shoulder

Question 1

St-Cl fluid motion

Answer 1

place fingers at St-Cl joints and ask pt to shrug and roll their shoulders

Question 2

A-C PS fluid motion

Answer 2

compress humeral head into the glenoid fossa, then apply S-I pressure over distal end of clavicle

Question 3

GH fluid motion

Answer 3

block AC and scapular spine with 1 hand, apply I-S pressure at elbow

Question 4

S-T fluid motion

Answer 4

place thumbs at medial inferior angle, applying M-L pressure. Place thumbs at lateral-inferior angle applying L-M pressure

Question 5

3 indications of an inferior humerus

Answer 5

sulcus sign
pain at anterior GH joint
loss of fluid motion
loss of external rotation
anterior deltoid weakness

Question 6

indications of a posterior humerus

Answer 6

no visual change
loss of fluid motion
pain at posterior GH joint
loss of internal rotation
teres major weakness

Question 7

routine shoulder exam

Answer 7

St-Cl
A-C
GH
Sc-Th
St-Co
spine

Question 8

on a S-T lateral, what position do we place the pt’s arm

Answer 8

behind their back

doctor reaches through arm opening

Question 9

where is #11 of the stabilization hand

Answer 9

over A-C joint

Question 10

where are the fingers

Answer 10

over GH joint

Question 11

in what direction does the stabilization hand push to bring the joint to tension

Answer 11

S-I

Question 12

what’s the pain point for S-T L

Answer 12

deep to or under the scapula, in the subscapularis

Question 13

differentiate S-T L from S-T M

Answer 13

fluid motion
visualization
L: loss of internal rotation
M: loss of external rotation

Question 14

what part of the S-H ratio would be decreased with a GH P

Answer 14

GH portion

Question 15

MC mistakes for a S-T M, prone

Answer 15

shoulder should be off the table
stand on opposite side of contact
use inferior contact hand

Question 16

GH P prone LOC

Answer 16

P-A

Question 17

where is the pt’s shoulder

Answer 17

supported on the table

Question 18

why is the shoulder on the table

Answer 18

for stabilization

Question 19

indication of a Yergason’s positive

Answer 19

tear or sprain of transverse humeral ligament

Question 20

drop arm test

Answer 20

pt lowers arm against gravity: grade 3
lower against resistance: grade 2
impulse on arm: grade 1

Question 21

GH P seated LOC

Answer 21

straight P-A

Question 22

ROM used to bring it to tension

Answer 22

abduction and extension

Question 23

pain point

Answer 23

over P GH joint

Question 24

differentiate from GH P GH I

Answer 24

pain point
ROMs
xrays
weak muscles

Question 25

move of choice for the GH

Answer 25

supine traction

Question 26

3 alternatives to differentiate

Answer 26

GH P, subacromial bursitis, bicipital tendonitis, rotator cuff tear, dislocation, heart attack, gallbladder, spleen

Question 27

frozen shoulder

Answer 27

traction, release traction through ROM impulse

Question 28

GH traction seated

Answer 28

arm in armpit, thumb up | limiting factors

Question 29

GH traction supine

Answer 29

move of choice of a GH fixation

Question 30

3 diagnoses for GH traction supine

Answer 30

frozen shoulder, inferior humerus, posterior humerus, OA, GH dislocation

Question 31

St-Cl superior

Answer 31

abduction and extension tension | S-I thrust

Question 32

St-Cl traction seated

Answer 32

hold opposite shoulder back not rotating

Question 33

St-Cl traction supine

Answer 33

MC subluxates S | should be done before St-Cl S

Question 34

A-C PS

Answer 34

push down on clavicle for S | push forward and externally rotate for P

Question 35

MC muscle involved with hyperabduction syndrome or a positive wright

Answer 35

pec minor

Question 36

what causes the pec minor to be shortened or go into contracture

Answer 36

cervical subluxation subacromial bursitis rolled shoulder posture other TOS types

Question 37

Scalenus anticus syndrome is caused by

Answer 37

subluxation

Question 38

what to do for Scalenus anticus syndrome

Answer 38

adjust, heat, stretch

Question 39

positive eden's indicates

Answer 39

TOS, costoclavicular syndrome

Question 40

how to treat a positive eden's

Answer 40

stretch tight muscle | adjust subluxations

Question 41

what questions might you ask if a pt has a positive eden's

Answer 41

``` do they carry a backpack carry heavy objects in front of them accident with seatbelt on fxed clavicle shoulder problem FOOSH ```

Question 42

St-Co traction seated

Answer 42

go to pt tolerance or joint opens pain point over joint space best post-check is feel rib excursion on respiration

Question 43

St-Co S or I

Answer 43

``` MC ribs 2-5 pt is supine straightaway DS rib doesn't move down if S pain over joint space ```

Question 44

differentials if pain runs all around the rib

Answer 44

``` thoracic subluxation shingles intercostal neuralgia fx tumor MI if on the L ```

Question 45

St-Co S

Answer 45

turn pt face away drop elbow close to chest exhale and hold

Question 46

St-Co I

Answer 46

inhale and hold best post-check is fluid motion improvement on inspiration no rubs

Question 47

St-Co supine

Answer 47

shoulder off table point fingers out limiting factors

Question 48

MC shoulder misalignment

Answer 48

I

Question 49

Kocher's

Answer 49

pump arm | check neurologic, vascular, musculoskeletal

Question 50

home tx for frozen shoulder

Answer 50

traction over a char finger walk up wall Apley scratch

Question 51

frozen shoulder tx vs surgery

Answer 51

fxed humerus | dislocated GH joint

Question 52

most important component of frozen shoulder tx

Answer 52

find out what is causing their shoulder to freeze up

Question 53

MC AC misalignment

Answer 53

P and S

Question 54

what is shoulder separation

Answer 54

dislocation of AC joint