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2b > Shoulder and cervical spine examination > Flashcards

Shoulder and cervical spine examination Flashcards

1
Q

What are the two components of the shoulder joint

A

Glenohumeral joint

Scapulothoracic joint

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2
Q

Infraspinatus

A

Below scapula at the back

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3
Q

Supraspinatus

A

Above scapula at the back

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4
Q

Where is flexion of the shoulder

A

up

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5
Q

Where is extension of the shoulder

A

down

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6
Q

Hands behind head is testing

A

External rotation and abduction

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7
Q

Hands joined behind back is testing

A

Internal rotation, abduction and extension

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8
Q

Supraspinatus function

A

Initates abduction below 90 degrees

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9
Q

Which muscle takes over abduction above 90 degrees

A

Deltoid

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10
Q

Infraspinatus function

A

External rotation

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11
Q

Where is subscapularis

A

Front between scapula and rib cage

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12
Q

Subscapularis function

A

Internal rotation

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13
Q

Teres minor function

A

External rotation

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14
Q

Deltoid function

A

Abducts after 90 degrees

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15
Q

Trapezius function

A

Shrugs shoulders, controls scapula movement

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16
Q

Shoulder exam, what are you looking at

A 
Posture and symmetry
Muscle wasting
Scars, skin changes
Swelling
Deformity
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17
Q

Shoulder exam, what are you feeling for

A

Temperature
Bony landmarks
Muscle bulk

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18
Q

Which 4 muscles are you assessing the bulk of

A

Deltoid
Infraspinatus
Supraspinatus
Trapezius

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19
Q

Shoulder exam, what do you move initially

A

“put your hands between your head”
“put your hands behind your back”
Watch from front and back

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20
Q

What does pain at 120-180 degrees suggest

A

Acromioclavicular joint

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21
Q

What does pain at 120-180 degrees suggest

A

Acromioclavicular joint

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22
Q

How should the elbows be when assessing external rotation

A

Elbows tucked into the side

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23
Q

How should the hand be for rotator cuff arc

A

Facing down

24
Q

Rotator cuff pathology angles of pain

A

60-120 degrees

25
Q

Specific test for supraspinatus

A

Resisted abduction (<90degrees)

26
Q

Specific test for infraspinatus

A

Resisted external rotation

27
Q

Specific test for subscapularis

A

Life off test- resisted internal rotation

28
Q

How do you test the acromioclavicular test

A

‘scarf test’ forced adduction across body.

29
Q

Questions for function

A

Dressing?
Washing hair?
Reach into high cupboards?

30
Q

End questions for MSK exams

A

Assess joint above and below

Assess neurological and vascular function

31
Q

Examination feel

A

Temperature
Bony landmarks
Joint line
Surrounding muscles

32
Q

Frozen shoulder

A

Adhesive capsulitis. Painful restriction of external rotations

33
Q

Risk factors for ashesive capsultis

A

> 40
RA, Diabets, post sroke
Minor trauma
Postoperative

34
Q

Cause of rotator cuff pathology

A

Narrowing of gleniohumeral joint

35
Q

3 thing which make the rotator cuff gap smaller

A

Osteophyte impingement
Subacromial bursitis
Suprspinatus tenditis

36
Q

What are you looking for in the cervical spine

A

Normal lordosis

37
Q

What is normal in the spine as cuves

A

C: Lordosis
T: Kyphosis
L: Lordosis

38
Q

What are you feeling for in the cervical spine

A

Spinous processes

Paraspinal muscles

39
Q

What are you moving in the cervical spine

A

Flexion/extension
Lateral rotation
Lateral flexion (ear ato elbow)

40
Q

Which nerves control biceps reflex

A

C5 and 6

41
Q

Which nerves control triceps reflex

A

C7 and 8

42
Q

Which nerves control supinator ceflex

A

C5 and C6

43
Q

Which nerve controls shoulder abduction and flexion

A

C5

44
Q

Which nerve controls elbow flexion

A

C5/6

45
Q

Which nerve controls elbow extension

A

C7/8

46
Q

Which nerve controls wrist flexion/ extension

A

C6/7

47
Q

Which nerve controls finger flexion/extension

A

C7/8

48
Q

Which nerve controls finger abduction/adduction

A

T1

49
Q

Signs of OA of neck (cervical spondylosis)

A

Pain, stiffness, restricted movement, crunching sensation, nerve root symptoms

50
Q

Extension of big toe nerve

A

L5

51
Q

What are the changes in OA spine

A

Narrowed disc and bone spurs

52
Q

Signs of spinal disc disease

A

Pain (worse on bending forwards)
Radiculopathy
Burning, electric shock, running water

53
Q

What is a radiculopathy

A

Nerve root pain from impingement

54
Q

In the neck, compression of C5/6 disc would cause

A

Compression of C6

55
Q

Where does the corresponding nerve root come out of the cervical spine

A

Above

56
Q

Where does the correpsonding nerve root come out of the thoracic and lumbar nerve roots

A

Below

57
Q

Prolapse of L4/5 disc causes

A

Compression of L5 (or L4) as often comes out posteriorly

2b (28 decks)

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