Shoulder Pathology

Card Set Information

Author:
Anonymous
ID:
124282
Filename:
Shoulder Pathology
Updated:
2011-12-18 14:20:35
Tags:
Ekkel
Folders:

Description:
.
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user Anonymous on FreezingBlue Flashcards. What would you like to do?


  1. What causes scapular winging?
    Weak serratus anterior
  2. Where can shoulder contusions occur?
    • biceps - blocker's/tacklers
    • deltoid
    • scapula
  3. What is the MOI of a humerus fracture?
    • FOOSH
    • rotary force on a fixed arm
  4. Where do humerus fractures occur?
    • head
    • shaft
    • surgical neck
  5. What are the complications of a humeral fracture?
    • radial nerve and groove
    • volkman's ischemic contracture
  6. What are the signs and symptoms of a humeral fracture?
    • SHARP
    • Discoloration
    • Audible pop/crack
    • Neural/circulatory
  7. What are the MOIs for a clavicle fracture?
    • FOOSH
    • direct blow
  8. What are the signs and symptoms of a clavicle fracture?
    • SHARP
    • deformity
    • decreased ROM (except IR & ER)
    • compression test
  9. What are the signs and symptoms of a biceps tendon rupture?
    • SHARP
    • obvious deformity
    • decreased strength
    • Speed's
    • Heuter's
    • Ludington's
  10. What are the predisposing factors for a rotator cuff tear?
    • chronic impingement
    • chronic tendinopathy
    • age
    • repetitive throwing (eccentric mvmnt)
  11. What are the signs and symptoms of a rotator cuff tear?
    • pain on G or L tuberosity
    • painful overhead motions
    • AROM/PROM pain & weakness
    • Atrophy if chronic
    • Drop arm
    • Empty can
    • Lift off
  12. What are the MOIs of a SC joint sprain?
    • FOOSH
    • contact to lateral shoulder
    • traction
  13. What is sprained in a SC joint sprain?
    • sternoclavicular lig
    • costoclavicular lig
    • interclavicular lig
  14. What are the signs and symptoms of a SC joint sprain?
    • pain w ABD, FLEX, HABD, HADD
    • crepitus
    • pain under SC joint with HADD
  15. What is the MOI for a SC joint dislocation?
    longitudinal force
  16. What should be ruled out in a young athlete with a SC joint dislocation?
    epiphyseal fracture
  17. What are the MOIs for an AC joint sprain?
    • FOOSH
    • fall on elbow
    • direct blow
    • superior force to clavicle with a fixed scap
    • overuse stress
    • articular disc pathology
  18. What are the characteristics of a Grade 1 AC sprain?
    • called a shoulder pointer
    • partial stretch
    • mild SHARP
    • no laxity/deformity
  19. What are the characteristics of a Grade 2 AC sprain?
    • partial tear AC and CC
    • slight step deformity
    • SHARP
  20. What are the characteristics of a Grade 3 AC sprain?
    • separation
    • complete tear of AC and CC
    • piano key sign
    • SHARP
  21. What are the signs and symptoms of an AC joint sprain?
    • pain w AROM
    • pain w PROM above 90
    • decreased ROM acromion muscles
    • Apley's
    • Compression
    • Traction
    • Crossbody HADD
  22. What are the characteristics of chronic AC joint pain?
    • rotator cuff symptoms
    • pain radiates into scapula and neck
    • no instability
    • no traumatic MOI
  23. What are the potential causes of glenohumeral instability?
    • ligamentous
    • labral
    • muscular weakness
  24. What are the static stabilizers of the GH joint?
    • GH ligaments
    • CH ligaments
  25. What are the dynamic stabilizers of the GH joint?
    Rotator cuff
  26. what is the MOI for an anterior GH dislocation?
    • ER
    • ABD
  27. What are the signs and symptoms of an anterior GH dislocation?
    • humeral head inferior to coracoid process
    • sulcus sign
    • shoulder loose w ER & ABD
    • apprehension
  28. What are the potential complications of an anterior GH joint dislocation?
    • Axillary nn impingement
    • Circulatory
    • Fracture
    • Hill-Sach's Lesion
    • Labral Tear
  29. Which special tests are positive in an anterior GH joint dislocation?
    • Apprehension
    • Crank
    • Relocation/Surprise
    • Ant drawer
    • Load and Shift
  30. What is a Hill-Sach's Lesion?
    articular cartilage defect on post/lat humeral head
  31. What is a Bankart Lesion?
    an inferior GH ligament avulsion with labral involvement
  32. What are the signs and symptoms of a Bankart Lesion?
    • clicking, popping
    • diffuse pain
  33. Which special tests are positive with a Bankart Lesion?
    • Crank
    • Clunk
    • Anterior Slide
    • Kim
  34. What is a SLAP lesion?
    • superior labrum anteroposterior
    • Biceps long head involvement
  35. What are the MOIs for a SLAP lesion?
    • Superior compression
    • inferior traction
    • FOOSH
    • throwing follow-through
