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Orthopedic Diagnosis > Test 1 Review Questions for shoulder > Flashcards

Test 1 Review Questions for shoulder Flashcards

1
Q

What is the pseudoarticulation of the shoulder?

A

Scapulothoracic

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2
Q

What condition causes the arm to be internally rotated and adducted?

A

Erb’s Palsy AKA Waiter’s Tip hand

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3
Q

What bone keeps the scapula on the posterior aspect of the thorax and prevents Glenoid from turning anterior?

A

Clavicle

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4
Q

What muscle crosses the clavicle?

A

Platysma (only one)

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5
Q

In shoulder dislocation, how is it usually displaced?

A

Greater Tub, of the humerus is displaced forward, arm usually held away from trunk

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6
Q

Dislocated clavicle usually manifests itself as…

A

Medial and Superior Displacement

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7
Q

Muscles attach to the clavicle solely from which aspect?

A

Inferior and posterior

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8
Q

Where is the location of coracoid process?

A

One inch from anterior edge of clavicle and press laterally posterior

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9
Q

Where is the location of the bicipital groove?

A

Superior and anterior aspect of humerus, medial to greater tuberosity and laterally from lesser tuberosity

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10
Q

Lesser tuberosity is located at the same level as what structure?

A

Coracoid Process

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11
Q

Acromion and spine of scapula form what kind of structure?

A

Continuous Arch

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12
Q

Scapulas’ medial border to superior angle are clinically significant because they refer pain to what site?

A

Cervical Spine

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13
Q

Location of scapula is associated to what other structures?

A

Covers ribs 2-7, medial border 2 inches from SPs

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14
Q

Spine of scapula is opposite from what spinal landmark?

A

T3

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15
Q

The purpose of soft tissue palp. of the shoulder is important because of what? (3)

A
  • Establish normal soft tissue relationships
  • Detect variations from normal anatomy
  • Discover pathologies that may be present
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16
Q

What should examiner assess for during shoulder soft tissue palp?

A

Tone, consistency, size, and shape of individual muscles and their conditions.

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17
Q

What is springel’s deformity?

A

Failure of scapula to descend from neck to the thorax, causing webbing and shortening of neck.

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18
Q

Degeneration of RC results in restriction of motion, especially in what direction?

A

Abduction

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19
Q

Muscles pull in what manner?

A

Insertion to origin

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20
Q

What type of structure is the axilla?

A

Quadrilateral Pyramid

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21
Q

Components of medial axilla

A

Ribs 2-6 and Serratus Ant.

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22
Q

Component of lateral axilla

A

Bicipital groove

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23
Q

Component of Apex of axilla

A

GH joint

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24
Q

Component of Base of axilla

A

Webbed skin and fascia

25
Q

Nerve found in axilla

A

Brachial Plexus

26
Q

Artery of Axilla

A

Axillary A

27
Q

Importance of checking SCM muscle

A

Site of hematomas, head turns to one side (wryneck), Ant/Post cervical lymph nodes subject to infection and enlargement, Trauma (hyperextension) whiplash

28
Q

What muscle is frequently absent congenitally

A

Pec Major.

29
Q

What can be palpated through the pec major?

A

Costochondral Junction

30
Q

AKA for Costochondritis

A

Tietze’s Syndrome

31
Q

Shoulder dislocation can result in damage to what nerve?

A

Axillary

32
Q

What muscle is frequently involved in neck injuries and results in hematomas?

A

Trapezius

33
Q

Nerve supply of trapezius

A

Spinal Accessory N, C3 and C4

34
Q

What muscle is frequently involved in neck injuries during auto accidents or from strains in the neck region?

A

Trapezius

35
Q

What muscles retract the scapula and hold the shoulders in a position of “attention”?

A

Rhomboids

36
Q

Nerve supply of Rhomboids

A

Dorsal Scap. N C4 and C5

37
Q

Nerve Supply of Lat. Dorsi

A

Throacodorsal N. (C6-C8)

38
Q

Injury to Rhomboid results in what condition?

A

Flaring of Scapula

39
Q

Quickest way to evaluate active ROM of the shoulder

A

Apleys

40
Q

If a pt can perform complete active ROM in the shoulder there is no need for what?

A

Passive ROM

41
Q

6 pure ROMs of the shoulder and degrees

A 
Flexion- 180
Extension- 60
Abduction- 180
Adduction- 50
Int. Rot.- 70
Ext. Rot.- 90
42
Q

What are the 3 combined ROMs?

A

Elevation, Rotation, Protraction

43
Q

A blockage with a rubbery feel indicates?

A

Extra Articulation (soft tissue) blockage

44
Q

What would an intra-articular (bony) blockage feel like?

A

Inflexible, ends abruptly

45
Q

Abduction of the shoulder continues until the surgical neck of the humerus strikes what?

A

Acromion

46
Q

How must the shoulder be positioned to achieve full abduction?

A

Externally Rotated

47
Q

What dermatome is at the lateral arm with the pure sensation as a round patch on the lateral aspect of the deltoid muscle?

A

C5

48
Q

WHat dermatome is located at medial arm?

A

T1

49
Q

What dermatome is located at the axilla?

A

T2

50
Q

What dermatome is located from the axilla to the nipple?

A

T3

51
Q

What dermatome is located over the nipple?

A

T4

52
Q

What is the correct method to test the integrity of sensation around the shoulder?

A

Prick each dermatome lightly with a pin asking the pt. if they feel the prick, then prick the opposite side. Each dermatome should then be tested similarly using a brush.

53
Q

Abnormal sensation is called

A

Paresthesia

54
Q

Increased sensation is called

A

Hyperesthesia

55
Q

Decreased sensation is called

A

Hypoesthesia

56
Q

Absence of sensation is called

A

Anesthesia

57
Q

Yergason’s is used to determine stability of which biceps head?

A

Long

58
Q

What condition may refer pain to the shoulder?

A

Coronary (Myocardial Infarction), Left diaphragm irritation, herniated disc, general trauma, spinal fx, pathology of the elbow or distal end of humerus, irritated muscle.

Orthopedic Diagnosis (17 decks)

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