shoulder (final)

Question 1

name the ligaments of the shoulder?

Answer 1

• coracoAcromial
• CoracoClsvicular
  (conoid, trapezoid Ligament)
• AcromioClavicular
• Glenohumeral
• sterno clavicular

Question 2

name the 5 joints of the shoulder?

Answer 2

• acromioclavicular jt
• glenohumeral jt
• coracovicular jt
• sternoclavicular jt
• scapulothoracic jt

Question 3

how can a scapular # occur?

Answer 3

• direct impact
• FOOSH

Question 4

s/s of scapular #?

Answer 4

• pain during shoulder movement.
• swelling and POT

Question 5

management of scapular #?

Answer 5

• sling immediately & X-ray
• sling for 3 wk w/ overhead strengthening at week 1.

Question 6

MOI for humeral #?

Answer 6

• direct blow
• FOOSH

Question 7

types of humeral #?

Answer 7

• shaft (brachial artery runs along the humorous of the shaft, and damage may occur to the artery fallowing a #?)
• surgical neck (most frequent)
• supracondylar (close to elbow)
• epiphyseal (growth plates)

Question 8

TR of humeral #?

Answer 8

• splint in comfortable position.
• arm and shoulder in a sling and swath
• go to hospital

Question 9

what is shoulder bursitis?

Answer 9

• inflammation of the subacromial &/ or subdeltiod bursa. (which is located above the humerus and under the acromion.

Question 10

what causes shoulder bursitis?

Answer 10

• also associated with shoulder impingement.
• direct trauma to the shoulder
• overuse repetitive abduction and overhead motion (volleyball, tennis, basketball players)

Question 11

s/s of someone w/ shoulder bursitis?

Answer 11

• pain during the painful arch, which is ROM from 80-120 degrees. at this range the bursa is being pinched between the humeral head and acromial arch.

Question 12

treatment for shoulder bursitis/ impignment?

Answer 12

• active rest from mechanism.
• anti inflammatory modalities
• NSAIDS
• chronic conditions the person may require cortisone by a physican
• strengthen muscles around scapula

Question 13

s/s of biceps tendonitis?

Answer 13

• increased pain through the shoulder, (shoulder flexion)
• long head of biceps becomes inflamed in the bicipital groove.
• pain over bicipital groove with rotation.

Question 14

what is a test for biceps tendonitis?

Answer 14

• speeds sign.

Question 15

treatment for biceps tendonitis?

Answer 15

• PIER
• ultrasound
• EMS
• NSAIDS
• recondition exercises of (RC, biceps, scapular stabilizers)

Question 16

what is a biceps brachia rupture?

Answer 16

• a strong contraction that allows the biceps brachii to snap, and bunch up into a ball.

Question 17

s/s of biceps brachii rupture?

Answer 17

• Px hears a snap, sudden & intense pain.
• bulge appears in the middle of the bicep.
• weakness with elbow flexion and supination

Question 18

treatment for biceps brachii rupture?

Answer 18

• ice for hemorrhaging
• are in sling & refer to physical ASAP.
• required surgery.

Question 19

what is rotator cuff tendonitis?

Answer 19

• this is a overuse injury that can be cause with lots of in and external motion with the arm in a abduction position. inflammation of the rotator cuff. can be cause by direct trauma also.

Question 20

name 6 factor affecting shoulder impingement?

Answer 20

▪ Repetitive overhead activities
▪ Weak RC musculature – esp. Infraspinatus
(IF), Teres minor (TM)
▪ Very narrow subacromial space
▪ Lack of flexibility – SS or biceps brachii and IF,
TM
▪ Hypermobile shoulder joints
▪ Muscular imbalances (particular scapular
stabilizers)

Question 21

s/s of rotator cuff tendonitis?

Answer 21

• Deep achy pain
• Pain in mid-range of abduction (painful arc)
• Atrophy of supraspinatus & infraspinatus

SPECIAL TEST
- + empty can
- + Kennedy – Hawkins test
- + Neers Impingement test

Question 22

name the 4 rotator cuff muscles from anterior to posterior?

Answer 22

• subscapularis
• supraspinatus
• infraspinatus
• teres minor

Question 23

how do yo treat someone with shoulder tendonitis?

Answer 23

• rest, ice, IMS, ultrasound
• proper strength rehab of the posterior muscles (trapezius, rhomboids and lateral rotators) and anterior muscles. need to have a good balance of both
• eccentric exercises.

Question 24

what is adhesive capsulitis (frozen shoulder)?

Answer 24

• chronic inflammation w/ contracted, inelastic RC muscles.
• contracted and thickened joint capsule.

Question 25

s/s of adhesive capsulitis?

Answer 25

 Pain on all movements
 Limited A/PROM
 Resistance on all movement

Question 26

how do you treat/ manage someone with frozen shoulder?

Answer 26

• joint mobilization and stretching tight musculatures.
• maintain the range of motion that the person does have.
• heat

Question 27

name 6 things that should be done to help prevent shoulder injuries?

Answer 27

1. good balance between strength and flexibility
2. proper warm-ep
3. use of proper technique
4. training how to fall properly
5. training how to take and give a hit
   6.. wearing protective EQM that help absorb and dissipate force of impact.