Shoulder Examination Cont. Flashcards

1
Q

What muscles does the axillary nerve innervate (2)

A
  1. Teres minor

2. Deltoid (C5-C6)

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2
Q

What muscles does the accessory nerve innervate (2)

A
  1. SCM

2. Trapezius

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3
Q

What muscles does the suprascapular nerve innervate (2)

A
  1. Supraspinatus

2. Infraspinatus (C4-C6)

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4
Q

What muscles does the lower scapular nerve innervate (1)

A
  1. Teres major (C6-C7)
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5
Q

What muscles does the long thoracic nerve innervate (1)

A
  1. Serratus anterior (C5-C7)
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6
Q

What muscles does the upper and lower subscapular innervate (1)

A
  1. Subscapularis (C5-C7)
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7
Q

True or False:

Mid ROM instability pathology is not capsuloligamentous

A

True

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8
Q

What does mid ROM instability signify

A

Muscle isn’t working

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9
Q

What does end ROM instability signify

A

Capsuloligamentous

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10
Q

Painful arc from 60-120 is what type of pain

A

GH joint

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11
Q

Painful arc from 170-180 is what type of pain

A

AC joint

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12
Q

Instability or apprehension ER 90 and scaption or abduction equals what

A

Anterior instability

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13
Q

Instability or apprehension horizontal adduction and IR equals what

A

Posterior instability

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14
Q

Greatest limitation to least with a capsular pattern

A
  1. ER
  2. ABD
  3. IR
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15
Q

What are the glides of the GH joint (3)

A
  1. Anterior
  2. Posterior
  3. Inferior
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16
Q

What are the glides of the SC joint (4)

A
  1. Superior
  2. Inferior
  3. Anterior
  4. Posterior
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17
Q

What are the glides of the AC joint (2)

A
  1. Anterior

2. Posterior

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18
Q

What are the scapular motions (6)

A
  1. Elevation
  2. Depression
  3. Upward rotation
  4. Downward rotation
  5. Protraction
  6. Retraction
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19
Q

Thoracic spine mobility (3)

A
  1. CVP
  2. UVP
  3. TVP
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20
Q

True or False:

Limitations in the thoracic spine can cause limitation in shoulder ROM

A

True

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21
Q

What glides should you assess with flexion

A

Posterior and inferior

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22
Q

What glides should you assess with extension

A

Anterior

23
Q

What glides should you assess with abduction

A

Inferior of GH

Inferior of clavicle or sternum

24
Q

What glides should you assess with internal rotation

A

Posterior

25
Q

What glides should you assess with external rotation

A

Anterior

26
Q

What glides should you assess with horizontal abduction

A

Anterior

27
Q

What glides should you assess with horizontal adduction

A

Posterior

28
Q

If you can’t do MMT because of pain what should you do

A

FTPO

29
Q

What does resisted break testing address

A

Integrity of nerve root

30
Q

True or False:

If the patient is strong and painless during isometric break testing you do not do MMT

A

True

31
Q

If the person is weak in painless with isometric break testing what are pathologies (3)

A
  1. Complete tear
  2. Organic weakness
  3. Neurologic in nature
32
Q

How do you tell if it is neurologic in nature

A

Are all of the muscles innervated by the nerve weak and painless

33
Q

What is reflexive inhibition

A

Pain that prevents muscle from contracting

34
Q

What does TTPO stand for

A

Time To Pain Onset

35
Q

What is an example of TTPO

A

good at start of day and pain 4 hours into the day

36
Q

True or False:

Hand held dynamometry is reliable

A

True

37
Q

True or False:

One test alone does not confirm or refute your diagnosis

A

True

38
Q

How do you assess SS weakness

A

Empty can test

39
Q

What cause you to rule in patients for rotator cuff tear (RCT) (8)

A
  1. Over 60 y/o
  2. Night pain
  3. SS weakness
  4. ER weakness
  5. Impingement signs
  6. Drop arm test
  7. Full or empty can with + muscle weakness
  8. Lift off test
40
Q

What cause you to rule out patients for rotator cuff tear (3)

A
  1. Full or empty can negative
  2. No weakness of SS or ER
  3. Negative impingement signs (IS)
41
Q

What are special tests for tension intolerance (8)

A
  1. Jobe’s (empty can)
  2. IR lag sign
  3. Sulcus sign
  4. Speed’s
  5. Yergason’s
  6. Drop Arm (Codman’s)
  7. ER lag sign
  8. Rent test
42
Q

What are the special tests for compression intolerance (4)

A
  1. Hawkin’s
  2. Neer’s
  3. Active compression test (O’Brien sign)
  4. GH apprehension with relocation
43
Q

What are the special tests for shear force intolerance (6)

A
  1. Load and shift
  2. GH anterior apprehension
  3. Posterior apprehension
  4. AC shear
  5. Anterior slide
  6. Crank test
44
Q

What does the empty/full can assess

A

Supraspinatus

45
Q

What does IR lag sign and Napoleon sign/belly press test assess

A

Subscapularis

46
Q

What does Speed’s test assess

A

Biceps tendon

47
Q

What does Yergason’s test assess

A

Transverse humeral ligament

48
Q

What is normal laxity of anterior GH joint

A

A mild amount of translation (0-25%)

49
Q

What is a grade I laxity of anterior GH joint

A

A feeling of the humeral head riding upto the glenoid rim (25-50%)

50
Q

What is a grade II laxity of anterior GH joint

A

A feeling of the humeral head riding over the glenoid rim but spontaneously reducing (greater than 50%)

51
Q

What is a grade III laxity of anterior GH joint

A

A feeling of the humeral head riding over the glenoid rim and not reducing (50%)

52
Q

What do the anterior slide and crank test assess for

A

SLAP lesions

53
Q

What does the sulcus test assess for

A

Inferior instability