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OPTIM OCS: UQ > Shoulder Evaluation 1 > Flashcards

Shoulder Evaluation 1 Flashcards

1
Q

Specific shoulder exam: IBC categories

A
  • mobility deficits
  • instability
  • RTC dysfunction
  • other
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2
Q

shoulder exam:
mobility deficits

age

A

40-65

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3
Q

shoulder exam:
mobility deficits

progressive worsening of

A

pain and stiffness

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4
Q

shoulder exam:
mobility deficits

PROM limitations

A

multiple directions, esp ER

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5
Q

shoulder exam:
mobility deficits

This motion decreases as the arm abducts

A

ER

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6
Q

shoulder exam:
mobility deficits

accessory mobility

A

restricted

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7
Q

shoulder exam:
instability

age

A

< 40

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8
Q

shoulder exam:
instability

hx of

A

dislocation

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9
Q

shoulder exam:
instability

excessive

A

GH accessory motion

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10
Q

shoulder exam:
instability

apprehension with PROM…

A

flexion
horizontal abduction
ER

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11
Q

shoulder exam:
RTC dysfunction

typical onset

A

OH motion

acute strain

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12
Q

shoulder exam:
RTC dysfunction

Will see s/s of

A

impingement

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13
Q

shoulder exam:
RTC dysfunction

weakness of

A

RTC muscles

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14
Q

shoulder exam:

(IBC classification) “other”

A
  • arthritis
  • fx
  • ACJ
  • neural tension
  • fibromyalgia/chronic pain
  • post-op
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15
Q

Most commonly referred dx for shoulder dysfunction

A

impingement syndrome

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16
Q

Impingement syndrome occurs d/t persistent or repeated compression of structures in the

A

subacromial space

17
Q

Peak compressive forces in the shoulder occur between

A

85˚ and 136˚

18
Q

Primary impingement: symptoms

A
  • pain at night
  • pain with OH activities
  • stiffness
19
Q

Secondary impingement:

Often d/t underlying

A

instability of the GH joint

20
Q

Another name for posterior impingement

A

‘under surface impingement’

21
Q

Posterior impingement:

Patients have posterior shoulder pain in this position

A

90/90

22
Q

Posterior impingement:

Supraspinatus and infraspinatus rotate posteriorly, resulting in friction/rubbing along the

A

posterior superior surface of the glenoid rim

23
Q

Posterior impingement:

This can develop if posterior RC is not working

A

dominant posterior deltoid

24
Q

MRI and US have shown that (%) of asymptomatic subjects have RTC tears

A

13-34%

25
Q

Asymptomatic people with RCT have (%) chance of becoming symptomatic

A

51%

26
Q

Partial thickness RTC tears usually progress to

A

full thickness tears

27
Q

Though full thickness RTC tears do not heal, 33-90% have demonstrated improved

A

pain

function

28
Q

Full thickness RTC tears require

A
  • surgical treatment

- subsequent aggressive rehabilitation

29
Q

These factors create significantly greater stress on the RTC muscles

A
  • capsular laxity

- labral insufficiency

30
Q

RTC tear tests

A
  • painful arc
  • drop arm test
  • infraspinatus test
  • ER weakness
  • lift off/belly off subscapularis
  • empty can test
31
Q

Shoulder IR rotation loss is often associated with _____ tightness and can lead to ______

A
  • posterior capsule

- anterior shear of the humerus

32
Q

2 key factors indicated in RTC injury (arthrokinematics of GHJ)

A

humeral head

  • anterior translation
  • superior migration
33
Q

Scapular evaluation tests

A
  • Kibler’s subtle scapular dysfunction
  • McClure Forward flexion w/ 3-5# weight

**These are purely scapular positioning and observation tests indicating further evaluation is warranted.

34
Q

Why test supraspinatus in 30˚ abd, 30˚ flex, and slight ER?

A

good ratio of supraspinatus activation to deltoid

35
Q

Use this test for teres minor MMT

A

Patte test

90˚ abduction, 90˚ ER

36
Q

RTC MMT: subscapularis test position and name

A

IR behind the back

Gerber Lift-off Position

37
Q

Full thickness RTC tear test cluster:

When all 3 tests are positive, probability of the pt having a full thickness RTC tear is (%)

A

91%

38
Q

Full thickness RTC tear cluster

A
  • drop arm
  • painful arc
  • weakness with infraspinatus MMT

OPTIM OCS: UQ (17 decks)

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