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MSK 1 > Shoulder Classification/Diagnoses > Flashcards

Shoulder Classification/Diagnoses Flashcards

1
Q

RC Injury

Body Chart

A
  • pain & weakness at shoulder
  • can refer to deltoid and scapular regions
  • dull ache
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2
Q

Adhesive Capsulitis

Body Chart

A
  • Dull/sharp pain over shoulder/deltoid region

- pain to palp over joint capsule

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3
Q

SIS

Body Chart

A
  • pain at ant shoulder
  • slipping, catching, popping
  • can refer to deltoid region
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4
Q

AC/SC Injury

Body Chart

A
  • pain right over joint

- may have visible gap between acromion and clavicle

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5
Q

TOS

Body Chart

A

-N/T, pain down arm(s), side of neck

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6
Q

Bursitis

Body Chart

A
  • Aching over deltoid region

- rapid onset with activity

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7
Q

GH Instability

Body Chart

A

-pain with overhead movements

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8
Q

SLAP Lesion

Body Chart

A
  • no pain at rest

- clicking, popping, catching with overhead activities

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9
Q

RC Injury

Agg Factors

A
  • arc of pain with active elevation

- repetitive overhead activities

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10
Q

Adhesive Capsulitis

Agg Factors

A
  • pain/difficulty with grooming, dressing, reaching

- especially ER + Abd

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11
Q

SIS

Agg Factors

A

arc of pain with overhead activities

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12
Q

TOS

Agg Factors

A
  • repeated arm movements
  • discomfort with overhead motions
  • ache
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13
Q

AC/SC Injury

Agg Factors

A
  • pain at end range motion

- crossing arm over body

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14
Q

TOS

Agg Factors

A
  • repeated arm movements
  • discomfort with overhead motions
  • ache
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15
Q

Bursitis

Agg Factors

A
  • painful overhead motions

- Acute: unable to reach overhead

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16
Q

GH Instability

Agg Factors

A

-Abd and Er activities

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17
Q

SLAP

Agg Factors

A

-overhead motions, compression through the joint

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18
Q

RC

Ease Factors

A

Rest

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19
Q

Adhesive Capsulitis

Ease Factors

A

Rest

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20
Q

SIS

Ease Factors

A

Rest

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21
Q

AC/SC

Ease Factors

A
  • rest

- hold arm in 90* elbow flexion adducted against side

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22
Q

TOS

Ease Factors

A

Rest

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23
Q

Bursitis

Ease Factors

A

Rest

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24
Q

GH Instability

Ease Factors

A

Rest

25
Q

SLAP

Ease Factors

A

Rest

26
Q

RC Injury

History

A
  • FOOSH
  • repeated mechanical trauma
  • tears men>women
  • Tendonitis: usually better after 3 weeks
27
Q

Adhesive Capsulitis

History

A
  • female>male
  • age >40
  • MI, CVA, diabetes, thyroid disease
  • trauma which lead to decreased use of shoulder
  • prolonged immobilization
  • autoimmune disease
28
Q

SIS

History

A
  • microtrauma due to mechanical use
  • repetitive trauma
  • anterior instability
29
Q

AC/SC Injury

History

A

AC Acute: FOOSH or falling onto shoulder with arm adducted

AC Chronic: OA, RA, mechanical overuse

30
Q

TOS

History

A
  • Trauma (MVA)
  • recent clavicle fracture
  • repeated trauma from work related posture
  • work with overhead activities
31
Q

Bursitis

History

A
  • injury/trauma
  • infection
  • inflammatory arthritis
32
Q

GH Instab

History

A
  • dislocation
  • trauma
  • repetative microtrauma
  • joint laxity
33
Q

SLAP

History

A
  • FOOSH
  • forceful biceps contraction
  • dislocation
34
Q

Neurodynamic Testing for Shoulder

A

ULNT1

35
Q

TOS

Neurological Examination

A

-check dermatome affected by N/T

36
Q

RC Injury

ROM

A
  • arc of pain with active elevation

- PROM not affected

37
Q

Adhesive Capsulitis

ROM

A

-capsular pattern with decrease in all directions

38
Q

SIS

ROM

A
  • painful arc
  • limited horizontal abd, IR
  • excessive ER possible
39
Q

AC/SC

ROM

A
  • horizontal add

- flexion and abd at end range

40
Q

Bursitis

ROM

A
  • flexion

- scaption

41
Q

GH Instab

ROM

A
  • excessive

- self limit Er + Abd

42
Q

RC

Special Tests

A
  • Supraspinatus (full can)
  • Drop arm (tear)
  • IR Lag test (subscap)
43
Q

SIS

Special Tests

A
  • Neer (supraspinatus, biceps)
  • Hawkins Kennedy
  • Speeds
  • Modified Scapular Assistance
  • Scapular Reposition (with HK or Neer)
44
Q

AC/SC

Special Tests

A
  • O’Brien’s Test

- Crossover Test

45
Q

TOS

Special Tests

A
  • Adson’s (scalenes)
  • Halstead (scalenes)
  • Costoclavicular (Roo’s)
  • Wright/Allen (pec minor)
46
Q

SLAP

Special Tests

A
  • Clunk
  • Crank
  • O’Brien’s
  • Compression Test
47
Q

GH Instab

Special Tests

A
  • Apprehension
  • Relocation
  • Load and shift
  • Sulcus sign
48
Q

RC Injury

Palpation

A
  • Muscle atrophy at RC muscle affected

- tenderness over Mm

49
Q

Adhesive Capsulitis

Palpation

A

-tenderness over joint capsule

50
Q

SIS

Palpation

A

-tenderness at subacromial space

51
Q

AC/SC

Palpation

A

-tenderness at AC or SC directly

52
Q

Bursitis

Palpation

A

-extremely sensitive with palp over bursa

53
Q

GH Instab

Palpation

A

-GH accessory motion excessive

54
Q

RC Injury

Mm Length/Strength

A
  • weakness of affected RC Mm

- Tear: reverse scapulohumeral rhythm with deltoid dominance

55
Q

Adhesive Capsulitis

Mm Length/Strength

A

-dominance of upper trap

56
Q

SIS

Mm Length/Strength

A

Weakness in scapulothoracic Mm

57
Q

TOS

Mm Length/Strength

A
  • short pec minor

- general weakness or loss of endurance in UE

58
Q

SLAP

Mm Length/Strength

A

-biceps contraction causes pain

MSK 1 (15 decks)

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