Shoulder Examination Cont. Flashcards
What muscles does the axillary nerve innervate (2)
- Teres minor
2. Deltoid (C5-C6)
What muscles does the accessory nerve innervate (2)
- SCM
2. Trapezius
What muscles does the suprascapular nerve innervate (2)
- Supraspinatus
2. Infraspinatus (C4-C6)
What muscles does the lower scapular nerve innervate (1)
- Teres major (C6-C7)
What muscles does the long thoracic nerve innervate (1)
- Serratus anterior (C5-C7)
What muscles does the upper and lower subscapular innervate (1)
- Subscapularis (C5-C7)
True or False:
Mid ROM instability pathology is not capsuloligamentous
True
What does mid ROM instability signify
Muscle isn’t working
What does end ROM instability signify
Capsuloligamentous
Painful arc from 60-120 is what type of pain
GH joint
Painful arc from 170-180 is what type of pain
AC joint
Instability or apprehension ER 90 and scaption or abduction equals what
Anterior instability
Instability or apprehension horizontal adduction and IR equals what
Posterior instability
Greatest limitation to least with a capsular pattern
- ER
- ABD
- IR
What are the glides of the GH joint (3)
- Anterior
- Posterior
- Inferior
What are the glides of the SC joint (4)
- Superior
- Inferior
- Anterior
- Posterior
What are the glides of the AC joint (2)
- Anterior
2. Posterior
What are the scapular motions (6)
- Elevation
- Depression
- Upward rotation
- Downward rotation
- Protraction
- Retraction
Thoracic spine mobility (3)
- CVP
- UVP
- TVP
True or False:
Limitations in the thoracic spine can cause limitation in shoulder ROM
True
What glides should you assess with flexion
Posterior and inferior
What glides should you assess with extension
Anterior
What glides should you assess with abduction
Inferior of GH
Inferior of clavicle or sternum
What glides should you assess with internal rotation
Posterior
What glides should you assess with external rotation
Anterior
What glides should you assess with horizontal abduction
Anterior
What glides should you assess with horizontal adduction
Posterior
If you can’t do MMT because of pain what should you do
FTPO
What does resisted break testing address
Integrity of nerve root
True or False:
If the patient is strong and painless during isometric break testing you do not do MMT
True
If the person is weak in painless with isometric break testing what are pathologies (3)
- Complete tear
- Organic weakness
- Neurologic in nature
How do you tell if it is neurologic in nature
Are all of the muscles innervated by the nerve weak and painless
What is reflexive inhibition
Pain that prevents muscle from contracting
What does TTPO stand for
Time To Pain Onset
What is an example of TTPO
good at start of day and pain 4 hours into the day
True or False:
Hand held dynamometry is reliable
True
True or False:
One test alone does not confirm or refute your diagnosis
True
How do you assess SS weakness
Empty can test
What cause you to rule in patients for rotator cuff tear (RCT) (8)
- Over 60 y/o
- Night pain
- SS weakness
- ER weakness
- Impingement signs
- Drop arm test
- Full or empty can with + muscle weakness
- Lift off test
What cause you to rule out patients for rotator cuff tear (3)
- Full or empty can negative
- No weakness of SS or ER
- Negative impingement signs (IS)
What are special tests for tension intolerance (8)
- Jobe’s (empty can)
- IR lag sign
- Sulcus sign
- Speed’s
- Yergason’s
- Drop Arm (Codman’s)
- ER lag sign
- Rent test
What are the special tests for compression intolerance (4)
- Hawkin’s
- Neer’s
- Active compression test (O’Brien sign)
- GH apprehension with relocation
What are the special tests for shear force intolerance (6)
- Load and shift
- GH anterior apprehension
- Posterior apprehension
- AC shear
- Anterior slide
- Crank test
What does the empty/full can assess
Supraspinatus
What does IR lag sign and Napoleon sign/belly press test assess
Subscapularis
What does Speed’s test assess
Biceps tendon
What does Yergason’s test assess
Transverse humeral ligament
What is normal laxity of anterior GH joint
A mild amount of translation (0-25%)
What is a grade I laxity of anterior GH joint
A feeling of the humeral head riding upto the glenoid rim (25-50%)
What is a grade II laxity of anterior GH joint
A feeling of the humeral head riding over the glenoid rim but spontaneously reducing (greater than 50%)
What is a grade III laxity of anterior GH joint
A feeling of the humeral head riding over the glenoid rim and not reducing (50%)
What do the anterior slide and crank test assess for
SLAP lesions
What does the sulcus test assess for
Inferior instability
