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Flashcards in Shoulder Deck (14):
1

AC joint injury and Clavicular fracture

present similar
pain w/ adduction of the arm
pain over fracture or AC joint respectively
AC joint- paxinos test
tx- rest, ice, nsaids

2

Rotatorcuff tendonitis

pain in 4th or 5th decade of live usually
pain in anterior lateral of shoulder
painful when sleeping
hawkins and neer test
pain w/ palpation of bicepital groove
no weakness (if weakness think rotator cuff tear)
tx- 6 weeks of rest for throwers, strengthen muscles, possible steroid shot

3

hawkins test

flex arm 90 degree flex elbow 90 degrees and internal rotate arm. if pain positive

4

neer test

flex arm to side of head. if hurts it is positive

5

2 largest risk factors for rotator cuff tear

1- age
2 smoking

6

test for rotator cuff tear

subscap- belly compressoin test
subscap- lift off test from back
subscap- bear hugger
supraspinatus- pop can
infraspinatus- resist external rotation

7

calcific tendonitis

horrible pain
usually the supraspinatus
pain w/ any shoulder movement
weakness just because of amt of pain
tx- nsaids, ice, rest, steroid injection of subacromion w/ needling calcium deposit

8

adhesive capsulitis

frozen shoulder
risk factors- 50 yr old female, diabetes, hypothyroid
insidious onset of pain and lack ROM
may follow trauma but can be idiopathic
LOSS OF BOTH PASSIVE AND ACTIVE ROM
tx- physical therapy, manipulation under anesthesia, arthroscopic capsular release

9

labral injuries (SLAP tear)

usually under 20 yrs old
common in throwers/athletes
complaints of pop
obrien test
tx- conservative- strengthen rotator cuff

10

obrien test

flex arm 90 degrees, adduct arm 30 degrees, w/ thumb facing down resist upward force. then turn thumb up and resist upward force again. if positive w/ thumb down and now w/ thumb up positive

11

what causes posterior shoulder dislocation

football linemen, electrocution, seizure

12

test for anterior dislcoation

apprehension test
relocation test

13

shoulder arthritis

not as common cause non weight bearing
insidious onset of anterior/lateral pain
pain at end of ROM
loss of rom of external and internal rom
crepitus
tx- nsaids, tylenol, glucosamine/chondritin, steroid shot, shoulder replacemnt

14

parsonage turner syndrome

brachial plexus neuritis
usually occurs 6 weeks after viral infxn
inflammation of brachial plexus (supra scapular nerve)
severe pain immediately of shoulder
in 2 days weakness and possible paralysis of arm
atrophy of supra and infraspinatus
tx- oral steroids, neurontin, pain med