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MSK UQ > Shoulder Labs > Flashcards

Shoulder Labs Flashcards

1
Q

what is a Sprengel’s deformity?

A

congenital deformity where scapula sits higher

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2
Q

what ROM and MMT MUST be measured for shoulder?

A

flex
abduction
IR
ER

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3
Q

painful arc occurs with arm elevation at _____ degrees and increases suspicion of ____ pathology

A

60-120 deg
RC

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4
Q

pain at the end of arm elevation ROM indicates _____ pathology

A

AC joint

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5
Q

scapular dyskinesis can be related to ____ impingement

A

SA

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6
Q

what is a SICK scapula?

A

malposition of Scapula
Inferior medial border
Coracoid with pain & malposition
scapular dysKinesia

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7
Q

in what position is shoulder resisted testing done in?

A

midrange

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8
Q

what motions go with the glides?
distraction
inferior
posterior
anterior

A

distraction - all
inferior - abduction
posterior - flex, IR, horz add
anterior - ext, ER, horz abd

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9
Q

which shoulder joint play is done in prone?

A

anterior glide

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10
Q

where does RC commonly refer pain?

A

deltoid

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11
Q

what are the impingement special tests?

A

Neer
Hawkins-Kennedy
cross-body adduction
painful arc

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12
Q

muscle/tendon pathology (RC) tests

A

Speed’s
full can
empty can
ER lag sign
belly press
lift-off sign/IR lag sign
drop arm

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13
Q

how to perform Neer test

A
  1. passively elevate pt arm in max IR in scapular plane
  2. repeat with ER
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14
Q

positive Neer test

A

reproduction of their pain
supraspinatus or biceps injury

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15
Q

how to perform Hawkins-Kennedy test

A

passively flex arm to 90 and forcibly IR
repeat further into horz add - stop when pain

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16
Q

what does the motion of the Neer test cause?

A

greater tuberosity to jam against antero-inferior border of acromion

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17
Q

what does the motion of the Hawkins-Kennedy test cause?

A

presses supraspinatus tendon against anterior surface of coraco-acromial ligament and coracoid process

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18
Q

positive Hawkins-Kennedy test

A

reproduction of their pain
supraspinatus tendinopathy

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19
Q

which test can assess both subacromial impingement and AC joint pathology?

A

cross-body adduction test

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20
Q

position of arm for cross-body adduction test

A

90 deg flexion
passively horz add

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21
Q

how to perform Speed’s test?**

A

flex to 90
forearm supination
elbow fully extended
resist flexion

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22
Q

positive Speed’s test

A

pain at bicipital groove
biceps long head tendinopathy

23
Q

positive full can & empty can test

A

weakness OR pain
supraspinatus tendinopathy

24
Q

when to do empty can test?

A

if no reproduction with full can (more provocative)

25
UE position for ER lag sign & infraspinatus strength test
45 deg in scapular plane maintain ER strength test - against resistance lag sign - maintain when passive ER
26
which special tests assess subscapularis?
belly press test lift off test/IR lag sign (harder)
27
common compensation for belly press test
adduction of UE elbow moves posteriorly
28
UE position for drop arm test
90 deg abduction elbow fully extended shoulder ER
29
positive drop arm test
SIGNIFICANT RC pathology (shoulder shrug compensation)
30
instability special tests
apprehension & relocation tests sulcus sign posterior apprehension test
31
SLAP lesion special tests
active compression/O'Brien's test Biceps Load I Biceps Load II
32
labral special test
clunk test
33
scapular stability special tests
scapular dyskinesis test scapular assistance test wall (or floor) push up pec minor tightness
34
AC joint pathology special tests
presence of step deformity palpation cross-body adduction test active compression/O'Brien's test
35
UE position for apprehension test
supine 90 deg abduction max ER
36
what test is performed only if apprehension test is positive?
Jobe relocation test
37
a ____ force is applied to humeral head during Jobe relocation test
posterior
38
positive Jobe relocation test
decreased apprehension or reduction in symptoms able to ER further
39
UE position for sulcus sign test
abduct arm 20-50 deg neutral rotation
40
sulcus sign grades: 1+ = ___cm 2+ = ___cm 3+ = ___cm
1+ = 1 cm 2+ = 1-2 cm 3+ = >2 cm
41
a positive sulcus sign indicates _____
inferior instability or MDI
42
positive sulcus sign
depression greater than 1 finger width b/w acromion and humeral head
43
UE position for posterior apprehension test
90 deg flexion horz add posterior force at elbow
44
how to perform active compression/O'Brien's test
90 flex, elbow extended, 15 deg horz add 1. IR 2. ER provided resistance with downward force at IR & ER
45
positive active compression/O'Brien's test
pain w/ IR that is reduced with ER SLAP pathology
46
Biceps Load I vs II
I: 90 deg flexion II: 120 deg flexion (better)
47
UE position for Biceps Load I & II
supine 90 or 120 deg flexion full ER elbow flexed to 90 deg forearm supination resist elbow flexion (+) = pain
48
how to perform clunk test
passively fully abduct over head push humeral head anteriorly while ER at humerus
49
positive clunk test
clunk or grinding sound may cause apprehension if unstable
50
what test is done next if scapular dyskinesis test is positve?
scapular assistance test wall (or floor) push up test
51
positive scapular assistance test
decrease shoulder symptoms or increase elevation ROM 2/2 opening subacromial space with upward rotation assistance
52
tightness of pec minor may lead to scapular ____ & _____
protraction & tilting of inferior edge
53
which test can be used to assess SLAP lesion or AC joint pathology?
active compression/O'Brien's test

MSK UQ (15 decks)

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