    • anterior dislocation
  36. What is a Type 1 SLAP lesion?
    superior labral fraying/degeneration
  37. What is a Type 2 SLAP lesion?
    • superior labrum and biceps anchor detached from superior glenoid tubercle
    • most common
  38. What is a Type 3 SLAP lesion?
    • Bucket handle tear (longitudinal)
    • Biceps tendon and labral rim intact
  39. What is a Type 4 SLAP lesion?
    • Bucket handle tear (longitudinal)
    • tear extends to biceps tendons
  40. What are the signs and symptoms of a SLAP lesion?
    • Deep pain b/w AC and coracoid process
    • locking, popping, grinding
    • pain while lying on shoulder
    • limited ROM
    • loss of strength
  41. Which special tests are positive with a SLAP lesion?
    • Biceps Load
    • Anterior slide
    • O'Brien's
    • Speed's
  42. What are the MOIs for a posterior GH instability?
    • FLEX & IR
    • acute or accumulated trauma
    • weak subscapularis
    • reverse Hill-Sach's
  43. What are the signs and symptoms of posterior GH instability?
    • pain pushing heavy doors
    • diffuse pain
    • loose with HADD
    • decreased IR
  44. Which special tests are positive with Posterior GH instability?
    • posterior drawer
    • load and shift
    • Jerk
  45. What increases inferior GH instability?
    Rotator cuff weakness or tears
  46. What are the signs and symptoms of inferior GH instability?
    pain with traction - carrying heavy bags
  47. Which special tests are positive with inferior GH instability?
    • Sulcus
    • Traction
    • Feagin
  48. What is shoulder impingement?
    decreased space below coroacoacromial arch and coracoacromial ligament
  49. In shoulder impingement, which structures can be compressed between the humeral head and acromion process?
    • Supraspinatus
    • Biceps LH
    • Subacromial bursa
    • GH capsule
  50. What are the possible causes of shoulder impingement?
    • coracacromial arch or acromion variation
    • tight posterior capsule and ligaments
    • rotator cuff fatigue or decreased strength from repetitive overhead activities
    • scapular dyskinesis
  51. What are the 3 stages of impingement?
    • 1. intermittent pain w overhead activities
    • 2. pain at rest or other activities, night pain, degeneration
    • 3. constant pain, restricted ROM, RC tear
  52. What are the signs and symptoms of impingement?
    • pain and weakness with IR, ER, FLEX and ABD
    • pain at acromion, greater tuberosity, bicipital groove
    • painful arc
  53. Which special tests are positive with impingement?
    • Neer's
    • Hawkin's Kennedy
  54. What factors contribute to tendinopathy?
    • imbalance between IR and ER
    • capsular laxity
    • poor scapular control
    • impingement syndrome
    • poor vascularization
    • acromion shape
    • eccentric forces
  55. What are the signs and symptoms of a rotator cuff tendinopathy?
    • slow onset
    • deep subacromial pain after activity that progresses to during activity, then progresses to constant
  56. Which rotator cuff muscle is most susceptible to tendinopathy?
    supraspinatus because it is the closest to the acromion
  57. Which special tests are positive with rotator cuff tendinopathy?
    • Empty Can
    • MMTs
  58. What are the causes of bicipetal tendinopathy?
    • Rotator cuff impingement, overuse, or dysfunction
    • sprained transverse humeral ligament causing tendon subluxation
  59. Which special tests are positive with Bicipetal tendinopathy?
    • Yergason's
    • Speed's
  60. Where can bursitis occur in the shoulder?
    • subAC
    • subdeltoid
  61. What is the cause of bursitis in the shoulder?
    overhead activity
  62. What are the signs and symptoms of bursitis?
    • lateral pain (rebound)
    • constant dull ache
    • overhead activity pain
  63. Which tests are positive with shoulder bursitis?
    • impingement
    • empty can
    • speed's
  64. Where can the suprascapular nerve become compressed?
    suprascapular notch (superior border, medial to base of coracoid process)
  65. Where can the axillary nerve become compressed?
    • Quadrilateral space
    • sup = teres minor and subscap
    • inf = teres major
    • med = long head triceps
    • lat = humerus surgical neck
  66. Where can the long thoracic nerve become compressed?
    rib cage
  67. Where can the accessory nerve become compressed?
    • neck posterior triangle
    • traps
    • clavicle
    • sternocleidomastoid
  68. What are the causes of neurovascular injuries?
    • traction
    • compression
    • contusion
  69. What are the signs and symptoms of a neurovascular injury?
    • neural symptoms
    • weakness
    • atrophy
    • altered mechanics (scapular winging)

What would you like to do?

Home > Flashcards > Print Preview