids
110
Q

shoulder

In which type of labral tear should you avoid biceps contractions?

A

SLAP

111
Q

shoulder

Overhead activities change symptoms may be…

A
  • impigment
  • RCT
  • Labral tear
  • Multidirectional instability
112
Q

shoulder

Arm feels heavy after activities:

A
  • vascular problem: arterial insuficiency
  • aneurysm in axillary artery
113
Q

shoulder

Treatment of GRADE IV, V VI AC sprain?

(No need to know these)

A
  • Surgical intervention
  • Reconstruction
  • 6 months and over
  • Very rare
114
Q

shoulder

a positive LR of > 10

and negative LR of less than 0.1

A

Generates large and often important shifts in probability

115
Q

shoulder

Think frozen shoulder for…

A

insidious onset, middle age females

116
Q

shoulder

O’Brien test:

A
  • Labral tear primarily
  • Could be a sign of AC pathology if pain is the AC area. If so:
    • AC compression test
    • Cross-Body Addcution test
  • Patient: sitting
  • Shoulder flexed to 90 and 10°of horizontal adduction
  • IR the shoulder apply resistance (auch, pain)
  • ER the shoulder apply resistance (no pain, or less pain)
  • +ve test is pain/clicking with the shoulder in IR
117
Q

shoulder

Types of SLAP lesions:

which types have biceps tear?

A
  • Type I: fraying of the superior labrum. May be treated conservatively
  • Type II: superior labrum frayed, torn, and detachment of the biceps anchor
  • Type III: bucket handle tear of superior labrum.
  • Type IV: bucket tear of the superior labrum with extension into the biceps tendon. Part of the biceps anchor still intact
118
Q

shoulder

Apprehension/Relocation test:

A
  • Anterior instability
  • Patient: supine shoulder in 90° of AB
  • Apply maximum passive ER of the shoulder
  • +ve test is the patient showing signs of apprehension (guarding, scary, may or may not be pain)
  • Relocation part: apply post force on the humeral head to provide stability, external rotation
119
Q

shoulder

Subject that have pain closer to end range of shoulder motion you should consider which joint as a pontential implicator?

A

Acromioclavicular joint

120
Q

shoulder

Crank test:

A
  • Labral tear
  • Pt supine: shoulder in 160 degrees AB
  • Apply a compression force to the humerus and rotate the humerus repeatedly into IR/ER
  • +ve test is pain and/or clicking
121
Q

shoulder

IMPINGEMENT/RC SPECIAL TESTS

A
  • Neer Impingement Test
  • Hawkins Kennedy
  • ER Lag Sign
  • IR Lag Sign
  • Drop Arm
  • Full Can
122
Q

shoulder

SLAP stands for

A

Superior Labral tear Anterior to Posterior

123
Q

shoulder

Yerganson test:

(Sp: 86%, Sn: 26%)

A
  • biceps tendonitis
  • A negative result: 74% chance you got a false negative (“useless” Dr. M)
  • Flex the elbow to 90° and the forearm pronated with the arm at the side
  • The examiner should resist ER and supination
  • +ve test is pain reproduction
124
Q

shoulder

Speed’s Test:

(Sp: 66%, Sn: 32%)

A
  • Primarily biceps tendonitis
  • Could be used for labral test
  • Palapate bicepts tendon (may feel creep during the test)
  • Resists shoulder flexion from 0-60 degrees
  • +ve test is pain reproduced in the bicipital groove
125
Q

shoulder

Shoulder dislocation tx?

A

Reduction: traction or traction with ER

126
Q

shoulder

what is the chance of recurrence after a shoulder dislocation?

A

60% specially before 18 birthday

127
Q

shoulder

the higher the value, the better the chance to rule out the condition or pathology

A

Sensitivity

SnOUT

128
Q

shoulder

High irritability pain scale:

A

> 7/10

129
Q

shoulder

Pain that occurs between 70 and 110 degrees of abduction is deemed a painful arc, and may indicate…

A

rotator cuff impingement, or tearing, or subacromial bursitis

130
Q

shoulder

Internal (Posterior) Impingement:

special tests?

A
  • Overhead athletes
  • AB/ER (cocking phase)
  • Anterior instability
  • Internal Impingement Test: Sn: 88% -LR 0.13, Sp: 96% +LR 8.2
    • pt stands 90°shld AB 80°ER
    • Examiner resists IR then ER
    • +ve test > weakness with IR
  • Jobe Relocation Test:
    • ​Posterior pain found upon overpressure to end range external rotation in the 90/90 position that is relieved with an posterior force would indicate posterior internal impingement.
131
Q

shoulder

The pain occurs due to compression of the supraspinatus and infraspinatus tendons by the posteriorly rotated greater tuberosity of the humeral head against the posterior/superior portions of the glenoid:

A

Internal (Posterior) Impingement

132
Q

shoulder

Pathologic contact between the margin of the posterior glenoid and the posterior tendons of the rotator cuff thatface the articular surface of the glenohumeral joint is known as

A
133
Q

shoulder

The chronic repeated compression or impingement can cause fraying of the undersurface of the supraspinatus tendon as well as some fraying of the superior labrum which can lead to …

A

superior labrum anterior to posterior (SLAP) lesions

Musculoskeletal I (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions