Shoulder Flashcards
Pain can be referred to shoulder from
lung gall bladder pancreas heart diaphragm
Lesions of shoulder refer pain to
deltoid tubercle.
Observations for shoulder?
posture
scapular winging
Step deformity
Supraspinatus can be palpated with shoulder in
20 degrees of extension
infraspinatus and tires minor can be palpated with patient in
prone on elbows
C4 nerve root can refer pain to
AC joint
C5 can refer pain to
GHJ
supraspinatus
deltoid tubercle
C6 can refer to
Infraspinatus teres minor subscap deltoid tubercle lateral elbow
ST of the shoulder
painful arc Apley's scratch Test Aprrehension test Jobe Relocation Test (fowler) Load and shift test Sulcus sign Neer impingement test Hawkins kennedy impingement test Active Compression test Drop arm Infraspinatus test Empty can Speeds Yergasons
Rotator cuff likely iff
> 65
Weak ER
night pain
Rotator cuff full thickness likely if
> 60
+painful arc
+drop arm
+infraspinatus test
Impingement likely if
+hawkin-kennedy
+painful arc
+infraspinatus
Anterior instability (traumatic) likely if
+apprehension
+relocation test
Labral tear likely if
+relocation test
+active compression test
A conventional shoulder replacement device mimics normal anatomy of shoulder
Shoulder arthroplasty (Standard)
reverse is backwards. duh