Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MSK basics > shoulder 3 - tests and injuries > Flashcards

shoulder 3 - tests and injuries Flashcards

1
Q

what are the two presenation of a hypermobile shoulder

A

TUBS and AMBRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the TIBS hypermobile shoulder presentation

A

traumatic

unidirectional

bankart lesion

surgical repair

EX: I did this activity and my shoulder fell apart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

TUBS - unidiretional

A

anterior

posterior - more traumatic

inferior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

TIBS- bankart lesion

A

A tear that happens in the lower rim of the labrum.

The rim of the glenoid being torn off as the humeral head slides forward with friction, boney – tear off a portion of the bone as well

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what leads to a anterior instability

A

post directed force with arm in ER and abd

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what leas to a post instability

A

post directed force with the arm flexed and internally rot

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what leads to an inf instability

A

inf force with the arm in abd

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the AMBRI presentation

A

Atraumatic

multidirectional

bilateral

rehab

inferior capsule shift

beightons scale

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the general presentation of someone with shoulder instability

A

instability and apprehension

weakness with overhead activities

loss of power and coordination

may have some clicking snapping and popping

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is the test for multidirectional instability

A

sulcus sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are the test for anterior instability

A

anterior apprehension

anterior drawer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what a is a general test for shoulder instability

A

load and shift test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are the test for posterior instability

A

posterior drawer test

postierior apprehension, jerk, kim

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the intervention for instability

A

strengthing of the RC and scapular

side lying ER

prone I, Y, T

other exercises to target specific musculature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what is the positive load and shift

A

clicking, popping, pain provocation

Evaluating the glide of the humeral head in the glenoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is a apprehension test

A

: apprehension that is reduced/ eliminated with relocation maneuver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is a positive anterior drawer test

A

humeral head slides past coracoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is a positive posterior drawer test

A

the thumb is felt to slide past the coracoid.

a little pain but the pt may be apprehensive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is a positive for the posterior apphrehension test

A

Looking for apprehension and pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what is a positive test for the Jerk test and kim test

A

sudden onset of sharp posterior shoulder pain indicates a positive test result, with or
without a clunk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is a positive sulcus sign test

A

too much inf translocation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

o-deg sulcus sign is test

A

the superior capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

90-deg sulcus sign is testing what

A

the inferior capsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what is the MOI of a SLAP lesion

A

fall on a outstretched arm

traction on the long head of the biceps associated with overhead throwing activities

internal impingement

peel back of the labrum due to towist of the biceps tendon during abd and ER

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what are the symptoms of a slap lesion

A

pain and mechanical catching and grinding - LHB

clicking

instability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

what are the test for a slap lesion

A

O’brein’s

anterior slide test

crank test

biceps load one and two

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what is the procedure for O’breins test

A

arm flexed to 90, 10-deg of abd

downward force is applied to the arm in full supination and pronation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what is a positive O’briens test

A

pain with the hand is in supination (IR) that reduced when the arm is in pronation (ER)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

O’brein’s pain felt inside of the shoulder

A

labral lesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

O’brein’s pain felt up top of the shoulder

A

AC joint lesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

what is a postive anteiror slide test

A

pain of click in the front of the shoulder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

what is the procedure for cranks test

A

pt sitting or supine

arm abd 160

passivly IR and ER the arm while applying an axial load

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

what is a positve cranks test

A

click or pop

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

what is the procedure for the biceps load test

A
  • Arm position: 900 of abduction, extreme ER, supinated
  • Try to pull the pt elbow into flexion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

what is a positive biceps load test

A

is pain with contraction of biceps

36
Q

what is the difference between biceps load 1 and 2

A
  • Arm position: 1200 of abduction
37
Q

what is a the best diagnostic test for the slap lesion

A

biceps load 1 and 2

38
Q

what are speed and yergason test for

A

Labral tears and Evaluation of Biceps Tendon Long Head

39
Q

what is the procedure for speeds test

A

stand (liked) or sitting
- arm is flexed to 90°, elbow extended, and the forearm fully supinated.

  • Examiner applies a downward force
40
Q

what is a positive speeds test

A

is reproduction of pain in the proximal shoulder during internal rotation

41
Q

what is a positive yergusons test

A

reproduction of pain in the proximal shoulder specifically the bicepetal groove

41
Q

what is the procedure for yerguson test

A
  • The elbow is flexed to 90°
  • PT force into pronation and elbow extension (down) while palpating the long head of the biceps at the bicepetal groove.
42
Q

what is the other name for a hypomobile shoulder

A

adhesive capsulitis

43
Q

what is the general presentation of adhesive capsulitis

A

painful loss of shoulder motion of unknown orgin - rest, night,

age > 40

insidious

inability to sleep through the night

ROM limitation

44
Q

what is the main feature of adhesive capsulitis

A

pain is the predominant initial feature followed by progressive loss of motion

45
Q

what ROM limitation do we see with adhesive capsulitis

A

ER - 30-deg, usally greater then 50%

elevation - less then 120

IR less limited

46
Q

look at the pre freezing chart and stuff

A

please

47
Q

what is the intervention of choose for adhesive capsulitis

A

mobs - indicated if ROM is limited

48
Q

how do we know when to progress from the resting poistion for mobs of the shoulder

