shoulder Flashcards
what makes up the rotator cuff
SITS
supraspinatus
infraspinatus
teres minor
subscapularis
most common causes of shoulder issues
most common complaint?
trauma and overuse
pain and decrease ROM
MOI of shoulder dislocation - anterior and posterior
in what direction is the arm often held?
Anterior - fall onto arm (most common)
Posterior - direct force applied to front of shoulder
often held in the adducted position
what type of imaging would you want to get for a shoulder dislocation
X ray - Y view
anterior reduction of dislocated shoulder:
pt. lies prone, weight to dependent extremity
Stimson
anterior reduction of dislocated shoulder:
pt seated, arm slowly externally rotated, then abducted
Hennipen
anterior reduction of dislocated shoulder:
pt supine, arm is slowly abducted and externally rotated
Milch
AFter reduction what should you do?
ALWAYS: Post-reduction films - check nerve function
Shoulder immobilzer, or sling and swath
Analgesia - NSAIDs, narcotics
ortho follow up
PT
When the AC joint is injured (often in contact sports) what would you expect to see in an x ray
widening of AC joint
Treatment of an AC sprain/separation (tear of AC or coracoclavicular ligament)?
Grade 1 or 2 - sling for 7-21 days
ortho consult for other grades
Tear classification of AC sprain/separation:
incomplete tear, no AC separation
1
Tear classification of AC sprain/separation:
complete tear with total separation
3
Tear classification of AC sprain/separation:
incomplete tear, separation of distal clavicle and acromion
2
Tear classification of AC sprain/separation:
complete tear with anterior and inferior displacement of clavicle
6
Tear classification of AC sprain/separation:
complete tear with posterior clavicle displacement
type 4
Tear classification of AC sprain/separation:
complete tear with superior clavicle displacement
5
in rotator cuff tendonitis (caused by acute trauma or impingement) what movements will cuase pain on PE
forward flexion
internal rotation
what would you expect to see on a PE of a rotator cuff tear
muscle atrophy on exam
strength may/may not be diminished
testing for rotator cuff injury
treatment
PE or MRI
sling
MOI of clavicle fracture
direct blow/fall on outstretched arm
treatment for clavicle fracture
sling and swath
or figure 8
with a clavicle fracture what may be an indication for surgical consult when looking at the patient externally
tenting of skin
condition where the tissues around the joint stiffen, scar tissues form, and shoulder movements become difficult and painful
Frozen should
aka Adhesive capulitis
when does frozen shoulder occur?
- after surgery or injury
- people 40-70 y/o most often
- people with chronic disease
