Shoulder conditions

Question 1

Rotator cuff strain/tear- ss/px/pom

Answer 1

ss- pain around shoulder girdle, mc/ supraspiatus, typically pain with particular action of shoulder, overhead work/athelets

px- Empty can/ext rot, horn blowers, belly press, bear hug, lift off,

Question 2

myofascial pain of supra

Answer 2

ss- a referral that travels towards the lat deltoid

px- sustained pressure over supra, painful arc (60-120), overhead work

Question 3

Biceps tendinosis

Answer 3

ss- will experience ant shoulder pain and is aggravated with most active motion in the shoulder

px- Speeds, Yergasons, TT bicep tendon, hyperextension test, AROM flex

Question 4

Inpingement syndrome

Answer 4

Pain in/around shoulder, especially anteriorly. Pain w reaching up and behind back with int rot

px- Hawkins kennedy, neer, Dull/achy shoulder pain w abd >90

Question 5

AC joint sprain

Answer 5

ss- occurs following trauma, pinpoint pain at AC and horizontal add

px- obriens, Horizontal add, step defect, piano key sign +ve

Question 6

4 types of AC joint injury

Answer 6

I- Mild irritation, separation, AC joint stretch

II- AC lig torn, CC stretch

III- Torn AC and CC ligs

IV- Clavicle displaced post, AC and CC torn

Question 7

Adhesive capsulitis

Answer 7

ss- stiffness and pain in shoulder jt that gradually worsens over time

px- passive ROM is more painful then active
-painful capsular end feel with er and abduction

Question 8

3 stages of Adhesive capsulitis

Answer 8

freezing- any mvmt of shoulder causes pain, progressive loss of arom, prom normal

Frozen- pain diminish but shoulder becomes stiffer, PROM becomes v painful

Thawing- ROM begins to improve, slow recovery

Question 9

TOS

Answer 9

ss- pain in shoulder, numbness in fingers, pot diminished radial pulse/discoloration of hands

Px- Adsons (scalene), Edens (constoclavicular), Wrights (pec minor), EAST (ulnar dis)

Question 10

Glenoid labral tear

Answer 10

ss- pain w overhead or cross body activities, snaps, pops, catching, decreased rom, prior truama

px- pain/crepitaus, decreased ROM, Obriens, Crank, Biceps load, Kims (inf), Jerk (inf)

Question 11

Osteolysis of distal clavicle

Answer 11

ss- occurs from overuse injuries, gym goers who over do bench, weight training painful

px- obriens, horizontal abduction, ac joint testing, xray

pom- conserve with special form on rest

Question 12

Causes of osteolysis of clavicle e

Answer 12

Hyperparathyroidism, scleroderma, RA, Infection