shoulder Flashcards

(32 cards)

1
Q

shoulder positions ___ in space

A

hand

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2
Q

proximal stability means distal

A

mobility

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3
Q

shoulder complex has what bones

A

humerus, clavicle, scapula

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4
Q

what joints are in the shoulder complex?

A

glenohumeral joint
acromioclavicular joint
sternoclavicular joint

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5
Q

what movements can the GHJ do?

A

flexion/extension
abduction/adduction
IR/ER

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6
Q

open packed position is where the?

A

where capsule and ligaments are most laxed (mobile but unstable)
- this is where mobilization can occur

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7
Q

position of joint when in the open packed position?

A

55 degrees abduction and 30 degrees horizontal adduction

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8
Q

closed packed position of the GHJ is where

A

capsule and ligaments are most taut and contracted
-where most dislocations occur

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9
Q

position the GHJ is in for a closed packed positon?

A

90 degrees abduction and full ER

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10
Q

most of the motion from the shoulder is done by which joint?

A

GHJ

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11
Q

which joint is where the scapula moves?

A

acromioclavicular joint

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12
Q

which two ligaments support the acromioclavicular joint?

A

AC ligament
coracoclavicular joint

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13
Q

nerve root for GHJ

A

C5-6

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14
Q

nerve root for AC joint

A

C4

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15
Q

open packed positon for the AC joint?

A

arm at side

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16
Q

closed packed positon for the AC joint?

A

shoulder abducted 90 degrees

17
Q

what is the only direct articulation between the shoulder complex and axial skeleton?

A

sternoclavicular joint

18
Q

open-packed position of the SCJ

19
Q

closed packed position of the SCJ?

A

full UE elevation

20
Q

scaption occurs ___ anterior to the ___ plane

A

30-45 degrees; frontal

21
Q

4 rotator cuff muscles are

A

supraspinatus
subscapularis
teres minor
infraspinatus

22
Q

scapula extends from what vertebrae

23
Q

greater tuberosity is where what muscles attach

A

supraspinatus and teres minor

24
Q

less tuberosity is where what muscle attaches

25
what is the function of the rotator cuff muscles?
stabilize humeral head in glenoid fossa during shoulder movement
26
actions of the RC muscles
supraspinatus (abduction) infraspinatus (ER) teres minor (ER) subscapularis (IR)
27
what is the difference between shoulder pain and referred pain
shoulder pain worsens with shoulder movement whereas referred pain does not worsen with shoulder movement
28
examples of where referred shoulder pain can come from?
cervical radiculopathy (C4-C7) heart disease gall bladder disease
29
GHJ capsule pattern?
ER, ABD, IR
30
cervical spine capsule pattern?
side flexion and rotations extension
31
SC/AC capsular pattern?
pain at extreme end range
32
how to evaluate capsular patterns and which diagnoses will it be prevelent in?
PROM arthritis or prolonged immobilization