Shoulder Flashcards
(114 cards)
1
Q
What are burners and stingers
A
Some type of impingement in the arm that injures the nerve network and causes paraesthesia or burning sensation in shoulder, forearm, hand and fingers (usually unilateral)
2
Q
Describe shoulder dislocation incidence rate and most common type
A
3
Q
What are some red flags in the shoulder
A
4
Q
Review shoulder functional anatomy
A
5
Q
Describe the glenoid labrum
A
6
Q
Describe the inferior glenohumeral ligament
A
7
Q
Describe the superior glenohumeral ligament
A
8
Q
Describe the middle glenohumeral ligament
A
9
Q
Describe the rotator cuff interval
A
10
Q
What muscles/structures provide primary and secondary stabilization to the shoulder
A
11
Q
Describe the brachial plexus
A
12
Q
What are the structures that contribute to static and dynamic stability of the shoulder
A
13
Q
What is the algorithm for a first time dislocation
A
14
Q
What are the classifications of shoulder instability
A
15
Q
What is the most common pathologies found at first time dislocation
A
16
Q
Describe a Bankart lesion
A
17
Q
Describe a bony bankart lesion
A
18
Q
Describe a hill sachs lesion
A
19
Q
Describe a SLAP lesion
A
20
Q
Compare the location of SLAP, posterior, and bankart lesions
A
21
Q
Describe an ALPSA lesion
A
22
Q
Describe AMBRI
A
23
Q
What is the Beighton score
A
24
Q
What are the recommendations for shoulder dislocation and the chance of recurrence for individuals
A
25
Describe provocative tests (shoulder dislocation)
26
Describe laxity tests (shoulder subluxation)
27
The clinical utility of each test
28
Treatment programs for shoulder subluxation
29
What are the shoulder instability guidelines for TUBS, AMBRI, and AIOS
30
When do we need a referral for imaging for shoulder dislocations
31
What is the prognosis/return to sport for dislocation
32
According to Brownson et al. what is the common MOI, common presentations and recurrence of shoulder dislocations
33
What features are important to consider for shoulder dislocation according to brownson et al.
34
According to Brownson et al. what are the red flags of the shoulder
35
Diagnosis of shoulder problems in primary care
36
How long is physio rehab for shoulder dislocation rehab according to Brownson et al.
4-12 weeks
37
Is imaging indicated for shoulder dislocation for treatment according to Brownson
Should have 2 views on an Xray -> antero-posterior and and an axial view
38
What is a suggested management for shoulder dislocation according to brownson et al.
39
According to Brownson et al. what factors can lead to shoulder instability after a dislocation
40
According to Longo et al. what are the 2 best surgical procedures if rehab management fails for shoulder dislocation
Arthroscopic capsular plication and open capsular shift
41
Compare direct vs indirect MOI for ligament tear in AC Joint
42
What is the etiology of the AC Joint
43
What is the difference between dislocation and separation of the AC Joint
Dislocation: Shoulder comes out of joint
Separation: Clavicle separates from ligamentous tears
**Both very commonly used interchangeably so make sure you clarify what actually happened
44
What are the ligaments of the AC joint
45
Describe the Rockwood classification for AC joint tears
46
What is the intervention for AC joint tears
47
Describe the treatment strategies based on the Rockwood classification
48
What are 4 key factors to remember for AC joint injuries
49
Describe a proximal humerus fracture
50
What does the examination look like for someone with a proximal humerus fracture
51
What does the interventions look like for someone with a proximal humerus fracture
NOTE: If in sling for too long can lead to frozen shoulder (capsular and ligament tightness) and lots of atrophy
52
What are surgical intervention for proximal humerus fracture
53
Is surgery or a sling recommended for proximal humerus fractures?
