Shoulder Exam Flashcards
3 bones of the shoulder
Clavicle, acromion , humerus
Which muscle of the rotator cuff is MOST often injured?
Supraspinatus M.
Risk factors for rotator cuff injury?
Age, inpingement, overhead activity sports
People with rotator cuff injury will hurt where?
Lateral deltoid
3 types of rotator cuff pathology
Impungement syndrome
Tendon injury
Tendinopathy
What are the injuries to the acromioclavicular joint?
AC sprain
AC ligament rupture
Coracoclavicular L. rupture
Clavicle fracture is most common in what demographic?
Kids
Proximal humerus fracture is most common in what demographic?
Elderly
Anterior shoulder dislocations account for what percent of dislocations?
97%
What are the 4 extrinsic causes of shoulder pain?
Neurologic
Abdominal
Cardiovascular
Pulmomary
Intrinsic causes of shoulder pain?
Overuse
Bursitis
Synovitis
Osteoarthritis
What are ACUTE causes of rotator cuff injuries?
Rotator cuff injuries
Fractures/dislocations
AC joint injury
Myofascial injury
What are CHRONIC causes of shoulder pain?
Rotator cuff disorder
Shoulder instability
Shoulder arthritis
Adhesive capulitis
Which fracture results from BLUNT trauma?
Scapular fracture
POSTERIOR shoulder dislocations account for what percent of dislocations?
2-4%
INFERIOR shoulder dislocations account for what percent of dislocations?
.5%
P.E for acromioclavicular joint injury will show?
Tenderness DIRECTLY over the AC joint
What is the most sensitive indicator of joint disease?
Range of Motion
Make sure to check for the following for joint injury?
Blood thinner use
Heart pain
Oral contraceptive use
Narcotic use
Which specialty test gives you the MOST specificity for shoulder pain?
Painful arc test
Why does the shoulder have HIGH potential for injury?
Only joint with tendons passing between bones
What muscles make up the rotator cuff?
Supraspinatous M
Infraspinatous M,
Teres minor M.
Subscapularis M.
SITS
If patient comes in with TRAUMATIC shoulder pain what are the possible causes ?
Bone injury
Soft tissue injury
Joints
What do we look for if a patient comes in with ATRAUMATIC shoulder pain?
Intrinsic (heart, lungs, cervical radiculopathy)
Extrinsic (aging, overuse)
