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Ortho ITE > Shoulder > Flashcards

Flashcards in Shoulder Deck (34)
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1
Q

Impingement Sign

A

Forward Flexion >90
(+) pain

(Impingement/Rotator Cuff)

1
Q

Jobe Empty Can

A

Pronate arm, resisted FF in scapular plane

Pain or weakness indicates supraspinatus tear

2
Q

Hawkins Test

A

FF 90, then IR
Pain

(Impingement/Rotator Cuff)

3
Q

Drop Arm

A

FF>90, try to maintain it

Inability to hold flexion indicates supraspinatus tear

4
Q

Shoulder Forward Flexion

A

0-160

5
Q

Shoulder Extension

A

0-60

6
Q

Shoulder External Rotation

A

Elbow at side: 30-60

7
Q

Shoulder Abduction

A

0-160/180

8
Q

TUBS

A

Traumatic, Unidirectional, Bankart, Surgery

Shoulder Instability

9
Q

AMBRI

A

Atraumatic, Multidirectional, Bilateral, Rehab, Inferior Shift
(Shoulder Instability)
Generalized laxity, microtrauma due to overuse

10
Q

Shoulder Laxity Tests

A

Drawer - AP translation

Sulcus - downward pressure, see gap

11
Q

Frozen Shoulder

A

Normal Xray
Insiduous
Flexion, External Rotation

12
Q

Shoulder Stability Tests

A

Apprehension - abduct 90, externally rotate, force from behind -> pain

Job Relocation - apply force to anterior shoulder

13
Q

Shoulder Impingement Tests

A

Impingement Sign

Jobe Empty Can Test

14
Q

ER lag sign

A

ER shoulder, patient holds it

Inability to maintain ER indicates infraspinatus tear

15
Q

Horn blower’s

A

resisted ER in slight abduction

weakness indicates rotator cuff tear involving infraspinatus

16
Q

Lift Off

A

Hand behind back, push backward

weakness indicates subscapularis tear

17
Q

Lift Off Lag Sign

A

Lift hand off back, patient holds it

Inability to hold hand off of low back indicates subscapularis tear

18
Q

Belly press

A

Hand on belly, push toward belly

Weakness indicates subscapularis tear

19
Q

Active Compression (O’Brien) Test

A

FF 90, adduct 10, resisted flexion in pronation then supination

Pain with resisted flexion, greater in pronation indicates SLAP tear; may also suggest AC joint pathology

20
Q

SLAP

A

Superior Labral Tear from Anterior to Posterior

21
Q

Crank Test

A

Abduct 90, axial load, rotate

Pain indicates SLAP tear

22
Q

Speed’s Test

A

Resisted Flexion in scapular plane

Pain indicates biceps lesion or tendinitis

23
Q

Yergason’s Test

A

Elbow 90, resisted supination

Pain indicates biceps tendinitis

24
Q

Apprehension Test

A

Abduct, ER

Pain or apprehension indicates anterior instability

25
Q

Relocation Test

A

Abduct, ER, posterior force to arm

Relief of pain/apprehension indicates anterior instability

26
Q

Load and Shift Test

A

Axial Load, ant/post translation

Increased translation indicates anterior or posterior instability

27
Q

Jerk Test

A

Supine, adduct, FF 90, push posterior

pain/apprehension/translation indicates posterior instability

28
Q

Sulcus Test

A

Pull down on adducted arm

Sulcus under lateral acromion indicates inferior instability

29
Q

X-body adduction Test

A

Adduct Arm across body

Pain at AC joint indicates AC joint pathology

30
Q

Scapular Winging

A

Push against wall

Winging of scapula indicates nerve palsy or muscle weakness

31
Q

Adson’s Test

A

Palpate pulse, rotate neck

Numbness or tingling suggestive of thoracic outlet syndrome

32
Q

Wright’s test

A

Extend arm, rotate neck away

numbness or tingling suggestive of thoracic outlet syndrome

33
Q

Spurling’s Test

A

Lateral flex/axially compress neck

Reproduction of symptoms indicates cervical neck pathology