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DPT 672: Assessment Skills > Shoulder - Assessment > Flashcards

Shoulder - Assessment Flashcards

1
Q

Shoulder Assessment

Glenohumeral snapshot:

  • Flexion = ?
  • Abduction = ?
  • Extension = ?
  • External Rotation = ?
  • Internal Rotation = ?
  • Capsular Pattern = ?
A
  • Flexion = 180 degrees
  • Abduction = 180 degrees
  • Extension = 60 degrees
  • External Rotation = 90 degrees
  • Internal Rotation = 70 degrees
  • Capsular Pattern = External rotation > Abduction > Internal Rotation
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2
Q

Shoulder Assessment

GH loose and closed packed positions = ?

A
  • GH loose = 55 degrees abduction and 30 degrees horizontal adduction
  • GH closed = Full abduction and external rotation
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3
Q

Shoulder Assessment

AC loose and closed packed positions = ?

A

AC loose = Arm resting at side
AC closed = 90 degrees arm abduction

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4
Q

Shoulder Assessment

SC loose and closed packed positions = ?

A

SC loose
Arm resting at side

SC closed
Maximum shoulder elevation

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5
Q

Shoulder Assessment

Arthrokinematics:

  • GH = ?
  • AC = ?
  • SC = ?
A

Arthrokinematics:

  • GH = Convex on concave
  • AC = Planar
  • SC = Saddles
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6
Q

Shoulder Assessment

Posterior Shoulder Palpation =

A

Spine of the Scapula

  • Prominent Bony Ridge Along the Upper Lateral Back
  • Approximately T3

Medial Border of the Scapula

  • From the Medial Spine, Follow the Bony Ridge Inferiorly

Inferior Angle of Scapula

  • The Terminal Aspect of the Medial Border
  • Approximately T7

Posterior Angle of the Acromion

  • The most Lateral Aspect of the Spine of the Scapula
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7
Q

Shoulder Assessment

Anterior Bony Shoulder Palpation =

A

Sternal Notch

  • Midline V-shape indentation above the sternum

Sternoclavicular Joint and Clavicle

  • Sternoclavicular Joint is ~1cm inferior-lateral from the Sternal Notch
  • Clavicle is the S-shaped bone that runs toward the shoulder

Lateral Edge of Acromion and V-notches

  • The most Lateral Aspect of the Spine of the Scapula

Coracoid Process

  • Inferior to the Clavicle in the Infraclavicular Fossa, Hold Arm in Ext

Lesser Tubercle

  • Feel laterally from the Coracoid Process until you hit a bony ridge
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8
Q

Shoulder Assessment

Anterior Muscular Shoulder Palpation

A

Subscapularis

  • Between Coracoid and Lesser Tubercle

Biceps

  • Lateral to the Lesser Tubercle in the Intertubercular Grove

Supraspinatus

  • Superior to the line of the Biceps on the Greater Tubercle
  • Easier to palpate in Extension and IR (Arm Behind the Back)
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9
Q

Shoulder Assessment

Posterior-lateral Shoulder Palpation =

A

Infraspinatus

  • Courses under the Spine and attaches to the Posterior Aspect of the Greater Tubercle

Teres Minor

  • Running Mediolateral, 2cm inferior to the Spine of the Scapula
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10
Q

Shoulder Assessment

Olecrannon-Manubrium Percussion Test

Fracture Screening

A
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11
Q

Shoulder Assessment

Scapular Active ROM Observation

A

Neutral

In Elevation

  • Upward Rotation
  • External Rotation

Arms On Hips

  • Posterior Tilt
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12
Q

Shoulder Assessment

Shoulder Flexion ROM

A

Normal ROM = 0-180 degrees

video

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13
Q

Shoulder Assessment

Shoulder Extension ROM

A

Normal ROM = 0-60 degrees

video

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14
Q

Shoulder Assessment

Shoulder Abduction ROM

A

video

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15
Q

Shoulder Assessment

Shoulder Internal Rotation ROM

A

video

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16
Q

Shoulder Assessment

Shoulder External Rotation ROM

A

video

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17
Q

Shoulder Assessment

Scapular Elevation MMT (3-5)

A

video

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18
Q

Shoulder Assessment

Scapular Elevation MMT (0-2)

A

video

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19
Q

Shoulder Assessment

Scapular Protraction MMT (0-5)

A

video

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20
Q

Shoulder Assessment

Scapular Retraction MMT (0-5)

21
Q

Shoulder Assessment

Scapular Retraction Alternate Arm Positions

22
Q

Shoulder Assessment

Shoulder Flexion MMT (3-5)

23
Q

Shoulder Assessment

Shoulder Flexion MMT (0-2)

24
Q

Shoulder Assessment

Shoulder Extension MMT (3-5)

25
Q

Shoulder Assessment

Shoulder Extension MMT (0-2)

26
Q

Shoulder Assessment

Shoulder Abduction MMT (3-5)

27
Q

Shoulder Assessment

Shoulder Abduction MMT (0-2)

28
Q

Shoulder Assessment

Shoulder Horizontal Abduction MMT (3-5)

29
Q

Shoulder Assessment

Shoulder Horizontal Abduction MMT (0-2)

30
Q

Shoulder Assessment

Shoulder Horizontal Adduction MMT (3-5)

31
Q

Shoulder Assessment

Shoulder Horizontal Adduction MMT (0-2)

32
Q

Shoulder Assessment

Shoulder Internal Rotation MMT (3-5)

33
Q

Shoulder Assessment

Shoulder Internal Rotation MMT (0-2)

34
Q

Shoulder Assessment

Shoulder External Rotation MMT (3-5)

35
Q

Shoulder Assessment

Shoulder External Rotation MMT (0-2)

36
Q

Shoulder Assessment

Sulcus Sign

Joint Play

A

General Laxity

37
Q

Shoulder Assessment

Scapulothoracic Joint Glides

Scapulothoracic Joint Play Testing

38
Q

Shoulder Assessment

GH Joint Anterior Glide

Anterior Capsule Mobility

39
Q

Shoulder Assessment

GH Joint Posterior Glide

Posterior Capsule Mobility

40
Q

Shoulder Assessment

GH Joint Inferior Glide

Inferior Capsule Mobility

41
Q

Shoulder Assessment

Sternoclavicular Joint Anterior Glide

Sternoclavicular A-P Joint Play Testing

42
Q

Shoulder Assessment

Sternoclavicular Joint Inferior Glide

SC Sup-Inf Joint Play Testing

43
Q

Shoulder Assessment

Acromioclavicular Joint Posterior Glide

Acromioclavicular A-P Joint Play Testing

44
Q

Shoulder Assessment

Anterior Apprehension Test

Special Test

A

Anterior Instability

45
Q

Shoulder Assessment

Shoulder Shrug Sign

and

Coracoid Pain Test

Special Test

A

Adhesive Capsulitis

46
Q

Shoulder Assessment

Lateral Jobe Test

Special Test

A

Supraspinatus Tear Screening

47
Q

Shoulder Assessment

Hornblower’s Sign

Special Test

A

Infraspinatus/TM Tear Screening

48
Q

Shoulder Assessment

Internal Rotation Lag Test

Special Test

A

Subscapularis Tear Screening

DPT 672: Assessment Skills (17 decks)

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