A

start in the resting position and progress into the restricted ranges of motion based on the pain presentation of the patient and their tolerance

49
Q

what is the procedure for GH distraction

A

70-deg of abd in the capsular plain

50
Q

how do we improve flexion

A

Glenohumeral Posterior Inferior Glide

51
Q

how do we improve abd

A

inferior glide

52
Q

how do we improve ER

A

anterior glide

53
Q

how do we improve IR

A

posterior glide

54
Q

what is the resting and restricted position for - Glenohumeral Inferior Glide

A

resting - arm at you side

restricted - end range ABD

55
Q

what is the resting and restricted position for - Anterior Glide

A

resting - side lying arm at pt side

restricted - pt prone with arm on PT’s leg at end range ER

56
Q

what is the resting and restricted position for - Posterior Glide

A

resting - pt prone arm at side

restricted - pt prone with arm at end range IR against PT leg

57
Q

what is the resting and restricted position for - Glenohumeral Posterior Inferior Glide

A

resting

restricted - pt supine, arm at end range flexion

58
Q

what are some stretching exercise that the pt can do at home or in clinic

A

cane movement

59
Q

what are the spectrum of RC injuries

A

sprain

tendionopathy

artial tear

full tear

60
Q

the patient is strong and painful

A

contractile tissue - tendon or muscle

61
Q

the patient is strong and painless

A

no issues

62
Q

the patient is weak and painful

A

acute or serious pathology

63
Q

the patient is weak and painless

A

nerve lesion

or

complete rupture or the muscle/tendon

64
Q

what kind of athletes are injuries seen

A

throwing athletes

65
Q

acute RC tears presentation

A

tarumatic event - FOOSH

acute pain and weakness

AROM more limited then PROM

pain and weakness with resisted test

66
Q

attritional tears

A

age > 50

lateral shoulder and arm pain

visable atrophy

pain at night

weakness

PROM good
AROM limited

abd weakness

67
Q

what is the cluster for a full thickness tear

A

drop arm sign

painful arc

infraspinatus lag sign

68
Q

what are special test for RC tear

A

supraspinatus - full can, empty can

infraspinatus - lag sign

teres major - lag sign

subscapularis - belly push and lift off

69
Q

for the full RC tear cluster what number is needed

A

3/3 or 2/3

there is an increase in the liklihood ratio

70
Q

weak shoulder what is a another name for it

A

SAPS

71
Q

Primary SAPS - what is it

A

structural narrowing of the acromion space

changes to the underside of the acromion

maybe - soft tissue swelling

72
Q

secondary SAPs - what is it

A

functional narrowing of the SAP due to abnormal arthro

normal anatomy at rest with an impigment that occurs with movement

73
Q

what can funtional SAPs be due to

A

loss of dynamic stablizer - RC and long head of the biceps

posterior capsule tightness

glenohumeral instability

altered scapular upward rotation

74
Q

what is the common complaints with SAPs

A

lateral or anterior shoulder pain with overhead activities

pain with reaching across

hard time sleeping

75
Q

what are the test for SAPs

A

hawkins kennedy

neer

painful arc

relocation test

empty can test

ER test

76
Q

what is the procedure for neer’s test

A

the pt is sitting or standing

place the pt arm in the scapular plane with the palm facing away from the body

PT behind the pt and applies an inferior force at the shoulder - stablizing the scapula

bring the arm into flexion

77
Q

what is a positive neer’s test

A

reproduction of pain

78
Q

what is the procedure for hawkins kennedy

A

pt standing or sitting

Passively place pt arm into 90° of shoulder flexion and 90° of elbow flexion

Forcefully moves the arm into internal rotation

Passive

79
Q

what is a positive hawkins kennedy

A

reproduction of pain with IR

80
Q

what is hk looking at

A

eval of impingment

81
Q

Posterior relocation is looking at what

A

Internal impingement

82
Q

what is the procedure for the posterior relocation test

A

Pt supine, towel under shoulder, arm 90-90

Put the pt into ER until we have apprehension

Then apply posterior force to the humeral head – there should be less apprehension

Slowly lift hand away to see if they are apprehensive again

83
Q

what is a positive posterior relocation test

A

posterior pain that is reduced/ eliminated with relocation maneuver

84
Q

how do we treat SAPs

A

we want to work on the shoulder depressor (infra, teres minor, and subscap), these keep the acromion out from under itself

MSK basics (20 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions