Shoulder Impingement Flashcards
What is a condition that occurs when the shoulder’s rotator cuff tendons become compressed or irritated as they pass through the shoulder joint?
Shoulder Impingement
What are the two most common classifications of shoulder impingement?
Jobe’s and Neers
Which classification is based on Degree or Stage of Pathology of Rotator Cuff?
Neer’s Classification
Which stage of Neer’s Classification is a Traumatic Onset - edema, hemorrhage at the joint, patient usually <25 years of age most commonly seen in athletes?
Stage 1
Which stage of Neer’s Classification is Tendonitis/bursitis/fibrosis and patient usually 25-40 years of age?
Stage 2
Which stage of Neer’s Classification is bone spurs and tendon rupture, patient usually >40 years of age?
Stage 3
Which classification is based on progressive microtrauma?
Jobe’s
Which group of Jobe’s Classificiation is pure impingement (usually in an older recreational athlete with partial undersurface rotator cuff tear and subacromial bursitis)? Ex. athlete continuously doing the same activity over and over again. Underlying trauma is what is causing the impingement
Group 1
Which Jobe’s Classification is impingement associated with labral and/or capsular injury, instability and secondary impingement? Ex. a previous shoulder dislocation. Injury causing impingement.
Group 2
Which group of Jobe’s Classification is hyper elastic soft tissues resulting in anterior or multidirectional instability and impingement? Ex. usually attenuated but intact labrum, undersurface rotator cuff tear
Group 3
Which group of Jobe’s Classificiation is anterior instability without associated impingement? Ex. result of trauma; results in partial or complete dislocation
Group 4
What is the common symptom of a muscular shoulder impingement?
Pain in moving the arm over the head
What special test could you use for shoulder impingement?
- Hawkin’s Kennedy
- Neer’s
What are the two most commonly impinged muscles in the GH joint?
- Biceps
- Pec Minor
