Shoulder CS

Question 1

Short Head Biceps TP

Answer 1

inferior lateral aspect of the coerced process

(inferior to lateral aspect of the clavicle and medial to the acromian

Question 2

Short Head Biceps Tx

Answer 2

pt supine with ph on tx side
shoulder and elbow flexed with slight horizontal adduction
half hug

Question 3

Short Head Biceps m

Answer 3

Coracobrachialis

Question 4

Long Head Biceps TP

Answer 4

in the bicipital groove of the humerus

Question 5

Long Head Biceps Tx

Answer 5

pt supine with ph on tx side
shoulder and elbow flexed with minimal abduction and internal rotation
(scarlet o’hara)

Question 6

Pectoralis Minor TP

Answer 6

inferior and medial to the coracoid process

myotendinous junction of muscle belly

Question 7

Pectoralis Minor Tx

Answer 7

pt supine

adduct arm across chest, nearly rolling them over, with inferomedial traction to shoulder

Question 8

Anterior Acromioclavicular Joint TP

Answer 8

at anterior aspect of AC joint

Ligamentous

Question 9

Anterior Acromioclavicular Joint Tx

Answer 9

Flexion with internal rotation and traction straight across body
same with anterior deltoid

Question 10

Infraspinatus TP

Answer 10

Upper: just inferior to spine of scapula, usually more lateral
Lower: Halfway down, and about 2 cm lateral, to the medial border

Question 11

Infraspinatus Tx

Answer 11

pt supine with ph seated on tx side and hand monitoring under pt.
Upper: flexion of shoulder and elbow (half statue of liberty)
Lower: flexion of shoulder above head (statue of liberty)

note: they may require IR

Question 12

Teres Minor TP

Answer 12

Posterior head of the humerus or the lateral border of the scapula (under the arm)

Question 13

Teres Minor Tx

Answer 13

humerus at about 30° of flexion

slight abduction and MARKED ER

Question 14

Shoulder Group 1

Answer 14

 Short Head Biceps (Coracobrachialis) 
 AAC
 Long Head Biceps
 Infraspinatus
 Pectoralis Minor 
 Teres Minor

Question 15

Shoulder Group 2

Answer 15

 PAC (Posterior Acromioclavicular)  Levator Scapulae
 Teres Major
 Supraspinatus
 Subscapularis
 Latissimus Dorsii

Bo by

Question 16

Posterior Acromioclavicular Joint TP

Answer 16

The posterior aspect of the AC Joint

ligamentous but can treat posterior deltoid similarly

Question 17

Posterior Acromioclavicular Joint Tx

Answer 17

pt prone and ph standing on contralateral side

pull arm back into extension and hand across to about the midline

Question 18

Levator Scapulae TP

Answer 18

Superiomedial aspect of the scapula

note: levator elevates the scapula

Question 19

Levator Scapulae Tx

Answer 19

PT lateral recumbent with affected side up
cephalad hand monitoring
pt head raised (pillow or table) with affected arm behind back to push scapula medial
caudad hand threaded through pt arm and pushing scapula superiorly

Question 20

Teres Major TP

Answer 20

Posterior surface of scapula just lateral to the inferior angle

Note: Add Ex and medially rotates humerus

Question 21

Teres Major Tx

Answer 21

pt seated and ph standing behind
“Twist the major’s arm behind his back.”
this Ad Ex and Mr humerus
can grasp at elbow and introduce medial and cephalad force to fine tune

Question 22

Supraspinatus TP

Answer 22

in the fossa above the spine of the scapula

note: Stabilizes shoulder joint; initiates abduction of the humerus.

Question 23

Supraspinatus Tx

Answer 23

pt supine with ph seated on affected side
“45/ 45/ 45”
flexion/abduction/marked external rotation

Question 24

Subscapularis TP

Answer 24

Anterolateral border of the scapula

under armpit near posterior

pressing from an anterolateral to posteromedial direction

Question 25

Subscapularis Tx

Answer 25

pt supine with ph seated on affected side
extend arm (downwards) with marked internal rotation use slight abduction

aim for “4” or “8” O’Clock position with arm

Question 26

Latissimus Dorsi TP

Answer 26

about 2-4 cm down humerus
medial of center on anterior aspect

Note: Extends, adducts, & medially (internally) rotates the humerus at the shoulder

Question 27

Latissimus Dorsi Tx

Answer 27

pt supine with ph seated on affected side
extend arm (downwards) with marked internal rotation use slight abduction AND traction

• Extension
• Marked internal rotation
• Slight abduction
• Mild traction
• Same as SUB (subscapularis) but with traction