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extremities- Sorgenfrey > shoulder > Flashcards

shoulder Flashcards

1
Q

St-Cl fluid motion

A

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

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2
Q

A-C PS fluid motion

A

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

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3
Q

GH fluid motion

A

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

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4
Q

S-T fluid motion

A

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

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5
Q

3 indications of an inferior humerus

A 
sulcus sign
pain at anterior GH joint
loss of fluid motion
loss of external rotation
anterior deltoid weakness
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6
Q

indications of a posterior humerus

A 
no visual change
loss of fluid motion
pain at posterior GH joint
loss of internal rotation
teres major weakness
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7
Q

routine shoulder exam

A 
St-Cl
A-C
GH
Sc-Th
St-Co
spine
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8
Q

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

A

behind their back

doctor reaches through arm opening

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9
Q

where is #11 of the stabilization hand

A

over A-C joint

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10
Q

where are the fingers

A

over GH joint

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11
Q

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

A

S-I

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12
Q

what’s the pain point for S-T L

A

deep to or under the scapula, in the subscapularis

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13
Q

differentiate S-T L from S-T M

A

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

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14
Q

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

A

GH portion

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15
Q

MC mistakes for a S-T M, prone

A

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

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16
Q

GH P prone LOC

A

P-A

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17
Q

where is the pt’s shoulder

A

supported on the table

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18
Q

why is the shoulder on the table

A

for stabilization

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19
Q

indication of a Yergason’s positive

A

tear or sprain of transverse humeral ligament

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20
Q

drop arm test

A

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

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21
Q

GH P seated LOC

A

straight P-A

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22
Q

ROM used to bring it to tension

A

abduction and extension

23
Q

pain point

A

over P GH joint

24
Q

differentiate from GH P GH I

A

pain point
ROMs
xrays
weak muscles

25
Q

move of choice for the GH

A

supine traction

26
Q

3 alternatives to differentiate

A

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

27
Q

frozen shoulder

A

traction, release
traction through ROM
impulse

28
Q

GH traction seated

A

arm in armpit, thumb up

limiting factors

29
Q

GH traction supine

A

move of choice of a GH fixation

30
Q

3 diagnoses for GH traction supine

A

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

31
Q

St-Cl superior

A

abduction and extension tension

S-I thrust

32
Q

St-Cl traction seated

A

hold opposite shoulder back not rotating

33
Q

St-Cl traction supine

A

MC subluxates S

should be done before St-Cl S

34
Q

A-C PS

A

push down on clavicle for S

push forward and externally rotate for P

35
Q

MC muscle involved with hyperabduction syndrome or a positive wright

A

pec minor

36
Q

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

A

cervical subluxation
subacromial bursitis
rolled shoulder posture
other TOS types

37
Q

Scalenus anticus syndrome is caused by

A

subluxation

38
Q

what to do for Scalenus anticus syndrome

A

adjust, heat, stretch

39
Q

positive eden’s indicates

A

TOS, costoclavicular syndrome

40
Q

how to treat a positive eden’s

A

stretch tight muscle

adjust subluxations

41
Q

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

A 
do they carry a backpack
carry heavy objects in front of them
accident with seatbelt on
fxed clavicle
shoulder problem
FOOSH
42
Q

St-Co traction seated

A

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

43
Q

St-Co S or I

A 
MC ribs 2-5
pt is supine
straightaway DS
rib doesn't move down if S
pain over joint space
44
Q

differentials if pain runs all around the rib

A 
thoracic subluxation
shingles
intercostal neuralgia
fx
tumor
MI if on the L
45
Q

St-Co S

A

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

46
Q

St-Co I

A

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

47
Q

St-Co supine

A

shoulder off table
point fingers out
limiting factors

48
Q

MC shoulder misalignment

A

I

49
Q

Kocher’s

A

pump arm

check neurologic, vascular, musculoskeletal

50
Q

home tx for frozen shoulder

A

traction over a char
finger walk up wall
Apley scratch

51
Q

frozen shoulder tx vs surgery

A

fxed humerus

dislocated GH joint

52
Q

most important component of frozen shoulder tx

A

find out what is causing their shoulder to freeze up

53
Q

MC AC misalignment

A

P and S

54
Q

what is shoulder separation

A

dislocation of AC joint

extremities- Sorgenfrey (8 decks)

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