Shoulder

Question 1

impingement syndrome

Answer 1

can be mechanical or functional primarily

most commonly overhead activities over time produce impingement

Question 2

orthos for impingement syndrome

Answer 2

neers
hawkin’s kennedy
painful arc

Question 3

anterior pain associated with an impingement syndrome

Answer 3

subacromial bursitis

Question 4

posterior pain associated with an impingement syndrome

Answer 4

infraspinatus/teres minor

Question 5

if pain is under the AC joint

Answer 5

supraspinatus problem

Question 6

coracoid pain associated with impingement syndrome

Answer 6

subcoracoid impingement of the subscapularis

Question 7

traumatic instability

Answer 7

past history of shoulder dislocation

complains of pain or weakness when arm is placed in overhead position or apprehension position

Question 8

stability is evaluated with what tests?

Answer 8

apprehension
load and shift
relaocation test
anterior release (surprise) test

Question 9

not traumatic instability

Answer 9

may be asymptomatic
when symptoms occur often a result of sudden traction or difficulty working in overhead position due to fatigue
may have inherent looseness to their shoulder capsules

Question 10

rotator cuff tears MC involve

Answer 10

supraspinatus

may involve injury to infraspinatus, subscapularis or teres minor tendons and muscles

Question 11

pain with rotator cuff tear

Answer 11

overhead activities or weakness in lifting the arm

Question 12

rotator cuff tears can be due to

Answer 12

trauma
secondary chronic degenerative change in the tendon
repetitive forces, degeneration, anatomic impingement

Question 13

when might a patient be weak if they have a rotator cuff tear?

Answer 13

external rotation

supraspinatus

Question 14

sprain/strain of the shoulder

Answer 14

over stretch or over contraction history

worse with specific ROM of the muscle/ligament that is strain/sprained

Question 15

supraspinatus

Answer 15

empty can test

Question 16

subscapularis

Answer 16

lift off test

Question 17

infraspinaus/teres minor

Answer 17

lag sign

Question 18

biceps

Answer 18

speed’s test

Question 19

adhesive capsulitis

Answer 19

MC idiopathic
disuse
vascular insufficiency

Question 20

acute phase of adhesive capsulitis

Answer 20

patient complains of moderate to severe pain taht limits all shoulder movement

Question 21

middle phase of adhesive capsulitis

Answer 21

past history of the acute phase of 1 to 3 months

Question 22

final phase of adhesive capsulitis

Answer 22

slower increase in ROM with significant reduction

Question 23

subdeltoid bursitis

Answer 23

same as subacromial bursitis often been associated with impingement syndrome or as an isolated condition

Question 24

findings of subdeltoid bursitis

Answer 24

palpation: tenderness found anterior to AC joint on passive extension of the shoulder
active ROM: most movements are painful in particular forward flexion
passive ROM: end range forward flexion and abduction are painful

Question 25

HADD vs CPPD vs SOCM

Answer 25

HADD- calcification in the tendon
CPPD- thin linear calcifications near the joint
SOCM- multiple calcifications around the joint

Question 26

SLAP tear

Answer 26

history of popping, clicking or catching may suggest labral tear
may be associated with atnerior dialocation or sudden contraction of bicepts or fall on a forward flexed arm

Question 27

orthos for SLAP tear

Answer 27

crank

o’brien’s

Question 28

anterior shoulder dislocation

Answer 28

usually due to indirect force on arm while in abducted and externally rotated position
95% of shoulder dislocations

Question 29

bankart lesion

Answer 29

osseous fragmnt adjacent to the inferior aspect of the glenoid fossa

Question 30

shoulder impingement

Answer 30

neers
hawkins
painful arc

Question 31

instability

Answer 31

apprehension
relocation
surprise
load and shift
sulcus sign

Question 32

labral tears

Answer 32

crank 
obriens
bicep load II 
provocative test of mimori
test of zaslov

Question 33

rotator cuff

Answer 33

empty can
infraspinatus muscle test
palpation
drop arm
lift off
hawkins