The Shoulder Girdle

Question 1

What are the 3 joints that make up the shoulder girdle?

Answer 1

Sternoclavicular - SC
Acromioclavicular - AC
Glenohumeral- GH

Question 2

What is the one articulation of the shouder girdle

Answer 2

Scapulothoracic articulation - ST

Question 3

During inspection of the shoulder, we are looking for:

1. ______ compared to the healthy shoulder
2. Arm _________ during gait
3. Signs of ______
4. Contour of the _____ bone
5. Contour of the ______ M.

Answer 3

1. Symmetry
2. arm swing in tandem
3. signs of recent injuries
4. Contour of the clavicle
5. Contour of the deltoid

Question 4

What is the most common cause of a shoulder injury?

Answer 4

falling on an out stretched hand

Question 5

SC dislocation is most commonly in the ___ & ____ direction

Answer 5

medial & superior

Question 6

SC dislocation is freq caused by: ______

Answer 6

a blow or fall on the side of the shoulder

Question 7

During a SC dislocation the medial asoect of the clavicle protrudes into the ________

Answer 7

suprasternal notch

Question 8

A clavicular fracture most commonly occurs at the jxn of the _____ & ____

Answer 8

convex and concaved curves

Question 9

During _____ dislocation there can be signs of difficulty swollowing

Answer 9

SC dislocation

• because of the medial & superior displacement of the Clavicle

Question 10

During a AC separation the lateral clavicle may protrude ______ to the acromion process

Answer 10

superior

Question 11

(3) possible causes of a AC separation

Answer 11

1. trauma
2. falling on an out stretched arm
3. strenuous shouder use

Question 12

What is a “stair step” deformity

Answer 12

GRADE 3 AC separation

• measure the separation on an x ray to determine the grade

Question 13

GH dislocation is most commonly in the _____ & _____

Answer 13

anterior & inferior

Question 14

GH dislocation typically occurs from:

Answer 14

trauma

blow while arm is in throwing position

Question 15

during a _______ injury the head of the humerus appears as a bulge under the lateral pectoralis major M.

Answer 15

GH dislocation

Question 16

Glenoid labrum tear is also known as a ______

Answer 16

SLAP tear

Question 17

SLAP tear stands for:

Answer 17

Superior Labrum Anterior to posterior tear

Question 18

SX of a SLAP tear is usually _____

Answer 18

sharp pain at the GH jt following trauma

Question 19

What are the 5 most common causes of a Glenoid labrum tear

Answer 19

1. falling on outstretched hand
2. falling on shoulder
3. bracing during auto accident
4. sudden heavy lifting
5. Repetitive overhead activities (throwing)

Question 20

Where do calcium deposits occur?

Answer 20

in the tendon

• PT describes it as being “sore”
• can use an ultrasound to disperse it

Question 21

What do calcium deposits occur from?

Answer 21

overuse

Question 22

_______: is a partially undescended scap

Answer 22

sprengle’s deformity

Question 23

_____ disease: hyperkyphosis of the T/S; scap may appear lateral and tilted anterior

Answer 23

scheuermann’s disease
(aka: jouvenile kyphosis)

(like Dr. Rogers)

Question 24

_____ is a condition that will present an asymmetrical and uneven scap

Answer 24

scoliosis

Question 25

Name the muscles of the rotator cuff

Answer 25

SITS S: Supraspinatus I: infraspinatus T: teres Minor S: Subscapularis

Question 26

_____ is the most mobile jt in the body

Answer 26

GH joint

Question 27

(2) FXN of the rotator cuff?

Answer 27

stabilize | decelerate the humerus during throwing

Question 28

________ M. is the most freq injured rotator cuff muscle

Answer 28

supraspinatus

Question 29

_________ syndrome- a thickening of the ________ tendon & other structures in the acromion process (narrowing of the space)

Answer 29

Impingement syndrome - supraspinatus tendon

Question 30

What are the two locations of lymph nodes located around the shoulder girdle ?

Answer 30

1. supraclavicular | 2. axillary

Question 31

The _____ art. is found on the medial aspect of the arm in the axilla

Answer 31

brachial art.

Question 32

The brachial art. is located btw the ____& ____M.

Answer 32

bicep and tricep

Question 33

What art. is the major blood supply to the upper ext.

Answer 33

brachial art.

Question 34

Where can we take pulse in infants

Answer 34

brachial art. | - btw the bicep and tricep

Question 35

What is the closed PACK position of the GH JT

Answer 35

abduction & external rotation -throwing position

Question 36

What is the closed PACK position of the AC JT

Answer 36

90 degrees of ABDuction - awkward arm cast position

Question 37

What is the closed PACK position of the SC JT

Answer 37

Maximal elevation -raising your hand in class

Question 38

What is the closed PACK position of the ST JT

Answer 38

None