Shoulder protocol

Question 1

when scanning the long heads biceps you want to visualize the

Answer 1

bicipital groove as it may be torn or out of place if not visualized

Question 2

biceps tendon should be _______mm thick with what appearance

Answer 2

less than 5 mm thick

fibrillar

Question 3

where will the subscapularis joint be seen inserting

Answer 3

medial to the bicipital groove

Question 4

supraspinatus tendon emerges from beneath the ________ to insert on the ___________.

Answer 4

acromion

greater tuberosity of the humerus

Question 5

supraspinatus appearance

Answer 5

It should be uniform, fibrillar & ‘beak shaped’ (convex superiorly).

Question 6

infraspinatus has similar apperance to

Answer 6

subscapularis

Question 7

dynamic assessment of biceps

Answer 7

assess it’s stability within the bicipital groove during external rotation.

Question 8

dynamic assessment of subscapularis

Answer 8

assess for any overlying subdeltoid bursal bunching against coracoid during internal rotation

Question 9

dynamic assessment os supraspinatus

Answer 9

assess for bunching of the tendon &/or overlying subacromial bursa against the acromion or coraco-acromial ligament during abduction.
Ensure the patient does NOT hunch their shoulder or lean towards the contralateral side during abduction.

Question 10

posterior joint recess assessment

Answer 10

during internal/external rotation, assess for a gleno-humeral joint effusion. This will be most evident during external rotation

Question 11

Acromio-clavicular joint assesment

Answer 11

during forward flexion with internal rotation look for boney contact or ganglia of the ACJ.