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Flashcards in Clinical Syndromes Deck (107)
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1

Defn: Rupture of biceps brachii long head

Complete tear of the tendon of the biceps brachii long head

2

Q: What are the 2 most common sites of a biceps brachii long head tear?

1. Supraglenoid tubercle

2. Proximal intertubercular groove

3

Content: 4 MOI for biceps brachii long head tear

1. Wear and tear

2. Sudden, forceful contraction

3. Repetition, overhead movements

4. Preexisting shoulder problems

4

Q: For biceps brachii long head tear's MOI, what falls under "preexisitng shoulder problems?" (4)

1. Chronic impingement

2. Tendinitis

3. SLAP tears

4. Rotator cuff tears

5

Content: Signs & Symptoms for biceps brachii long head tear (4)

1. "Popping"

2. Tenderness w/palpation over anterior shoulder

3. Popeye sign

4. Positive Speed's Test 

6

Q: What is the typical treatment plan for young/athletic pts. (who need max supination strength) after a biceps brachii long head tear?

Surgery

7

Q: What is the typical treatment plan for older pts. after a biceps brachii long head tear?

Avoid operation

8

Q: Describe debridment (sx option for rupture of biceps brachii - long head)

Treatment for fraying of small amounts of the tendon

9

Q: Who typically undergoes debridment with tenodesis?

Young pt./athlete who has 50% or greater fraying of the tendon 

10

Q: Describe debridment with subacromial decompression (sx option for rupture of biceps brachii - long head)

Treatment for fraying of the tendon along with associated rotator cuff and biceps tendon impingement

11

Content: Modalities for biceps brachii long head rupture (2)

1. Ice

2. E-stim

12

Content: Immobilization (1-2 wks) > gentle PROM/AROM > RC resistive strengthening (2-4 wks) > throwing program (after 6-8 wks) > Return to all overhead motions (3-4 mo)

TherEx progression for biceps brachii long head rupture 

13

Defn: Snapping scapula

Abnormal articulation of the scapulothoracic joint causing a grinding or snapping sensation of the scapula

14

Content: 3 MOI for snapping scapula

1. Repetitive overhead use

2. Muscular imbalance

3. Bony abnormalities

15

Q: What muscular imbalances can cause snapping scapula?

Serratus anterior or subscapularis

16

Content: Signs & symptoms of snapping scapula (3)

1. Crepitus of the scapula

2. Reproduction of symptoms with shoulder abduction

3. Alleviation of symptoms with adduction (HAC)

17

Content: TherEx for Snapping Scapula (2)

1. Muscle Training (strength/endurance/stretch)

2. Postural training (min kyphosis)

18

Q: What muscles should you focus on stretching for postural training of snapping scapula?

1. Upper trap

2. Pectoralis

19

Content: Modalities for snapping scapula (3)

1. Ice

2. Heat

3. Ultrasound

20

Defn: AC joint separation

An injury that occurs to the ligaments involved in the AC joint that causes separation of the acromion and clavicle

21

Q: How many types of AC joint separation classifications are there?

6

22

Term: Sprain of AC ligaments

AC separation type 1

23

Term: 

1. AC ligament disrupted

2. Sprained coracoclavicular

AC separation type 2 

24

Term:

1. AC ligament disrupted

2. Dislocated w/shoulder complex displaced inferiorly,

3. Coracoclavicular ligament disrupted with increased interspace

4. Deltoid and trapezoid usually detached from distal end of clavicle 

AC separation type 3 

25

Term: 

1. AC and coracoclavicular ligaments completely disrupted

2. AC joint dislocated

3. Clavicle displaced posteriorly into or through the trap 

4. Deltoid and trap detached

AC separation type 4 

26

Term: 

1. AC and coracoclavicular ligaments completely disrupted 

2. AC joint dislocated w/gross disparity between the clavicle and scapula 

3. Deltoid and trap detached

AC separation type 5 

27

Term: 

1. AC and coracoclavicular ligaments completely disrupted 

2. AC joint dislocated

3. Clavicle displaced inferiorly to the coracoid process

AC separation type 6 

28

Content: What are the signs and symptoms of a type 1 AC joint separation? (3)

1. Tenderness with mild pain at joint 

2. Pain with resisted adduction 

3. Normal x-ray

29

Q: What is the MOI for AC separation?

Fall on shoulder with arm ADD is most common 

30

Content: TherEx for type 1 and 2 AC joint separation in the 1) acute 2) subacute and 3) Chronic

1. Rest, gentle ROM 

2. Isometric, CC exercises 

3. Isotonic, OC exercises, task specific