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Ortho Lab > Shoulder > Flashcards

Flashcards in Shoulder Deck (13):
1

Bony Palpation

sternoclavicular articulation
clavicle
acromioclavicular articulation
acromion process
spine of the scapula
body of the scapula
scapulothroacic articulation
coracoid process
greater tuberosity
bicipital groove
lesser tuberosity

2

Soft Tissue Palpation

Prominent Muscles
- sternocleidomastoid
- biceps
- deltoid
• anterior
• middle
• posterior
- trapezius
- rhomboid
• major
• minor

Rotator Cuff Muscles
- supraspinatus
- infraspinatus
- teres minor
- subscapularis

Subacromial bursa
Subdeltoid bursa

Axillary borders
- pectoralis major
- latissimus dorsi
- serratus anterior
- axillary lymph nodes
- bicipital tendon

3

Dugas Test

( + ) Inability to touch the opposite shoulder and/or inability of the elbow to touch the chest

( i ) Acute dislocation of the glenohumeral joint

4

Anterior Apprehension Test

( + ) Patient will have a noticeable look of apprehension or alarm on their face with possible pain

( i ) Chronic anterior dislocation of the glenohumeral joint

5

Posterior Apprehension Test

( + ) Patient will have a noticeable look of apprehension or alarm on their face with possible pain

( i ) Chronic posterior disloaction of the glenohumeral joint

6

Drop Arm Test
(Codman's Drop Arm Test)

( + ) Inability to lower the arm slowly or the arm drops suddenly

( i ) Rotator cuff tear, usually supraspinatus

7

Dawbarn Test

*Initial palpation elicits pain or tenderness at the subacromial bursa

( + ) Decrease in pain and/or tenderness

( i ) Subacromial bursitis

8

Yergason Test
(Cipriano)

( + ) a. Localized pain or tenderness in the bicipital groove

( i ) a. Bicipital tendonitis
- - - - - - - - - - - - - - - - - -
( + ) b. Audible click or dislocation of biceps tendon

( i ) b. instability of the biceps tendon possibly associated with a torn transverse humeral ligament

9

Abbott-Saunders Test

( + ) Audible or palpable click

( i ) Subluxation or dislocation of the biceps tendon due to a rupture of transverse ligament or tendon subluxation beneath the subscapularis muscle belly

10

Speed Test

( + ) Pain and/or tenderness in the bicipital groove

( i ) Bicipital tendonitis

11

Apley Test
(Apley Scratch Superior/Inferior)

( + ) Exacerbation of pain

( i ) Degenerative tendonitis of rotator cuff tendons, usually supraspinatus

12

Impingement Sign

( + ) Pain in the shoulder

( i ) Overuse injury to the supraspinatus and possibly biceps tendon

13

Range of Motion

Flexion 180°
Extension 60°
Abduction 180°
Adduction 50°
External rotation 90°
Internal rotation 70°

Scapular retraction
Scapular protraction
Scapular elevation