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
Reverse arthoplast used for
cuff tear arthropathy for other muscles to move the arm.
common precursor to frozen shoulder?
rotator cuff/impingement.
women 40-50
interventions for adhesive capsulitis
corticosteroid injection
education
modalities
mobs
Caused by anything that decreases space in subacromial area.
Impingement syndrome
time for nonoperative treatment for rotator cuff tear to declare itself?
6-12 weeks
for anterior joint instability avoid
90 deg bad and full ER
purpose to strengthening biceps/coracobrachialis/ subs cap?
provide butters against ant sublux
Purpose of strengthening pec/lat/teres major/subscap:?
control osteokinematic movement into abd/er
why strengthen infraspinatus and teres minor?
prevent arthrokinematic movement anteriorly.
What must be checked during labral tear surgery?
why?
instability because it will just happen again.
