The Shoulder Flashcards
List the main ligaments of the shoulder
- Coracoacromial
- Coracoclavicular - Conoid & Trapezoid
- Acromioclavicular
- Glenohumeral - Sup. Med. & Inf. Fibers
- Sternoclavicular
Where are the main locations a fracture could occur at the scapula?
- Spine
- Coracoid
- Acromion
- Glenoid
- Scapular neck
- Scapular body
What upper extremity injury injury is often mistaken for a deep contusion?
Humeral fractures
What are the names of the different types of Humeral fractures? Which is most frequent?
- Shaft
- Surgical Neck (most frequent)
- Supracondylar
- Epiphyseal
What bursas are commonly inflamed with shoulder bursitis?
Subacromial &/or subdeltoid bursas
What is the painful arc and what ranges cause pain?
Patient will display pain in shoulder abduction from approx. 80°-120°. In this range, the bursa is being pinched between the humeral head and the acromial arch.
What has to occur to cause biceps tendonitis?
Shoulder flexion causes the long head of the biceps to to become inflamed within the bicipital groove. Will result in a positive Speed’s test
What are the main factors affecting shoulder impingement?
- Repetitive overhead activities
- Weak RC musculature
- Narrow subacromial space
- Poor flexibility
- Hypermobile shoulder joints
- Muscular imbalances
What special tests will be positive when testing for Rotator cuff tendonitis?
Empty Can
Hawkins - Kennedy
Neer’s Impingement
Going anterior to posterior, in what order to the rotator cuff muscles attach to the humerus?
Subscapularis
Supraspinatus
Infraspinatus
Teres Minor
What must be considered when rehabbing rotator cuff injuries?
Avoiding muscle imbalances in the shoulder by training all RC muscles equally as well as the trapezius, rhomboids and lateral rotators. Focusing on eccentric movements will be very beneficial.
What is Frozen Shoulder and its characteristics?
Adhesive capsulitis. Cause is unknown but typically occurs in older population, or with pre-existing conditions like diabetes, thyroid problems and smoking.
Will be painful in all ranges, as all aspects of GH ligaments are affected. Naturally resolves in 18-24 months.
