Shoulder

Question 1

If you get hit lateral to clavicle - where will damage be

Answer 1

Sternal will be fx

Question 2

If you get hit anterior on clavicle - where will damage be

Answer 2

Mid clavicle will fx

Question 3

mm that attach to clavicle

Answer 3

Pec major (ant/med)
Trap (lat)
SCM (med)
Deltoid (lat)

Question 4

Which has more motion - SC or AC

Answer 4

SC!

Question 5

Scapula location - landmarks with spine

Answer 5

Superior angle = T2
Spine = T3
Inferior angle = T7

Should be about 2 in from spine

Question 6

Coracoacromial arch contains

Answer 6

Supraspinatus tendon
LH of biceps
Subacromial bursa

Question 7

Scapulohumeral rhythm - for every__ degrees of ___

Answer 7

For every 2 degrees of GH motion there is 1 degree of scapular motion

Question 8

Phases of scapulohumeral rhythm

Answer 8

Early phase = 0 to 30 = all GH
Mid phase = 30 to 90 = 30 to 40 GH, 30 SC
Late phase = 90 to 180 = 50 to 60 GH, 30 AC, 10 spine

Question 9

Total of __ degrees of scapular ___ during flex/abd

Answer 9

60 degrees of scapular UR with flex/abd

Question 10

Subacromial space norm

Answer 10

10 mm

RTC injury will be less than 6

Question 11

What should dislocation is most common

Answer 11

ANTERIOR
Horiztonal abd/ER force FOOSA

Associated with Bankart lesion (ant labral tear)
Hill Sach lesion (fx of post humeral head)

Question 12

Places for thoracic outlet

Answer 12

Scalene (Adsons - rotate head towards ext arm)
1/2nd rib and clavicle (costoclavicular test - retract and depress scapula)
Pec minor (hyperabduction/wrights test)

Roos - 90 abd, full ER - o/c for 3 minutes

Question 13

Tight post capsule will show ___

Tx with what glide

Answer 13

Limited IR

IR - Roll ant, glide post

Tx with POST GLIDE

Question 14

Tight ant capsule will show ___

Tx with what glide

Answer 14

Limited ER, ext

ER - roll post, glide ant
Ext - roll post, glide ant

Tx with ANT GLIDE

Question 15

Tight inferior capsule will show __

Tx with what glide

Answer 15

Limited elevation, abd

Flex - roll sup, glide inf

Tx with INF GLIDE

Question 16

Start open or closed chain with shoulder pathology

Answer 16

start with CLOSED CHAIN

this is opp of LE

Question 17

Impingement tests

Answer 17

Hawkins kennedy (supraspin, biceps, bursa)
Yergason (90 flex with pron into ER and sup)
Neer (supraspinatus, bursa)
Cross over
Painful arc (60 to 100)

Question 18

Tendonitis tests

Answer 18

Speeds (bicep)
Empty can (supraspinatus)
Gerber (subscap)

Question 19

RTC tear tests

Answer 19

Hornblower (Pt asked to ER against resistance in 90 scaption)
Drop arm (supraspinatus)

Question 20

Labral tear tests

Answer 20

Obriens/Active compression (add and full IR - resistance, then add and full ER - if IR more pain than ER is pos) 
Crank (passive elevation to 160 then like scour) 
Bicep load (90 abd, 90 flex, ER to app then bring out a little, pt contract into elbow flex)

Question 21

Instability tests

Answer 21

Apprehension
Relocation (pt supine)
Sulcus sign (pt sitting, PT does inf glide and feel for step off)

Question 22

Bursas

Answer 22

Subdeltoid - largest in body

Subacromial - most common to get bursitis (of shoulder)