Shoulder Flashcards
What are 2 factors to think about when assessing shoulder ?
Age and Chief complaint
2 types of stability in GH
Static and dynamic
what are the static resraints of GH joints
Capsule and ligament
Superior GHL and Coraco humoral lig limit _____
ER of adducted shoulder
Middle GHL limit
Ant translation of abducted arm
Inf GHL limit
IR and ER with arm abd.
Labrums 3 roles in stability
^ depth
Conformity
Attachment
Labrum is the _____ stabilizer of GH
Dynamic
Subacromial bursa incarcerated in subacromial arch becoming painful
Impingement
Stages of impingement:\
1: edema and hemorrhage
2: Fibrosis/tendinitis
3: AC spur or RC tear
Patho of impingement
Intrinsic cuff problem
Supraspinatus weakness
Fatigue
Overpowering Delt
Repeated impingement of cuff and humeral head & traction on coraoacromial ligament
Neer special test
IR to end range or pain with shoulder at 90 degrees of flexion
Hawkins test
Tx for impingement
- rest
- Restore flexibility (post capsule)
- Restore strength
- Modify activity
Flow of impingement treatment
Pain>motion>strength>scalp control
Special tests for tendinitis/tear
Drop arm
Speeds
Yergasons
SLAP
LAbral tear associated with avulsion
Bankart
Labral tear associated with bicep rupture
SLAP
Anterior Dislocation Tx
Blanker repair
Anterior Capsulolabral Reconstruction
Athroscope
(Watch ER)
Posterior dislocation test
JErk
Load and shift
Kim’s test
Types of multidirectional instability
1: global
2: Anteroinferior
3: posteroinferior
4: anteroposterior
Patho of instability
Loose capsule from single trauma or repetitive trauma
Tx options on dislocation /instability
Non-operative
Open inferior capsule shift
Athroscope
Frozen shoulder
Adhesive Capsulitis
Tx: of adhesive capsulitis
NSAID
Injections
Aggressive ROM program
Strengthening after motion
