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OMM II > Shoulder OMM > Flashcards

Shoulder OMM Flashcards

1
Q

Where does shoulder pain rank in the consultation of primary care?

A

Third most common

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2
Q

What are the three bones that comprise the shoulder?

A

Clavicle
Humerus
Scapula

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3
Q

What spinal level does the clavicular spine point to?

A

T3

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4
Q

What are the 4 joints of the shoulder? Which is false?

A

Sternoclavicular
Acromioclavicular
Glenohumeral joint

Scapulothoracic= false

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5
Q

What is the motion of the sternoclavicular joint?

A

Multi-axial

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6
Q

What is the only bony connection of the upper extremity to the axial skeleton?

A

Sternoclavicuarl joint

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7
Q

What are the three ligaments that are a part of the sternoclavicular joint?

A

Sternoclavicular
Costoclavicular
Interclavicular

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8
Q

What is the ball and socket joint of the shoulder?

A

Glenohumeral joint

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9
Q

What is significant about the glenohumeral joint, relative to other joints in the body?

A

Most mobile

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10
Q

What are the motions of the glenohumeral joint?

A

Flexion/extension
Abduction/adduction
Medial/lateral rotation

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11
Q

Why is the glenohumeral joint unstable?

A

Shallow cavity

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12
Q

Where is the glenohumeral joint most unstable?

A

Anteriorly and inferiorly

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13
Q

What are the three major ligaments of the shoulder joint?

A

Glenohumeral
Coracohumeral
Transverse humeral

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14
Q

What are the four muscles that are around the glenohumeral joint (rotator cuff) Name them with respect to their anatomical location (i.e. anterior, posterior, superior, inferior).

A 
Superiorly = supraspinatous
Anterior = infraspinatous
Inferior = teres minor
Posterior = subscapularis
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15
Q

Which joint of the shoulder allows the FROM of the UE?

A

Scapulothoracic joint

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16
Q

What are the spinal nerves roots that are a part of the brachial plexus?

A

C5-T1

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17
Q

Draw out brachial plexus

A

Draw

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18
Q

What is scalenus anticus syndrome?

A

Compression of the brachial plexus between the anterior and middle scalenes

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19
Q

What is wright’s test, and what does it assess?

A

Pec minor syndrome.

Raise hands above head and apply compression to adduct the arms

20
Q

What is Adson’s test, and what does it assess?

21
Q

What is the costoclavicular test asses for, and how is it performed?

22
Q

What is the most common cause of bursitis?

A

Repetitive use of a joint

23
Q

What are the superficial, anterior muscles of the shoulder girdle?

A

Deltoid
Pec major
SCM
Biceps

24
Q

What is the O and I of the biceps Brachii?

A

Tip of the coracoid process and tubercle of the scapula to the radial tuberosity and bicipital aponeurosis

25
Q

What are the deep, anterior muscles of the shoulder?

A

Coracbranchialis
Pec minor
Subclavius
Serratus anterior

26
Q

What is the innervation of the serratus anterior?

A

Lonog thoracic nerve

27
Q

Injury to the long thoracic nerve causes what? Why?

A

Winged scapula d/t lack of innervation to the serratus anterior

28
Q

What is the O and I of the pec minor?

A

Ribs 3-5 to coracoid process

29
Q

What is the O and I of the pec major?

A

Medial 2/3 of the clavicle

Lateral lip of the intertubercular groove

30
Q

What is the posterior, superficial muscles of the shoulder girdle?

A

Deltoid
Trap
Lat dorsi
Triceps

31
Q

What is the O and I of the lat dorsi?

A

Spinous process of lower 6 thoracic

Medial lip and floor of the intertubercular groove

32
Q

What are the posterior, deep muscles of the shoulder girdle?

A 
Rotator cuff muscles +
Levator scap
Teres major
Levator scap
Rhomboids
33
Q

What are the attachments of the rhomboids?

A 
Minor = ligamentum nuchae
Major = T2-T5

Insert into the scap

34
Q

What is the major shoulder flexor?

35
Q

What is the major shoulder extender?

36
Q

What is the major muscle of internal rotation of the arm?

A

Subscapularis

37
Q

What is the major muscle of external arm rotation?

A

Infraspinatus

38
Q

What are the two muscles that are involved in abduction of the shoulder?

A

Deltoid

Supraspinatus (first 15 degrees)

39
Q

What are the two muscles that are involved in abduction of the shoulder?

A

Pec major

Lat dorsi

40
Q

What are the two major muscles that effect scapular depression?

A

Pec minor

Trap

41
Q

What are the muscles that effect scapular protraction?

A

Serratus anterior

Pecs

42
Q

What are the muscles that cause scapular retraction?

A

Middle trap
Rhomboids
Lat dorsi

43
Q

What are the muscles that cause upward rotation of the scapula?

A

Trap

Serratus anterior

44
Q

What is the scapulohumeral rhythm?

A

Scapular movement is to facilitate glenohumeral movements in a 2:1 ratio

45
Q

What is adhesive capsulitis?

A

Frozen shoulder: shoulder capsule of the glenohumeral joint becomes inflamed and stiff, greatly restricting motion and causing pain

OMM II (43 decks)

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