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T2 - CP II > The Shoulder Girdle > Flashcards

The Shoulder Girdle Flashcards

1
Q

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

A

Sternoclavicular - SC
Acromioclavicular - AC
Glenohumeral- GH

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2
Q

What is the one articulation of the shouder girdle

A

Scapulothoracic articulation - ST

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3
Q

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

What is the most common cause of a shoulder injury?

A

falling on an out stretched hand

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5
Q

SC dislocation is most commonly in the ___ & ____ direction

A

medial & superior

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6
Q

SC dislocation is freq caused by: ______

A

a blow or fall on the side of the shoulder

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7
Q

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

A

suprasternal notch

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8
Q

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

A

convex and concaved curves

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9
Q

During _____ dislocation there can be signs of difficulty swollowing

A

SC dislocation

  • because of the medial & superior displacement of the Clavicle
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10
Q

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

A

superior

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11
Q

(3) possible causes of a AC separation

A
  1. trauma
  2. falling on an out stretched arm
  3. strenuous shouder use
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12
Q

What is a “stair step” deformity

A

GRADE 3 AC separation

  • measure the separation on an x ray to determine the grade
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13
Q

GH dislocation is most commonly in the _____ & _____

A

anterior & inferior

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14
Q

GH dislocation typically occurs from:

A

trauma

blow while arm is in throwing position

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15
Q

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

A

GH dislocation

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16
Q

Glenoid labrum tear is also known as a ______

A

SLAP tear

17
Q

SLAP tear stands for:

A

Superior Labrum Anterior to posterior tear

18
Q

SX of a SLAP tear is usually _____

A

sharp pain at the GH jt following trauma

19
Q

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

A
  1. falling on outstretched hand
  2. falling on shoulder
  3. bracing during auto accident
  4. sudden heavy lifting
  5. Repetitive overhead activities (throwing)
20
Q

Where do calcium deposits occur?

A

in the tendon

  • PT describes it as being “sore”
  • can use an ultrasound to disperse it
21
Q

What do calcium deposits occur from?

A

overuse

22
Q

_______: is a partially undescended scap

A

sprengle’s deformity

23
Q

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

A

scheuermann’s disease
(aka: jouvenile kyphosis)

(like Dr. Rogers)

24
Q

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

A

scoliosis

25
Q

Name the muscles of the rotator cuff

A

SITS

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

26
Q

_____ is the most mobile jt in the body

A

GH joint

27
Q

(2) FXN of the rotator cuff?

A

stabilize

decelerate the humerus during throwing

28
Q

________ M. is the most freq injured rotator cuff muscle

A

supraspinatus

29
Q

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

A

Impingement syndrome

  • supraspinatus tendon
30
Q

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

A
  1. supraclavicular

2. axillary

31
Q

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

A

brachial art.

32
Q

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

A

bicep and tricep

33
Q

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

A

brachial art.

34
Q

Where can we take pulse in infants

A

brachial art.

- btw the bicep and tricep

35
Q

What is the closed PACK position of the GH JT

A

abduction & external rotation

-throwing position

36
Q

What is the closed PACK position of the AC JT

A

90 degrees of ABDuction

  • awkward arm cast position
37
Q

What is the closed PACK position of the SC JT

A

Maximal elevation

-raising your hand in class

38
Q

What is the closed PACK position of the ST JT

A

None

T2 - CP II (5 decks)

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