Shoulder Pathology Flashcards
1
Q
AC dysfunction
A
Males, overhead throwing athletes
- trauma from fall on shoulder
- pain is localized to top of the shoulder
- cross body adduction is painful, resisted extension test (resisted horizontal abduction), and palpation pain at AC joint
- pain with final 10 degrees of shoulder abduction
2
Q
Adhesive Capsulitis
A
- female, 40-60 years old, diabetes, hypothyroidism
- sustained and intense inflammatory and fibrotic response that affects the synovial lining and capsuloligamentous complex of shoulder
- global loss of GH AROM and PROM
- insidious onset
- limited in all directions but mainly ER and addiction initially
3
Q
Shoulder Impingement Syndrome
A
- insidious and gradual onset and symptoms worsen with overhead activities
- no significant loss of PROM, mainly issues with active ROM
- night pain, aching or sharp pain in upper arm. C5 dermatomes
Cluster = Hawkins Kennedy, Neer (pain with shoulder flexion), painful arc between 60-120 degrees, external rotation weakness, positive empty can
4
Q
Rotator Cuff Tear
A
- Acute fall on outstretched arm
- similar symptoms with impingement
- weakness or inability to hold certain test positions may indicate which type of tear
Cluster - age older than 60
- Hawkins Kennedy (internal rotation pressure added to arm while in shoulder flexion and elbow flexion and adduction across body)
- ER weakness (external rotator lag sign)
- positive drop arm (unable to keep ER) or empty can (unable with overpressure)
5
Q
SLAP Tear
A
Superior Labrum Anterior Posterior (glenoid fossa torn superiority where long head of biceps tendon inserts)
- throwers or peel back motion
- may occur with Rotator Cuff degeneration
- sharp, severe, localized pain deep in joint
- catching or locking occurs
- dead arm when pitching
- cluster = active compression, relocation and apprehension test, history of a pop sound and patient is younger and athletic, biceps load test
