Shoulder Region Flashcards
Eating
70-100 degrees H. Adduction
45-60 degrees Abduction
Combing Hair
30-70 degrees H. Adduction
105-120 degrees Abduction
90 degrees ER
Tuck In shirt
50-60 degrees H. Abduction
55-65 degrees Abduction
90 degrees IR
Wash opposite shoulder
60-90 degrees Forward Flexion
60-120 degrees H. Adduction
Main support of the AC joint
Coracoclavicular ligament
Parts of the CC ligament
Conoid - Medial
Trapezoid - Lateral
The function of the CC ligament
controls the vertical motion of the clavicle
Function of the AC ligament
controls the horizontal motion of the clavicle
Caused by lesion in either the CN XI or LTN
Dynamic winging
Winging caused by structural deformity
Static winging
Congenitally high or undescended scapula
Sprengel’s deformity
Lateral winging characteristics
CN XI palsy
Trapezius weakness
< 90 deg Abduction
Sliding door phenomenon
Medial winging
LTN palsy
SA weakness
Open book phenomenon
Abduction, Flexion
Superior GH ligament limits ER at what angle
0-45 degrees
Middle GH ligament limits ER at what angle
45-90 degrees
Inferior GH ligament limits ER at what angle
> 90 degrees
What type of joint is the GH joint
Multi-axial, Ball-and-Socket, Synovial joint
Types of Acromion
I - Flat
II - Curved
III - Hooked
IV - Convex
70% of RC tears are associated with what type of Acromion
III - Hooked
OPP of GH joint
40-55 degrees Abduction
30 degrees H. Adduction
CPP of GH joint
Full abduction, ER
CP of GH joint
ER > ABD > IR
OPP of AC joint
Resting at side
CPP of AC joint
90 degrees Abduction
CP of AC joint
Pain @ extremes of ROM, especially H. Adduction and Full Elevation
OPP of SC joint
Resting by side
CPP of SC joint
Full elevation and Protraction
CP of SC joint
Same as AC joint
How to provoke step deformity?
Horizontal Adduction, Medial Rotation (Apley’s Scratch Test)
Indications of Fountain Sign
Degeneration of AC joint
Subacromial Bursitis
Test for multidirectional instability or inferior instability
Sulcus sign
Test for atraumatic instability
Load and Shift test
Test for multi-directional instability
Feagins’ test