Shoulder Flashcards
Shoulder pain from referral is from where?
Certain or t spice facets
Cause of anterior shoulder pain?
Subacromial bursitis
Lateral shoulder pain cause?
Supraspinatus rupture
Superior shoulder pain?
AC joint
How long should you care for a shoulder with conservative care?
6 months
What orthos are done for impingement syndrome?
Neers, Hawkins-Kennedy, and painful arch’s
What movement most commonly causes impingement ?
Overhead actives
What space is decreased in impingement syndrome?
Subarcominal
Subarcrromial impingement has pain point where?
Anterior joint
Infraspinatus/teres Minor impingement has pain where?
Posterior
A painful arch is found in what degree range ?
60-120
What is the most common acromian process type?
Curved
What type of acromian process is associated with increased incidence of shoulder impingement?
Hooked
What is the normal subacromial space height?
9-10 mm
What orthos are used for shoulder instability?
Load and shift test, apprehension, relocation.
What other test is good for instability ?
Anterior release (surprise) test
What muscle is most commonly involved in a rotator cuff tear?
Supraspinatus
What motion is really messed up in rotator cuff tears?
External rotation
What orthos are done for rotator cuff tear?
Drop arm, empty can, lift off
What test finds weariness in the subscapularis?
Lift off test
What imaging do you wanna do if you suspect a rotator cuff tear?
MRI
Where do most tears occur in general?
Critical zone
What is the critical zone?
1 cm PROXIMAL to insertion to of the tendon
In the critical zone is there an increase or decrease of vascular supply?
Decrease