Shoulder Flashcards

1
Q

impingement syndrome

A

can be mechanical or functional primarily

most commonly overhead activities over time produce impingement

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2
Q

orthos for impingement syndrome

A

neers
hawkin’s kennedy
painful arc

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3
Q

anterior pain associated with an impingement syndrome

A

subacromial bursitis

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4
Q

posterior pain associated with an impingement syndrome

A

infraspinatus/teres minor

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5
Q

if pain is under the AC joint

A

supraspinatus problem

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6
Q

coracoid pain associated with impingement syndrome

A

subcoracoid impingement of the subscapularis

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7
Q

traumatic instability

A

past history of shoulder dislocation

complains of pain or weakness when arm is placed in overhead position or apprehension position

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8
Q

stability is evaluated with what tests?

A

apprehension
load and shift
relaocation test
anterior release (surprise) test

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9
Q

not traumatic instability

A

may be asymptomatic
when symptoms occur often a result of sudden traction or difficulty working in overhead position due to fatigue
may have inherent looseness to their shoulder capsules

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10
Q

rotator cuff tears MC involve

A

supraspinatus

may involve injury to infraspinatus, subscapularis or teres minor tendons and muscles

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11
Q

pain with rotator cuff tear

A

overhead activities or weakness in lifting the arm

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12
Q

rotator cuff tears can be due to

A

trauma
secondary chronic degenerative change in the tendon
repetitive forces, degeneration, anatomic impingement

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13
Q

when might a patient be weak if they have a rotator cuff tear?

A

external rotation

supraspinatus

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14
Q

sprain/strain of the shoulder

A

over stretch or over contraction history

worse with specific ROM of the muscle/ligament that is strain/sprained

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15
Q

supraspinatus

A

empty can test

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16
Q

subscapularis

A

lift off test

17
Q

infraspinaus/teres minor

18
Q

biceps

A

speed’s test

19
Q

adhesive capsulitis

A

MC idiopathic
disuse
vascular insufficiency

20
Q

acute phase of adhesive capsulitis

A

patient complains of moderate to severe pain taht limits all shoulder movement

21
Q

middle phase of adhesive capsulitis

A

past history of the acute phase of 1 to 3 months

22
Q

final phase of adhesive capsulitis

A

slower increase in ROM with significant reduction

23
Q

subdeltoid bursitis

A

same as subacromial bursitis often been associated with impingement syndrome or as an isolated condition

24
Q

findings of subdeltoid bursitis

A

palpation: tenderness found anterior to AC joint on passive extension of the shoulder
active ROM: most movements are painful in particular forward flexion
passive ROM: end range forward flexion and abduction are painful

25
HADD vs CPPD vs SOCM
HADD- calcification in the tendon CPPD- thin linear calcifications near the joint SOCM- multiple calcifications around the joint
26
SLAP tear
history of popping, clicking or catching may suggest labral tear may be associated with atnerior dialocation or sudden contraction of bicepts or fall on a forward flexed arm
27
orthos for SLAP tear
crank | o'brien's
28
anterior shoulder dislocation
usually due to indirect force on arm while in abducted and externally rotated position 95% of shoulder dislocations
29
bankart lesion
osseous fragmnt adjacent to the inferior aspect of the glenoid fossa
30
shoulder impingement
neers hawkins painful arc
31
instability
``` apprehension relocation surprise load and shift sulcus sign ```
32
labral tears
``` crank obriens bicep load II provocative test of mimori test of zaslov ```
33
rotator cuff
``` empty can infraspinatus muscle test palpation drop arm lift off hawkins ```