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Diff Di > Shoulder complaint > Flashcards

Shoulder complaint Flashcards

1
Q

referral from cervical or thoracic spine facet or trigger points

A

shoulder pain

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2
Q

radicular pain from cervical nerve root compression

A

shoulder pain

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3
Q

peripheral nerve and brachial plexus entrapments

A

shoulder pain

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4
Q

referral from visceral sources such as diaphragm, gallbladder, lungs or heart

A

shoulder pain

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5
Q

shoulder pain from trauma could be:

A

fracture, dislocation, tendon rupture

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6
Q

shoulder pain from overuse could be:

A

tendinitis, capsular sprain, bursitis

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7
Q

shoulder pain from arthritides could be:

A

osteoarthritis, RA

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8
Q

other sources of shoulder pain

A

tumor or infection

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9
Q

anterior shoulder pain from trauma could be:

A

fracture, dislocation, subacromial bursitis, capsular sprain, labrum tear

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10
Q

anterior shoulder pain not from trauma could be:

A

general impingement syndrome, biceps tendinitis, subacromial bursitis, subluxation

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11
Q

lateral shoulder pain from trauma could be:

A

contusion, supraspinatus rupture, referral from cervical spine or brachial plexus injury

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12
Q

lateral shoulder pain not from trauma could be:

A

impingement syndrome, deltoid strain, supraspinatus tear or rupture, referral from cervical spine

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13
Q

superior shoulder pain from trauma could be:

A

AC joint separation, distal clavicle fracture

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14
Q

superior shoulder pain not from trauma could be:

A

OA of AC joint, osteolysis of distal clavicle

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15
Q

posterior shoulder pain from trauma could be:

A

scapular fracture, posterior dislocation

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16
Q

posterior shoulder pain not from trauma could be:

A

posterior impingement, infraspinatus or teres minor strain, posterior deltoid strain, triceps strain, suprascapular nerve entrapment

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17
Q

blow to the anterior shoulder could cause

A

dislocation, subluxation, contusion

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18
Q

fall on top of shoulder could cause

A

AC joint separation, distal clavicle fracture

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19
Q

FOOSH could cause

A

AC separation, clavicle fracture, posterior dislocation glenoid labrum, rotator cuff tear

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20
Q

arm forced into external rotation and horizontal abduction with shoulder flexed to 90 degrees could cause

A

anterior dislocation, glenoid labrum tear

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21
Q

sudden contraction of the arm could cause

A

subluxation, brachical plexus traction injury

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22
Q

sudden pain with weightlifting could cause

A

muscle/tendon rupture, labrum tear

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23
Q

if pt has pain, no history of trauma, all ranges of motion are painful:

A

acute subacromial bursitis or early adhesive capsulitis

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24
Q

pt reports lateral/anterior shoulder pain with overhead activities or exhibit a painful arc

A

subacromial impingement, tendinitis, or bursitis

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25
Q

pt reports instability, apprehension, painful activities when shoulder is abducted and externally rotated

A

shoulder instability or labral tear if clicking

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26
Q

decreased ROM and pain with resistance

A

rotator cuff

27
Q

pt reports pain and weakness with muscle loading and night pain with age greater than 60

A

rotator cuff

28
Q

pt reports poorly located shoulder pain with aggravation by movement and relieved by rest with age greater than 45

A

adhesive capsulitis

29
Q

most commonly overhead activities over time produce

A

impingement

30
Q

orthos for impingement syndrome

A

Neers, Hawkins-Kennedy

31
Q

subacromial impingement pain is here

A

anterior joint

32
Q

infraspinatus/teres minor impingement pain is here

A

posterior

33
Q

if painful arc between 60 and 120 degrees then:

A

impingement syndrome

34
Q

Hawkin’s test and Neer’s test are for:

A

rotator cuff impingement

35
Q

normal subacromial space on xray is

A

9-10 mm

36
Q

xray shows elevation of humerus, erosion of inferior aspect of the acromion process, sclerosis, osteophytes, cystic changes

A

rotator cuff arthropathy with shoulder impingement

37
Q

history of shoulder dislocation, pain or weakness when arm is placed in overhead position or apprehension position

A

traumatic instabiity

38
Q

shoulder stability evaluated with these tests

A

load and shift test, apprehension test, relocation test

39
Q

rotator cuff tear most frequently involves

A

supraspinatus

40
Q

shoulder pain may be more noticeable at night or at rest, dull or achy pain, weakness or decreased ability to move joint, difficulty raising or lowering the arm, painful arc sign, weakness in external rotation

A

rotator cuff

41
Q

empty can test shows

A

supraspinatus weakness

42
Q

lift off test shows

A

subscapularis weakness

43
Q

tests for rotator cuff

A

empty can test, infraspinatus muscle test, palpation

44
Q

modality of choice for rotator cuff tears

A

MRI

45
Q

on MRI, increased signal intensity in the region of the critical zone

A

rotator cuff tear

46
Q

test to check for sprain/strain of supraspinatus

A

empty can test

47
Q

test to check for sprain/strain of subscapularis

A

lift off test

48
Q

test to check for sprian/strain of infraspinatus/teres minor

A

lag sign

49
Q

test to check for sprain/strain of biceps

A

speed’s test

50
Q

acute onset of pain that may or may not be traumatic, stiffness is progressive, pt usually over 40, abduction and external rotation decreased first then internal rotation decreased

A

adhesive capsulitis

51
Q

all ROM are affected with acute stage (especially end range forward flexion), tenderness found anterior to AC joint on passive extension of the shoulder

A

subdeltoid bursitis

52
Q

on xray shows calcification around head of humerus

A

HADD

53
Q

history of popping, clicking, or catching; instability testing may be positive; may have painful sticking in movement

A

glenoid labrum tear (SLAP)

54
Q

tests for SLAP lesion

A

crank test and O’Brien’s

55
Q

on MRI, when looking at a straight lateral view of the shoulder this tear is from 10-2 (like on a clock)

A

SLAP

56
Q

on MRI, when looking at a straight lateral view of the shoulder this tear is from 3-6 (like on a clock)

A

Bankart

57
Q

on xray the normal width of AC joint

A

less than 5 mm

58
Q

on xray the normal distance between coracoid and clavicle

A

11-13 mm

59
Q

AC joint separation typically occurs from

A

FOOSH injury

60
Q

on xray if the clavicle is typically less than 50% displaced it means this grade of tear

A

grade 2 tear

61
Q

usually due to indirect force on arm while in abducted and externally rotated position; may occur during FOOSH

A

anterior shoulder dislocation

62
Q

xray shows osseous fragment adjacent to the inferior aspect of the glenoid fossa

A

bankart lesion

63
Q

xray shows sclerosis, mottled density, collapse, subchondral fracture, and crescent sign associated with humeral head

A

AVN

Diff Di (8 decks)

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