Shoulder Pain Flashcards
Shoulder pain is the _____ most common musculoskeletal complaint
3rd most common
The shoulder is the site where tendons pass between what
Bones (acromion process and humerus)
What is the vindicate pneumonic and what is it used for
Vascular Inflammatory Neoplastic Degenerative/deficiency Idiopathic/intoxication Congenital Autoimmune/Allergic Traumatic Endocrine
Used to narrow down a differential dx.
Who do clavicle fx most often occur in?
Kids (greenstick fx.)
The proximal humerus is fractured most commonly in who
The elderly
A scapular fx. Is most commonly associated with what
Blunt trauma
What are the three type of Glenohumeral Dislocation
- Anterior - most common
- Posterior
- Inferior - least common
What do AC Joint injuries commonly result from
Direct trauma to the superior or lateral aspect of the shoulder (acromion) with the arm adducted
Ex. A direct blow to the shoulder or falling onto the shoulder
What is a common sign for AC separation
Shoulder step off
Define a Type I AC Tear
Clavicle is displaced posteriorly over the acromion
The L. Is stretched
Define a Type II AC joint Tear
A partial rupture of the AC L.
Define a Type III AC Joint Tear
A complete rupture of the AC and CC (coracoarcomial) L.’s
What muscle is most commonly injured in a rotator cuff injury
Supraspinatus M.
What are the muscle of the rotator cuff
Supraspinatus
Infraspinatus
Teres Minor
Subscapularis
SITS
What is the most sensitive and specific rotator cuff specialty test
Painful arc test
Define impingement syndrome of the Rotator Cuff
Symptoms resulting from compression of the rotator cuff tendons and the subacromial bursa between the greater tubercle of the humeral head and the lateral edge of the acromion process
Define Tendinopathy of the Rotator Cuff
Chronic injury to the supraspinatus M. And/or infraspinatus M. Tendons
Develops as a consequence of repetitive activity
Define Septic Arthritis. What are some common risk factors? Which joint is usually involved? What is a good conformational diagnostic
Inflammation and accumulation of infected fluid within the joint. Usually occurs in the knee. Risk factors include the elderly, RA, skin infections, recent surgery, IV Drug use.
Aspirate synovial fluid to check
What x-ray to use to get the best image of the shoulder
A Y view
Biceps DTR checks what nerve root?
Brachioradialis DTR?
Triceps DTR?
C5
C6
C7
What does the apprehension test look for
(+) = pt. Apprehensive of repeat dislocation
Genohumeral instability
What does the sulcus sign look for
(+) = indentation appears in the area beneath the acromion
Indicates glenohumeral instability
What does Yergason’s test look for
(+) = pain and/or tendon subluxation out of the groove
Indicates unstable bicipital
What does Speed’s Test look for
(+) = pain in bicipital groove
Indicates bicipital tendonitis of long-head biceps brachii M.
