Shoulder Exam

Question 1

3 bones of the shoulder

Answer 1

Clavicle, acromion , humerus

Question 2

Which muscle of the rotator cuff is MOST often injured?

Answer 2

Supraspinatus M.

Question 3

Risk factors for rotator cuff injury?

Answer 3

Age, inpingement, overhead activity sports

Question 4

People with rotator cuff injury will hurt where?

Answer 4

Lateral deltoid

Question 5

3 types of rotator cuff pathology

Answer 5

Impungement syndrome
Tendon injury
Tendinopathy

Question 6

What are the injuries to the acromioclavicular joint?

Answer 6

AC sprain
AC ligament rupture
Coracoclavicular L. rupture

Question 7

Clavicle fracture is most common in what demographic?

Answer 7

Kids

Question 8

Proximal humerus fracture is most common in what demographic?

Answer 8

Elderly

Question 9

Anterior shoulder dislocations account for what percent of dislocations?

Answer 9

97%

Question 10

What are the 4 extrinsic causes of shoulder pain?

Answer 10

Neurologic
Abdominal
Cardiovascular
Pulmomary

Question 11

Intrinsic causes of shoulder pain?

Answer 11

Overuse
Bursitis
Synovitis
Osteoarthritis

Question 12

What are ACUTE causes of rotator cuff injuries?

Answer 12

Rotator cuff injuries
Fractures/dislocations
AC joint injury
Myofascial injury

Question 13

What are CHRONIC causes of shoulder pain?

Answer 13

Rotator cuff disorder
Shoulder instability
Shoulder arthritis
Adhesive capulitis

Question 14

Which fracture results from BLUNT trauma?

Answer 14

Scapular fracture

Question 15

POSTERIOR shoulder dislocations account for what percent of dislocations?

Answer 15

2-4%

Question 16

INFERIOR shoulder dislocations account for what percent of dislocations?

Answer 16

.5%

Question 17

P.E for acromioclavicular joint injury will show?

Answer 17

Tenderness DIRECTLY over the AC joint

Question 18

What is the most sensitive indicator of joint disease?

Answer 18

Range of Motion

Question 19

Make sure to check for the following for joint injury?

Answer 19

Blood thinner use
Heart pain
Oral contraceptive use
Narcotic use

Question 20

Which specialty test gives you the MOST specificity for shoulder pain?

Answer 20

Painful arc test

Question 21

Why does the shoulder have HIGH potential for injury?

Answer 21

Only joint with tendons passing between bones

Question 22

What muscles make up the rotator cuff?

Answer 22

Supraspinatous M
Infraspinatous M,
Teres minor M.
Subscapularis M.

SITS

Question 23

If patient comes in with TRAUMATIC shoulder pain what are the possible causes ?

Answer 23

Bone injury
Soft tissue injury
Joints

Question 24

What do we look for if a patient comes in with ATRAUMATIC shoulder pain?

Answer 24

Intrinsic (heart, lungs, cervical radiculopathy)

Extrinsic (aging, overuse)