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Year 1: 2020 ECOS Final > Shoulder > Flashcards

Shoulder Flashcards

1
Q

What is the most sensitive indicator to joint disease

A

Range of motion

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2
Q

What are the ROM for shoulder

A

Flexion - 180

Extension - 60

Abduction - 180

Adduction - 50

Internal Rotation - 90

External Rotation - 90

Horizontal Abduction - 40-55

Horizontal Adduction - 130-140

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3
Q

Shoulder Horizontal Adduction

A

130-140

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4
Q

Shoulder Horizontal Abduction

A

40-55

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5
Q

Shoulder Extension

A

60

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6
Q

What is the most popular specialty test that indicates a Subacromial Bursa Impingement and/or Rotator Cuff Injury

A

Painful Arc Test

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7
Q

What makes the Painful Arc Test so important

A

Highest positive likelyhood ratio of all rotatory cuff maneuvers & lowest negative likelyhood ratio of all rotatory cuff maneuvers.

It’s the most sensitive & specific

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8
Q

What indicates a positive painful arc test?

A

Pain between 60-120. The other ROM in the arc is pain free.

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9
Q

What are the key upper extremity myotomes

A

C5 - Elbow flexers (biceps)

C6 - Wrist extensors

C7 - Elbow extensors

C8 - Finger flexors

T1 - Finger abductors

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10
Q

Where should pulses and/or capillary refill be checked after an injury?

A

distal to the site of the injury

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11
Q

What population is a clavicle fracture most common in

A

Kids

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12
Q

What group is a proximal humerus fracture most popular

A

Elderly

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13
Q

How does one typically get a scapular fracture

A

Blunt Trauma

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14
Q

What are the nerve roots for the UE DTR

A

Triceps (C6-7)

Biceps (C5-6)

Brachioradialis (C5-6)

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15
Q

What is the most common glenohumeral dislocation

A

Anterior dislocation

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16
Q

How does a AC joint injury typically occur

A

Direct trauma to the superior or lateral aspect of the shoulder (acromion) with the arm adducted

(Direct blow or falling onto the shoulder)

17
Q

What are some extrinsic causes of shoulder pain

A

GI related, Upper lung disease & diaphragm irritation

These are also known as referred pain

18
Q

What are some intrinsic causes of shoulder pain

A

Septic arthritis, overuse, bursitis & synovitis

19
Q

Where does the most common Rotator Cuff Injury occure

A

Supraspinatus Tendon

20
Q

Rotator Cuff diagnosis

A

X-rays are not helpful

Ultrasound &/or MRI are the tests of choice

21
Q

Adduction of GH joint

A

Scapular motion - Depressed

Clavicle AC joint (distal) - Inferior glide

Clavicle SC joint (proximal) - Superior glide

22
Q

Abduction GH joint motion

A

Scapular motion - Elevation

Clavicle AC joint (distal) - Superior glide

Clavicle SC joint (proximal) - Inferior glide

23
Q

Flexion GH joint motion

A

Scapular motion - protraction

Clavicle AC joint (distal) - anterior glide

Clavicle SC joint (proximal) - posterior glide

24
Q

Extension GH joint motion

A

Scapular motion - Retraction

Clavicle AC joint (distal) - Posterior glide

Clavicle SC joint (proximal) - Anterior glide

25
Q

Internal Rotation GH joint motion

A

Scapular motion - none

Clavicle AC joint (distal) - Internal rotation

Clavicle SC joint (proximal) - none

26
Q

External Rotation GH joint motion

A

Scapular motion - none

Clavicle AC joint (distal) - external rotation

Clavicle SC joint (proximal) - none

27
Q

Apprehension Test

A

Test for - Glenohumeral Instability

(+) Test - Patient apprehension

Think how apprehensive you get when someone trying to bend your shoulder’s backward

28
Q

Empty Can Test

A

Tests for Rotator Cuff Pathology specifically Supraspinatous Pathology

+ Test = pain or weakness

Think of motion when you pour out soda’s with both hands

29
Q

Drop Arm Test

A

Rotator Cuff Pathology - Supraspinatous

+ Test = Uncontrolled arm drop

30
Q

Painful Arc Test

A

Subacromial Bursa Impingement &/or Rotator Cuff injury

+ Test = pain btw 60-120 degrees of abduction

31
Q

Neer Impingement

A

Subacromial Bursa Impingement &/or Rotator Cuff impingement

+ Test = Pain

Neer to the Ear

32
Q

Hwakins Test

A

Subacromial Bursa Impingement &/or Rotator Cuff impingement

+ Test = Pain

33
Q

Cross Arm Test

A

AC joint pathology

+ Test = AC joint pain or increased tissue texture abnormalities

34
Q

What forces are used in a shoulder myofascial release?

A

distraction, compression, twist & shear

35
Q

Spencer’s Technqiue

What does it treat

Direct or Indirect

How is the patient positioned

A

Glenohumeral joint

Direct/restrictive barrier - MFR and/or MET

Lateral recumbent with involved shoulder up

36
Q

What are the steps of Spencer’s technique

A

Extension

Flexion

Compression Circumduction

Traction circumduction

ABduction w/ external rotation

ADduction

Internal Rotation

Traction w/ inferior glide

37
Q

How are the AC and SC somatic disfunctions named

A

They are named after the direction the shoulder likes to go

Year 1: 2020 ECOS Final (12 decks)

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