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MM III > Shoulder > Flashcards

Shoulder Flashcards

1
Q

3 structures found in the subacromial space

A

subacromial bursa
supraspinatus mm
biceps tendon -long head

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2
Q

Overhead injuries are usually

A

RC and bursal problems

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3
Q

T/F arms by side (static posturing) positioning is usually an impingement mechanism

A

F - more myofascial in origin

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4
Q

Risk factors for persistent shoulder pain

A

high pain severity at presentation, gradual onset of pain, symptoms greater than 3 mo

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5
Q

R shoulder pain referral

A

peptic ulcer, liver abcess, gallstones/cholecystitis, hiatal hernia

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6
Q

L shoulder pain referral

A

splenic rupture, pancreatitis, cardiac, renal

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7
Q

RC impingement

A

pain referred to deltoid tub

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8
Q

AC joint is ______ honest

A

anatomically

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9
Q

Rot cuff history importance

A

hypercholesterolemia, family history, excessive lifting, above shoulder work, vibration work, >60 yo

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10
Q

AC history importance

A

weightlifting

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11
Q

OA history importance

A

hx of dislocation, >75 yo, knee OA

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12
Q

Adhesive capsulitis

A

diabetes or thyroid disorder

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13
Q

posterior labral tear

A

football

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14
Q

born loose

A

AMBRI

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15
Q

torn loose

A

TUBS

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16
Q

Outcome recommondations for shoulder

A

DASH, SPADI

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17
Q

clavicle angle

A

should be 10 degrees upward angle

18
Q

impingement syndrome test cluster

A

HK, painful arc, infra mm test

19
Q

full thickness RCT

A

drop arm, painful arc, infra mm test

20
Q

Anterior instability cluster

A

apprehension, relocation test

21
Q

Slap cluster

A

passive distraction, active compression

22
Q

Type I scapular dyskinesia

A

excessive anterior scap tilt

23
Q

Type II scapualr dyskinesia

A

excessive scap internal rot

24
Q

Type III scapular dyskinesia

A

excessive upward translation of the scap

25
Q

Type IV scapular dyskinesia

A

normal

26
Q

Stage I subacromial impingement syndrome

A

less than 25 yo, edema and hemorrhage in tendon, reversible without surgery

27
Q

Stage II subacromial impingement syndrome

A

25-40 yo, cuff fibrosis and tendinitis with partial tear, requires surgery considered after 1.5 years of conservative tx

28
Q

Stage III subacromial impingement syndrome

A

greater than 40 yo, bone spurs and tendon rupture, anterior acromioplasty and rotator cuff repair required

29
Q

most commonly involved RTC

A

supraspinatus, then infra, then subscap, then teres minor (rare)

30
Q

T/F pain and functional status are associated with tear size and thickness, fatty infiltrate, and atrophy

A

F

31
Q

T/F mental health, comorbidities, age, and sex are associated with pain/function in RCT

A

T

32
Q

macrotrauma

A

single episode FOOSH, dislocation, MVA

33
Q

microtrauma

A

repetitive shoulder activity (overuse - work or sport activity)

34
Q

Primary compression cuff disease

A

overcrowding in the subacromial space (thickening CA lig, AC joint OA/acromial spurring, RC tendon thickening)

35
Q

Secondary compression cuff disease

A

no anatomic “space” issues (GH instability, mm weakness, abn SH rhythm, poor motor control)

36
Q

internal impingement

A

repetitive contact of the greater tub of the hum head with the posterosuperior aspect of the glenoid when the arm is abducted and externally rotated

37
Q

primary tensile cuff disease

A

excessive tensile loads imposed on shoulder with repetitive throwing, racquet use

38
Q

rotator cuff calcific tendinopathy

A

calcium deposits in the supra tendon, usually occurs in patients with primary impingement syndrome (30-50 yo), rapid onset of pain, pain may be impingement like or may not be related to position or activity

39
Q

____ ROM in secondary impingement

A

excessive

40
Q

___ ROM in primary impingement

A

decreased

MM III (7 decks)

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