Shoulder

Card Set Information

Author:
saleradc
ID:
76682
Filename:
Shoulder
Updated:
2011-04-01 21:30:17
Tags:
ortho
Folders:

Description:
OSCE
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  1. Dawbarn's Test
    • Positive: decrease in pain and/or tenderness
    • Indicates: subacromial bursitis
  2. Drop Arm Test a.k.a. Codman's Drop Arm Test
    • Positive: patient will not be able to lower the arm slowly or the arm drops suddenly
    • Indicates: rotator cuff tear, usually supraspinatus
  3. Posterior Apprehension Test
    • Positive: patient will have a noticeable look of apprehension or alarm on their face with possible pain
    • Indicates: chronic posterior dislocation of the shoulder
  4. Anterior Apprehension Test
    • Positive: patient will have a noticeable look of apprehension or alarm on their face with possible pain
    • Indicates: chronic anterior dislocation of the shoulder
  5. Dugas Test
    • Positive: Inability to touch the opposite shoulder and/or inability of the elbow to touch the chest
    • Indicates: acute dislocation of the shoulder
  6. Shoulder ROM
    • Flexion: 180*
    • Extension: 60*
    • Abduction: 180*
    • Adduction: 50*
    • External Rotation: 90*
    • Internal Rotation: 70*
    • Scapula: retraction, protraction, elevation
  7. Shoulder Palpation
    Soft Tissue
    • Supraspinatus
    • Infraspinatus
    • Teres Minor
    • Subscapularis
    • Subacromial Bursa
    • Subdeltoid Bursa
    • Pec Major
    • Serratus Anterior
    • Axillary Lymph Nodes
    • Lat
    • Bicipital Tendon
    • SCM
    • Biceps
    • Deltoid (ant,mid,post)
    • Trap
    • Rhomboid Major and Minor
  8. Shoulder Palpation
    Bony
    • SC Joint
    • Clavicle
    • Coracoid Process
    • AC Joint
    • Acromion
    • Greater Tuberosity
    • Bicipital Groove
    • Lesser Tuberosity
    • Spine of the Scapula
    • Body of the Scapula
    • Scapulothoracic Articulation
  9. Yergason's Test
    • Positive: 1) localized pain and/or tenderness at the bicipital groove 2) audible click or the biceps tendon subluxes or dislocates
    • Indicates: 1) tendinitis 2) instability of the biceps tendon possible associated with a torn transverse humeral ligament
  10. Abbot-Saunders Test
    • Positive: palpable and/or audible click
    • Indicates: subluxation or dislocation of the biceps tendon (rupture of transverse ligament or tendon subluxation beneath the subscapularis muscle belly)
  11. Speed's Test
    • Positive: pain and/or tenderness in the bicipital groove
    • Indicates: bicipital tendinitis
  12. Apley's Test
    • Positive: exacerbation of pain
    • Indicates: degenerative tendinitis of rotator cuff tendons (usually supraspinatus)
  13. Impingement Sign
    • Positive: pain in the shoulder
    • Indicates: overuse injury to the supraspinatus and possibly biceps tendon

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