Shoulder Flashcards
(26 cards)
Resting packed position of shoulder
Flexion, abduction, slight internal rotation
Capsular pattern of shoulder
External rotation > abduction > internal rotation
Restriction in shoulder motion due to inflammation and fibrosis of shoulder capsule usually due to disuse following injury or repetitive microtrauma what is this called
Frozen shoulder (adhesive capsulitis)
Sex and onset of frozen shoulder
Females / 40-60 years
What are risk factors of secondary frozen shoulder
- systemic disease (diabetes, etc)
- extrinsic factors (cardiopulmonary disease, fractures, parkinson, etc)
- intrinsic factors (rotator cuff pathology, ac arthritis, biceps tendinopathy, etc)
Signs and symptoms of frozen shoulder
- limitation of ROM external rotation > abduction / flexion > internal rotation
- severe pain
- reverse scapulohumeral rhythm
Intervention for frozen shoulder
-Pendulum exercises
-Acute cases of Pain relief: grades 1 & 2 mobilization
-Chronic cases to increase ROM: grades 3-4 mobilization
In scapulohumeral rhythm there’s a 2:1 ratio between glenohumeral and scapulothoracic movement (ex: if arm abducted 90, 60 is done by glenohumeral movement and 30 by scapulothoracic. True or False
True
Gradual onset of pain at rest and sharp pain during motion, pain at night interrupting sleep, lasting 2-9 months. What’s this phase called in frozen shoulder
1st phase: acute freezing painful phase
Pain starts to subsides, progressive loss of GH motion in capsular pattern, pain apparent during extreme movement, lasts 4-12 months what is this phase called in frozen shoulder
2nd phase: adhesive frozen stiffening phase
Progressive improvement in functional ROM phase lasting 5-24 months what is this phase of frozen shoulder
3rd phase: resolution thawing phase
A condition characterized by excessive or repetitive contact between posterior aspect of greater tuberosity of numeral head and posterior superior border of glenoid when arm is moving. What is this called
Subacromial impingement syndrome
Subacromial impingement syndrome encompasses a range of pathologies including:
Rotator cuff tendinosis
Subacromial bursitis
Calcific tendonitis
What’s the most limited motion of subacromial impingement syndrome
Internal rotation
What’s the painful arc of abduction found in subacromial impingement syndrome
60-120 degrees
Subacromial space consists of
Rotator cuff tendons
Long head of biceps tendon
Coracoacromial ligament
(Surrounded by Subacromial bursa)
What are the types of frozen shoulder
Primary idiopathic (unknown) & Secondary (risk factors)
What are types of Subacromial impingement
Primary & secondary
What is primary impingement of subacromion
Related to structural changes either congenital or acquired such as hooked acromion, osteophyte formation, bony malposition after fracture, increase in volume of Subacromial soft tissue
What is secondary impingement of subacromion
Abnormal muscle imbalance resulting in functional disturbance in centering the humeral head, weakness in rotator cuff muscles, lower trap, serratus anterior, tightness of pectoralis minor, gross kyphotic posture
Signs and symptoms of subacromial impingement syndrome
- Shoulder abduction painful arc
- tenderness over supraspinatus tendon, subacromial bursa, long head of biceps
- reversed scapulohumeral rhythm
Special tests of subacromial impingement syndrome
- Hawkins Kennedy test
- neer’s impingement test
- speeds test
- yergasons test
Muscle tendinosis of the shoulder what is it
Degeneration of tendon tissue, common in biceps & rotator cuff muscles
