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Extremities > Shoulder Practical > Flashcards

Shoulder Practical Flashcards

1
Q

A-C PS visualization

A

normal/smooth

slight bump

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2
Q

A-C PS static palpation pain point

A

A-C joint

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3
Q

A-C PS ROM that is decreased

A

abduction

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4
Q

A-C PS orthopedic exams that are significant

A

dawbarn’s
dugas
yergason’s

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5
Q

A-C PS potential neurological problems

A

coracobrachialis

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6
Q

A-C PS fluid motion, joint play

A

decreased S-I at A-C joint

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7
Q

G-H I visualization

A

sulcus sign

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8
Q

G-H I static palpation pain point

A

anterior joint

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9
Q

G-H I ROM decreased

A

external rotation

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10
Q

G-H I orthopedic tests

A

dawbarn’s
dugas
yergason’s

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11
Q

neurological signs of G-H I

A

anterior deltoid weakness

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12
Q

G-H I fluid motion that is decreased

A

I-S, A-P

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13
Q

G-H P visualization

A

normal/smooth

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14
Q

G-H P static palpation pain point

A

posterior joint

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15
Q

G-H P ROM that is decreased

A

internal rotation

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16
Q

orthopedic tests that could be positive for G-H P

A

drop arm test

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17
Q

neurological problems with G-H P

A

teres major weakness

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18
Q

fluid motion joint play G-H P

A

decreased I-S, P-A

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19
Q

S-T L visualization

A

> 3 fingers width from spine

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20
Q

S-T L palpation pain point

A

anterior to scapula (subscapularis muscle)

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21
Q

ROM that could be decreased with S-T L

A

adduction

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22
Q

fluid motion that could be decreased with S-T L

A

decreased L-M scapula

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23
Q

S-T M visualization

A

<3 fingers width from spine

24
Q

static palpation pain point for S-T M

A

anterior to scapula (subscapularis muscle)

25
Q

ROM decreased for S-T M

A

abduction

26
Q

fluid motion potentially decreased for S-T M

A

decreased M-L scapula

27
Q

St-Cl visulaization

A

slightly higher, more prominent

28
Q

St-Cl static palpation pain point

A

St-Cl joint

29
Q

St-Cl ROM that is decreased

A

abduction

30
Q

potential neurological issues with St-Cl

A

pectoralis major

clavicular attachment

31
Q

St-Cl fluid motion decrease

A

shoulder rolling

32
Q

St-Co I visualization

A

normal/smooth to slight bump

33
Q

St-Co I static palpation pain point

A

St-Co I joint

34
Q

St-Co I possible neurological problems

A

pectoralis major, sternal attachment

35
Q

fluid motion decreased in St-Co I

A

decreased on breathing in

36
Q

St-Co S visualization

A

normal/smooth to slight bump

37
Q

St-Co S static palpation pain point

A

St-Co S joint

38
Q

possible neurological issues associated with St-Co S

A

pec major- sternal attachment

39
Q

joint play decreased in St-Co S

A

decreased on breathing out

40
Q

scapulo humeral ratio

A

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 ?

41
Q

what subluxation are possibly indicated in the different apley scratch movements?

A 
adduction decreased (S-T M)
external rotation decreased (G-H I)
internal rotation (S-T L, G-H I)
42
Q

apprehension procedure. when would it be positive?

A

press P-A on posterior humerus, arm needs to be at 90 degrees and externally rotated
tendancy to dislocate

43
Q

dawbarn’s procedure. when would it be positive?

A

press into bursa and bring arm up

decreased pain indicates subacromial bursitis

44
Q

dugas procedure. when would it be positive?

A

grab other shoulder, press elbow into chest

if can’t, anteriorly dislocated shoulder

45
Q

yergason’s procedure. when would it be positive?

A

bro handshake
clicking or popping of tendon coming out of groove
transverse humeral ligament laxity or shallow bicipital tendon groove

46
Q

drop arm test

A

+ 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

47
Q

speed’s test

A

pain indicates

bicipital tendonitis, impingement syndrome, rotator cuff bursitis, SLAP lesion

48
Q

pec minor muscle test

A

wright’s test positive may be due to muscle being tight

49
Q

pec major muscle test

A

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

50
Q

anterior deltoid muscle test

A

patient supine, arm straight at 45 degrees flexion
patient holds against a downward pressure
weakness- G-H I

51
Q

teres major muscle test

A

patient is supine, internally rotate arm and place under body, hand in lower back area
patient resists doctor pulling anterior
weakness: G-H P

52
Q

coracobrachialis must test

A

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

53
Q

serratus anterior muscle test

A

check for scapular wingins

54
Q

kocher’s

A

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

55
Q

fares

A

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

56
Q

frozen shoulder

A
  1. traction and release in the neutral position, taking care to stay within patient’s pain tolerance, 3-5 times
  2. traction and move through ROM gained within pain tolerance. do this until there is no progress being made
  3. 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

Extremities (9 decks)

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