12: Shoulder Pain Flashcards

1
Q

Which muscle is most commonly torn in rotator cuff injuries?

A

Supraspinatus

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2
Q

Name the 4 muscles of the rotator cuff.

A

SITS Muscles:

  1. Supraspinatus
  2. Infraspinatus
  3. Teres minor
  4. Subscapularis
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3
Q

Patients over _____: rotator cuff tears from degeneration and rubbing of the acromion.

A

Patients over 40: rotator cuff tears from degeneration and rubbing of the acromion.

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4
Q

Biceps tendonitis is often associated with _____.

A

Biceps tendonitis is often associated with rotator cuff injuries.

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5
Q

In examining the shoulder, the dominant shoulder is _____.

A

In examining the shoulder, the dominant shoulder is slightly lower.

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6
Q

Always palpate _____ and _____ to the pain.

A

Always palpate distal and proximal to the pain.

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7
Q

T/F If active ROM is too painful, you can substitute passive ROM.

A

True

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8
Q

When do you order a shoulder x-ray?

A

Suspected fracture or dislocation

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9
Q

When do you order a shoulder MRI (3)?

A
  1. Rotator cuff tear
  2. Adhesive capsulitis
  3. Chronic tendonitis
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10
Q

Treatment for mild impingement (5)

A
  1. Rest without immobilization (sling for 24-48 hours)
  2. Ice
  3. NSAIDs
  4. Avoid triggering activities (reaching overhead)
  5. PT and home exercises
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11
Q

When do you refer shoulder injuries (5)?

A
  1. No response in 4 weeks
  2. Nocturnal pain and pain with activity and rest
  3. Shoulder instability
  4. Large or partial tears on MRI
  5. Neurovascular complications
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