Shoulder pain

Question 1

Bursitis

Answer 1

Inflammation of bursa

-burning pain

Question 2

Impingement syndrome/ RC tendinitis

Answer 2

Irritation of structures above shoulder joint/ under acromion
Due to repeated compression between greater tuberosity and acromion process. Can lead to RC degeneration and tears

Question 3

Instability-

Answer 3

laxity in the capsule or labral deficiency

Question 4

Bicipital tendinitis

Answer 4

Inflammation of the tendon of the biceps brachii

Question 5

Rotator cuff tear-

Answer 5

the dynamic stabilizers are disrupted

Question 6

Arthritis-

Answer 6

point tender if AC/SC. Grinding. Age. Postive Cross Arm*- will see in the first step of the Apley Scratch test.

Question 7

Whats tests are use when Bicipital tendinitis is suspected

Answer 7

Yeargason and Speeds test

Question 8

Signs of rotator cuff tear

Answer 8

Age or Trauma; history of impingement
Drop Arm Test- passively lift the arm, ask to hold (NEGATIVE IT PT CAN HOLD UP)
Belly press- test for subscapularis tear- pt pushes againt np resistance
Lift off test behind the back test against np resistance- test for subscapularis tear
Touchdown sign

Question 9

How to preform yeargason test?

Answer 9

Yeargason- palpate bicepital groove. Place forearm in pronation and elbow bent. Try to supinate the fa while resisting the biceps. Think of a corkscrew motion during opening a bottle of wine- this is the full action of the bicep. You are testing the full action.

Question 10

how to perform speeds test

Answer 10

Speeds- flex the shoulder and place arm in almost full elbow extn. Resist flexn of the elbow and palpate the bicpital groove.

Question 11

Signs of Bicipital Tendinitis

Answer 11

Pain with use
Throwing athletes- arm swing athletes
Pain more anteriorly
Positive Speeds
Positive Yergason
Possible painful arc and noc ischemia
Usually can reproduce pain when palpating the bicipital groove

Question 12

Name tests for RC Tendinits/ Impingement

Answer 12

Painful arc – between 65-120 is painful.
+ Apley Scratch- opposite shldr blade, opp inf angle scap.- doing this reproduces the pain
+ Neer- passive flxn of the shoulder with the scap stabilized and FA in pronation
+ Hawkins- passively flex the shoulder to 90, bend elbow, internally rotate
Empty can- hold “soda can” out, then turn it over to dump out the soda.

Question 13

Family of rotator cuff muscles

Answer 13

scapulohumeral

- act on and stabilize the glenohumeral joint in the human body

Question 14

sign for Biceps Tendon Rupture

Answer 14

After the injury there is usually localised pain at the front of the elbow, with bruising and swelling. The biceps muscle may retract up the upper arm crating a prominent bump,
***known as the ‘Popeye’ sign.

Question 15

common cause of shoulder pain in youth

Answer 15

strain of muscle or traumatic- fractures and dislocations. Overuse in play/sport. Rest and protection. There is usually a precipitating event.

Question 16

common cause of shoulder pain in middle age ppl

Answer 16

Middle age- tendinitis/bursitis- postural or overuse.

Question 17

common cause of shoulder pain ink eldery

Answer 17

Elderly- NON TRAUMATIC rotator cuff tear and adhesive capsulitis. Arthritis. = point tenderness