54
Describe clavicle fractures
55
What are the types of clavicle fractures
56
What are the classifications of clavicle fractures
57
What is the operative and non-operative interventions for clavicle fractures
58
Describe sterno-clavicular injuries
59
Describe the intervention for SC injuries
60
Describe the staging for SC injuries
61
According to Pearl et al. what are some key things with SC injuries
62
Describe rupture of the long head of the biceps
63
Describe pec major tears
64
Describe subscapularis tears
65
What is the prognosis for shoulder pain
66
Compare A/C joint vs proximal humerus fracture vs clavicle fracture vs S/C joint
67
Where does adhesive capsulitis occur (frozen shoulder)
68
What is the demographic, prevalence, risk factors and presentation for frozen shoulder
69
Compare a diagnosis of frozen shoulder to secondary stiff shoulder
70
What is the pathophysiology of frozen shoulder
71
What are the 3 stages of frozen shoulder and how long do they last
72
What are 2 key facts to keep in mind for frozen shoulder
73
How de we diagnose frozen shoulder
74
What is the pathophysiology of glenohumeral joint OA
75
Describe the process of glenohumeral joint OA
-Cartilage cracks form over time which then widen from cell proliferation which can cause pieces of cartilage to peel off, exposing bone that rubs on the fossa
76
What are the demographics, prevalence, risk factors and MOI for glenohumeral OA
77
What are 4 factors that affect the prognosis for shoulder pain
78
What factors result in poor prognosis of shoulder pain with non-surgical management
79
On clinical assessment (history and exam) what would help us rule in frozen shoulder
80
What are the special tests to use for frozen shoulder
NOTE: Only good for seeing mobility but these tests can also be used as treatment
81
What are some outcome measures to use for frozen shoulder
82
What are the recommendations for frozen shoulder intervention based on CBG
83
What should our dosage be for frozen shoulder
84
What is the medical management for frozen shoulder and shoulder OA
NOTE: None of these treatments will work without PT
85
Comparison chart for anterior GH dislocation, reactive tendinopathy, reactive degenerative tendinopathy, adhesive capsulitis (frozen shoulder), and shoulder OA
86
CPG recommendations for forzen shoulder
87
According to Mertens et al what is important interventions for frozen shoulder
-Mobilization with exercise
-Patient education with pharmacotherapy
-PNF
-Mirror therapy
88
Explain the deltoid-rotator cuff force couple
89
Describe the function of the supraspinatus
90
Describe the function of the infraspinatus and teres minor
91
Describe the function of the subscapularis
92
Describe the function of the long head of the biceps
93
What are the 3 stages of tendinopathy and describe them
94
Intrinsic factors that can impact rotator cuff tendinopathy are
94
Describe a rotator cuff tear in terms of tendinopathy resulting in poor function, pain and its pathology
94
List extrinsic factor that can impact rotator cuff tendinopathy
95
Describe acromion type tendinopathy
96
Summary chart rotator cuff tendinopathy
97
Describe scapular and humeral head kinematics extrinsic factors
98
Should surgery be performed on subacromial impingement
99
Describe the recommendations for subacromial pain syndrome and rotator cuff disease
100
Describe subacromial impingement syndrome
101
Compare a symptomatic rotator cuff and its ability to heal based on tendinopathies
102
Outcome measures to use for shoulder tendinopathies
103
What should the physical exam look like for rotator cuff tendinopathies
104
Compare the findings between impingement, rotator cuff pathology, scapular dyskinesis, instability, slap and biceps related pathology
105
What does chemo do to the muscles (cancer treatment)
Can cause degeneration due to steroids and also less use can lead to atrophy and weakness making more prone to degenerative tendinopathies and potentially rotator cuff tears
106
Describe the shoulder symptom modification procedure (SSMP)
107
Exercises for tendinopathy
108
What kind of functional testing can you do for rotator cuff tendinopathies
109
What should dosage look like for rotator cuff tendinopathies
110
List factors that affect the prognosis of shoulder pain
111
Rehab strategies for the shoulder
112
What are poor prognostic factors for non-surgical shoulder management
