Test 1 material #4

Question 1

makes the glenoid fossa 50% deeper and contributes to the stability of the GH joint

Answer 1

labrum

Question 2

No GH motion just scapula-thoracic

conomitant muscle atrophy

synovial layers inflamed that leak protein secretion that adheres the joint

Answer 2

frozen shoulder

Question 3

coughing/direct trauma are provocative

overlying skin reddened

unknown etiology

x-ray findings lacking

Answer 3

Tietze’s syndrome

Question 4

AKA for Tietze’s syndrom

Answer 4

costochondritis

Question 5

C5-C6 Upper brachial plexus injury due to forcefull depression

“waiter’s tip” internally rotated and adducted

biceps reflex lost with muscle wasting

usually from birth or trauma later in life

Answer 5

Erb’s palsey

Question 6

C8-T1 lower brachial plexus injury

due to forceful pulling of arm

impairment of wrist flexion and internal muscles of hand

Answer 6

klumpke’s palsey

Question 7

shoulder flexion

Answer 7

180

Question 8

shoulder extension

Answer 8

60

Question 9

shoulder abduction

Answer 9

180

Question 10

shoulder adduction

Answer 10

50

Question 11

ext. rotation of shoulder

Answer 11

90

Question 12

internal rotation of shoulder

Answer 12

70

Question 13

GH joint allows for (2)

Answer 13

1. spreads joint over large area

2. permits motion with minimal friction

Question 14

___muscles attach to the scapula of those ___ move the scapula/stabilize it

Answer 14

16,6

Question 15

6 muscles that move/stabilize the scapula are

Answer 15

rhomboids, trapezius, serratus anterior, levator scapula, latissimus dorsi, pectoralis minor

Question 16

GH joint capsule attaches medially and laterally to

Answer 16

medially: periphery of the glenoid and it’s labrum
laterally: to anatomical neck of humerus

Question 17

Superior GH ligament

Answer 17

limits external rotation and inferior translation of humoral head with arms at the side

Question 18

middle GH ligament

Answer 18

limits external rotation and ant translation of humoral head with arm at 0 and 45 degrees of abduction

Question 19

inferior GH ligament

Answer 19

lots of functions

Question 20

Coraco-humoral ligament

Answer 20

fills space between supraspinatus and supscapularis uniting these tendons and completing the rotator cuff

Question 21

coracoacromial ligament

Answer 21

prevents AC separation and consists of Z bands

Question 22

Coraco-acromial arch is made up of (3)

Answer 22

accordion process, coracoacromial ligament, inferior surface of A-C joint

Question 23

When the arm is elevated while _____ the supraspinatus passes under the coracoacromial ligament

Answer 23

internally rotated

Question 24

the supraspinatus tendon passes under the accordion itself when _______

Answer 24

externally rotated

Question 25

suprahumoral/subacromial physiological space is narrowest at ____ -____ degrees of caption

Answer 25

60-120 “gleno-humoral painful arc”

Question 26

Contents of subacromial space (6)

Answer 26

LH of biceps
supraspinatus
upper margins of subscapularis
infraspinatus
subacromial bursa
subdeltoid bursa

Question 27

ABduction of GH joint is accompanied by pain throughout all 180 degrees indicates

Answer 27

osteoarthritis (DJD)

Question 28

180-170 degrees ABduction is referred to as

Answer 28

the AC painful arc

Question 29

superior translation of the head of the humerus can be caused by (2)

Answer 29

muscle imbalances

capsular contracture

Question 30

narrowing of the supra humeral space can lead to

Answer 30

subacromial impingement syndrome

Question 31

supra spinaturs is very vulnerable during subacromial impingement due to the lack of ______ _______

Answer 31

blood flow

Question 32

Impingement sydrome often leads to

Answer 32

rotator cuff tear

Question 33

impingment syndrome can also lead to ______ tendonitis

Answer 33

biceps (even rupture with overuse)

Question 34

_______ has worse pain at night

Answer 34

impingement sydrome

Question 35

impingement syndrome vs cancer:

lots of edema

Answer 35

most likely impingement syndrome

cancer will have minimal or no edema

Question 36

Impingement syndrom vs cancer:

tender palpation in large area

Answer 36

most likely impingement syndrome

very specific point tenderness on bone would point towards cancer

Question 37

The are is elevated and internally rotated the ______ passes under the coracoacromial ligament

Answer 37

supraspinatus

Question 38

BEAST stands for

Answer 38

radial nerve muscles

Brachioradialis
Extensors
abductor pollicis longus
supinator
teres minor? (axillary)

Question 39

Pectoralis major

Answer 39

“FAM”
Flexion
ADduction
medial rotation