Exam 3 Shoulder Injuries

Question 1

empty can test

Answer 1

supraspinatus

Question 2

lift off test

Answer 2

subscapularis

Question 3

most commonly injured rotator cuff muscle

Answer 3

supraspinatus

Question 4

rotator cuff muscles

Answer 4

supraspinatus, infraspinatus, teres minor, subscapularis

Question 5

purpose of rotator cuff muscles

Answer 5

maintain dynamic glenohumeral stability

Question 6

tendonitis

Answer 6

Degeneration w/ age or
repetitive trauma,
point tenderness, 
gradual onset,
worse with lifting,
(U) women

Question 7

chronic tear

Answer 7

U men >40
sleep interference,
pain progressing to weakness. weakness is hallmark of tear.

Question 8

acute tear

Answer 8

point tenderness, limited motion, trauma Hx. weakness is hallmark of tear

Question 9

determing movement reduction via pain vs tear

Answer 9

lidocaine injection test removes pain, can’t fix a tear.

Question 10

Tx of shoulder tear

Answer 10

NSAIDs, subacromial injection, surgery

DO NOT use sling

Question 11

Dx rotator cuff tear

Answer 11

lidocaine injection test, MRI

Question 12

frozen shoulder

Answer 12

stiffened glenohumeral joint, loss of range of motion

Question 13

Dx of frozen shoulder

Answer 13

ROM tests:
Touchdown
Apley Scratch

Question 14

shoulder impingement syndrome definition

Answer 14

compression of tendons and bursa between humeral head and acromion process

Question 15

DDx shoulder impingement vs rot. cuff tendonitis

Answer 15

strength preserved in shoulder impingment

Question 16

Tx frozen shoulder

Answer 16

treat underlying cause, self limiting

Question 17

Dx of shoulder impingement

Answer 17

hallmark: painful flexion-internal rotation maneuvers

Question 18

Tx shoulder impingement

Answer 18

physical therapy, ice, NSAIDs, activity modification

NO sling

Question 19

AC joint injury definition

Answer 19

sprain, partial or complete tear

Question 20

Dx AC joint injury

Answer 20

enlargement of joint, tenderness, pain with adduction/downward traction

Question 21

grade 1 AC joint injury

Answer 21

slight stretch, no gross instability, unremarkable Xray

Question 22

grade 2 AC joint injury

Answer 22

AC ligament tear, partial CC ligament tear. Partial dislocation

Question 23

grade 3 AC joint injury

Answer 23

complete dislocation, clavicle elevation, usually requires surgery

Question 24

Tx AC joint injury

Answer 24

only one that can go into a sling. reduce AC pressure. Ice, rest, NSAIDs

Question 25

clavicle fracture placement

Answer 25

most in middle, then distal, then proximal

Question 26

Dx clavicle fracture

Answer 26

obvious deformity, ROM issues

Question 27

Tx clavicle fracture

Answer 27

• Class A – Middle Third – Sling • Class B – Distal Third – Sling and Ortho Consult • Class C – Proximal Third – Sling and Swath and Ortho Consult

Question 28

subacromial bursitis cause

Answer 28

trauma, repetitive movement, chronic inflammatory conditions

Question 29

Dx subacromial bursitis

Answer 29

pain on motion and rest, occasional loss of movement, localized tenderness

Question 30

Tx subacromial bursitis

Answer 30

NSAIDs

Question 31

biceps tendonitis definition

Answer 31

inflammation of LONG head of biceps tendon

Question 32

Dx biceps tendonitis

Answer 32

patient pain at bicipital groove

Question 33

Tx biceps tendonitis

Answer 33

reduce inflammation