Shoulder Practical Flashcards
A-C PS visualization
normal/smooth
slight bump
A-C PS static palpation pain point
A-C joint
A-C PS ROM that is decreased
abduction
A-C PS orthopedic exams that are significant
dawbarn’s
dugas
yergason’s
A-C PS potential neurological problems
coracobrachialis
A-C PS fluid motion, joint play
decreased S-I at A-C joint
G-H I visualization
sulcus sign
G-H I static palpation pain point
anterior joint
G-H I ROM decreased
external rotation
G-H I orthopedic tests
dawbarn’s
dugas
yergason’s
neurological signs of G-H I
anterior deltoid weakness
G-H I fluid motion that is decreased
I-S, A-P
G-H P visualization
normal/smooth
G-H P static palpation pain point
posterior joint
G-H P ROM that is decreased
internal rotation
orthopedic tests that could be positive for G-H P
drop arm test
neurological problems with G-H P
teres major weakness
fluid motion joint play G-H P
decreased I-S, P-A
S-T L visualization
> 3 fingers width from spine
S-T L palpation pain point
anterior to scapula (subscapularis muscle)
ROM that could be decreased with S-T L
adduction
fluid motion that could be decreased with S-T L
decreased L-M scapula
S-T M visualization
<3 fingers width from spine
static palpation pain point for S-T M
anterior to scapula (subscapularis muscle)
ROM decreased for S-T M
abduction
fluid motion potentially decreased for S-T M
decreased M-L scapula
St-Cl visulaization
slightly higher, more prominent
St-Cl static palpation pain point
St-Cl joint
St-Cl ROM that is decreased
abduction
potential neurological issues with St-Cl
pectoralis major
clavicular attachment
St-Cl fluid motion decrease
shoulder rolling
St-Co I visualization
normal/smooth to slight bump
St-Co I static palpation pain point
St-Co I joint
St-Co I possible neurological problems
pectoralis major, sternal attachment
fluid motion decreased in St-Co I
decreased on breathing in
St-Co S visualization
normal/smooth to slight bump
St-Co S static palpation pain point
St-Co S joint
possible neurological issues associated with St-Co S
pec major- sternal attachment
joint play decreased in St-Co S
decreased on breathing out
scapulo humeral ratio
humerus should move by itself until 90 degrees, then the scapula should move
ratio should be 3:1
4:1 S-T L
1:1 ?
what subluxation are possibly indicated in the different apley scratch movements?
adduction decreased (S-T M) external rotation decreased (G-H I) internal rotation (S-T L, G-H I)
apprehension procedure. when would it be positive?
press P-A on posterior humerus, arm needs to be at 90 degrees and externally rotated
tendancy to dislocate
dawbarn’s procedure. when would it be positive?
press into bursa and bring arm up
decreased pain indicates subacromial bursitis
dugas procedure. when would it be positive?
grab other shoulder, press elbow into chest
if can’t, anteriorly dislocated shoulder
yergason’s procedure. when would it be positive?
bro handshake
clicking or popping of tendon coming out of groove
transverse humeral ligament laxity or shallow bicipital tendon groove
drop arm test
+ part 1= grade 3 tear, patient can’t raise their arm
+ part 2= grade 2 tear, patient can bring arm up, but can’t hold against any pressure
+ part 3= grade 1 tear, patient has pain and trouble holding up arm during impulse
speed’s test
pain indicates
bicipital tendonitis, impingement syndrome, rotator cuff bursitis, SLAP lesion
pec minor muscle test
wright’s test positive may be due to muscle being tight
pec major muscle test
weak at sternal attachment- possible St-Co I or S (bring arm straight across)
clavicular attachment- St-Cl S (bring arm in a diagonal angle across the chest
anterior deltoid muscle test
patient supine, arm straight at 45 degrees flexion
patient holds against a downward pressure
weakness- G-H I
teres major muscle test
patient is supine, internally rotate arm and place under body, hand in lower back area
patient resists doctor pulling anterior
weakness: G-H P
coracobrachialis must test
patient supine, humerus flexed 90 degrees and elbow fully flexed and attempts to maintain position while doctor grapss biceps with both hands and tries to pull arm down
weak and clavicle doesn’t move:grade 3 tear
clavicle moves: A-C separation
serratus anterior muscle test
check for scapular wingins
kocher’s
patient seated
doctor tractions S-I on arm, while doing that, doctor takes arm into external rotation, adduction
when you’ve done that, adduct the arm across the chest and bring arm into internal rotation
check vascularity, sensory and musculoskeletal
fares
patient is supine, doctor takes hand and bottom of humerus
move arm in an A to P motion until the shoulder reaches 90 degrees
once there, start externally rotating while still oscillating and continue abduction
check vascularity, sensory and musculoskeletal
frozen shoulder
- traction and release in the neutral position, taking care to stay within patient’s pain tolerance, 3-5 times
- traction and move through ROM gained within pain tolerance. do this until there is no progress being made
- determine ROM that is most decreased. treaction in that direction and apply one impulse at each ROM until we have a post check of more motion or feel or hear a release
tell them to do exercises at home (towel exercise, weighted traction, knotted rope over basement beam, forearm on table, lean forward, wall walking exercise
