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PHTH 545 > Shoulder > Flashcards

Shoulder Flashcards

1
Q

What type of acromion are you most likely to see impingement with?

A

Type III

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2
Q

The _______ _____ = inferior part of the capsule that allows you to bring your arm into elevation

A

dependent fold

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3
Q

GHJ concavity compression phenomenon = ______ effect

A

suction

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4
Q

There is ________ intra-articular pressure in the GHJ

A

negative

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5
Q

The capsule controls ______ of the humeral head on the glenoid fossa

A

translation

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6
Q

What 3 movements tighten the posterior capsule?

A
  1. flexion
  2. adduction
  3. IR
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7
Q

What 3 movements tighten the anterior capsule?

A
  1. extension
  2. abduction
  3. external rotation
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8
Q

What direction do fibers of the GHJ run in?

A

Every direction

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9
Q

The capsule attaches to the _____ in the back and the ______ at the front

A

glenoid; humerus

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10
Q

What are 3 structures at risk of impingement below the acromion?

A
  1. long head of biceps
  2. supraspinatus
  3. subacromial bursa
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11
Q

The RC provides a ____ force for the humerus.

A

shunt

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12
Q

The force of the RC has a slightly _______ vector, whereas the posterior cuff has a slightly _______ vector

A

downward; upward

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13
Q

If you want to increase subacromial space, strengthen what 3 muscles/groups?

A
  1. SA
  2. Trapezius
  3. RC
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14
Q

If the RC is weak, we might see _______ translation of the humeral head.

A

upward

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15
Q

Ideal shoulder function = humerus is centred in the _______

A

glenoid

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16
Q

With shoulder pain, what are the 2 main presentations?

A
  1. stiff shoulder

2. the hyper mobile

17
Q

What are 4 possible causes of stiff shoulder?

A
  1. habitual postures
  2. muscle imbalance
  3. post traumatic
  4. post surgical
18
Q

Stiff shoulder may result in biomechanical compensation at other joints. Name 3

A
  1. neck
  2. elbow
  3. wrist
19
Q

The pattern of loss of ROM will depend on what?

A

whether all or some of the capsule is tight

20
Q

Is global or regional capsular tightness more common?

A

regional

21
Q

Anteriorsuperior capsule _____ the humeral head anterosuperiorly

A

pulls

22
Q

ALL portions of the capsule besides the anterior superior portion _____ the humeral head away from the tight area

A

push

23
Q

What movements will you lose with anterosuperior capsule tightness?

A

ER and end range abd

24
Q

With anterosuperior capsule tightness, impingement will occur in _______ _____/____

A

horizontal add/IR

25
Q

Anterosuperior capsule tightness decreases _______ glide of the humerus

A

posteroinferior

26
Q

With posterior capsule tightness, there will be a limitation of _______ ______ and _____

A

horizontal adduction and IR

27
Q

With posterior capsule tightness, the humerus will have an ______ resting position with decreased ______ glide

A

anterior; posterior

28
Q

With posterior capsule tightness, there will be weakness of _____ _______ and ______ ______

A

ER; scapular stabilizers

29
Q

With impingement, the limitation is in the painful range, usually between __-__ deg abd/flex

A

90-120

30
Q

What are 3 causes of impingement?

A
  1. structural
  2. capsular tightness
  3. muscle imbalance
31
Q

What are 4 impingement tests?

A
  1. neers
  2. Hawkins kennedy
  3. empty can
  4. full can
32
Q

Impingement can lead to what 5 things?

A
  1. RC tendinopathy
  2. bone spurs on the acromion
  3. burisitis
  4. muscle imbalance
  5. altered biomechanics
33
Q

What are 4 treatments for impingement?

A
  1. joint glides
  2. massage to capsule and soft tissues
  3. exercise
  4. education
34
Q

What are 6 steps in a RC assessment?

A
  1. test for strength and/or pain
  2. resisted ER
  3. empty can test
  4. full can test
  5. subs cap lift off
  6. drop arm test
35
Q

When strengthening for shoulder pain, start with _______ stability before progressing to the ___.

A

scapular; RC

36
Q

______ is useful to determine RC tear or Ca deposits

A

US

37
Q

Shoulder X-rays are rarely useful unless you’re suspicious of a # (T/F).

A

TRUE

PHTH 545 (23 decks)

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