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ECOS 1 Post-Midterm > Shoulder complaint > Flashcards

Shoulder complaint Flashcards

1
Q

Shoulder flexion ROM

A

180

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2
Q

Shoulder extension ROM

A

60`

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3
Q

Shoulder ABduction ROM

A

180

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4
Q

Shoulder internal and external rotation ROM

A

90

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5
Q

Horizontal shoulder ABduction ROM

A

40-55

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6
Q

Horizontal shoulder ADduction ROM

A

130-140

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7
Q

Where should you check pulses?

A

Distal to site of injury

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8
Q

Traumatic shoulder injuries usually affect what?

A

Bone, soft tissue, joint

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9
Q

Atraumatic shoulder injuries usually affect what?

A

Intrinsic - osteoarthritis, overuse injuries, subacromial bursitis, gout etc.

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10
Q

Most common shoulder fracture in kids?

A

Clavicle

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11
Q

Most common shoulder fracture in elderly?

A

Proximal humerus

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12
Q

What causes a scapular fracture?

A

Blunt force trauma

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13
Q

Most common direction for glenohumeral joint dislocation

A

Anterior dislocation

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14
Q

Describe how an arm looks if the glenohumeral joint is anteriorly dislocated

A

Slightly aBducted and externally rotated

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15
Q

What commonly occurs from trauma to superior/lateral edge of shoulder with arm adducted?

A

Acromioclavicular injuries/ AC separation

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16
Q

Rotator cuff injury?

A

Supraspinatus

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17
Q

Describe the motion of the clavicle

A

As the scapula is depressed, the distal end of the clavicle moves inferiorly, and the proximal end moves superiorly – acts like a seesaw

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18
Q

What are the specialty tests for GH instablity?

A

Apprehension test

19
Q

Apprehension test

A

Shoulder ABducted to 90 and elbow flexed to 90 and then force external rotation
(+) if patient is apprehensive

20
Q

What are the specialty tests for rotator cuff pathology?

A

Empty can and drop arm test

21
Q

Empty can test

A

Shoulders flexed to 90 and ABducted to 45 making a V, and thumbs pointing downward to IR shoulder
Physician presses down and patient resists
(+) = pain

22
Q

Drop arm test

A

ABduct arm to 90 and then let patient slowly drop to neutral
(+) = uncontrolled arm drop

23
Q

What are the specialty tests for impingement of rotator cuff or subacromial bursa?

A

Painful arc, NEER impingement and Hawkins

24
Q

Painful arc

A

Pt actively fully ABducts shoulder

(+) = pain between 60 and 120 degrees

25
Q

NEER impingement

A

NEER TO EAR
Pronate arm and passively flex shoulder
(+) = pain

26
Q

Hawkins

A

Passively flex shoulder and elbow to 90 and then force internal rotation
(+) = pain

27
Q

What are the specialty tests for AC joint?

A

Cross arm test

28
Q

Cross arm test

A

Passively ADduct pts arm across their chest

(+) = AC joint pain or tissue texture changes

29
Q

Glenohumeral joint OMT?

A

Spencer’s Technique

30
Q

Describe the setup and general principle for Spencer’s technique to treat GH joint

A

Patient lateral recumbent with affected shoulder UP
Physician faces pt
ARTICULATORY = direct engagement of restrictive barrier with rhythmic motions through it

31
Q

AC superior SD equals

A

Clavicle is superior to acromion (step off)

32
Q

AC inferior SD equals

A

Clavicle is inferior to acromion (step on)

33
Q

As the shoulder ABducts, the scapula elevates and the AC joint moves?

A

Superior glide

34
Q

As the shoulder ADducts, the scapula depresses and the AC joint moves?

A

Inferior glide

35
Q

How to assess AC joint motion?

A

Spring on distal clavicle

  • Resistant to inferior springing = superior clavicle
  • Allows inferior springing = inferior clavicle
36
Q

External rotation of the humerus does what to the AC joint clavicle?

A

External rotation and vice versa

37
Q

What are the OMT treatments for the AC joint?

A

Superior clavicle articulatory, internal rotation SD MET and external rotation SD MET

38
Q

As the shoulder ABducts, the scapula elevates and the SC joint moves?

A

Inferior glide

39
Q

As the shoulder ADducts, the scapula depresses and the SC joint moves?

A

Superior glide

40
Q

What is the SC joint SD named after?

A

Shoulder movement

41
Q

What is the AC joint SD named after?

A

Clavicle movement

42
Q

As the shoulder is flexed, the scapula protracts and the SC moves?

A

Posterior glide

43
Q

As the shoulder is extended, the scapula retracts and the SC moves?

A

Anterior glide

ECOS 1 Post-Midterm (9 decks)

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