Shoulder Flashcards Preview

7232 Diagnosis Summaries > Shoulder > Flashcards

Flashcards in Shoulder Deck (29):
1

painful restriction of both AROM and PROM at GH joint in all planes

adhesive capsulitis

2

Stages of frozen shoulder

- freezing
- frozen
- thawing

3

hx: may be secondary or primary
2˚ to extended immobilization, mild trauma, surgical trauma, diabetes, hyperthyroidism, CVA or MI, psychiatric, autoimmune, inflammatory arthritis, cervical spondylosis

adhesive capsulitis

4

nature of symptoms
- Stage 1: aching pain in the shoulder, maybe radiating discomfort down the arm
- Stage 2: restricted GH ROM in all planes, sharp acute discomfort at end ranges

adhesive capsulitis

5

Objective findings: mobility
- poor scapulohumeral rhythm, compensatory shrug
- PROM decreased in capsular pattern
- ***loss in passive ER

adhesive capsulitis

6

objective findings: strength
2˚ weakness or atrophy of RTC and delt

adhesive capsulitis

7

objective findings: palpation
palpation
- ttp anterior and posterior capsules

adhesive capsulitis

8

- repetitive OH activities lead to microtrauma
- eventual breakdown of static and dynamic stabilizers, unwanted GH translations

anterior inferior GH instability

9

MOI:
- extremity in ER, abducted position
- FOOSH

anterior inferior GH instability

10

common in:
people with joint laxity
OH sports

anterior inferior GH instability

11

subjective:
chronic instability in abd/ER

anterior inferior GH instability

12

glenoid erosion resulting in subluxation of humeral head

arthritis (DJD or 1˚ GH arthritis)

13

subjective:
- ℅ instability, pain, and progressive functional impairments, stiffness, grinding, or crackling sounds
- loss of motion, weakness

arthritis (DJD or 1˚ GH arthritis)

14

objective findings: mobility

- moderate to severe loss of ROM (usu capsular pattern) at extreme ROM
- passive horizontal adduction most limited and painful
- grinding due to loss and damage of cartilage

arthritis (DJD or 1˚ GH arthritis)

15

- inflammation, edema, degenerative changes of proximal biceps tendon
- excessive motion of humeral head causes inflammatory changes of bicipital tendon
- common in OH throwing athletes

bicipital tendonitis/tendinosis

16

subjective:
- local tenderness over bicipital groove
- anterior shoulder pain, esp in OH activities

bicipital tendonitis/tendinosis

17

objective
- mobility: anterior pain with mvt, esp at beginning
- ttp bicipital groove

bicipital tendonitis/tendinosis

18

MOI
- FOOSH
- eccentric deceleration
- peel back mechanism

SLAP

19

MOI
- anterior dislocation, ligament avulsion

Bankart

20

deep pain, locking/pseudo-locking, repetitive clicking or clunking

labral lesions

21

- deep pain with all OH
- pain and deficits in ER, flexion, abd
- strength deficits in all mvts with ER or biceps involvement
- ttp over biceps tendon

SLAP

22

- reduced IR and adduction
- palpable fullness in shoulder if still dislocated

Bankart

23

- excessive joint volume and laxity of capsule
- general shoulder weakness
- inherent condition
- extensive capsulolabral trauma in those without other joint laxity

MDI

24

subjective
- may have pain
- symptoms common midrange
- transient neuro symptoms
- unwanted GH translations
- may have pain or clicking at the side

MDI

25

- positive load and shift, sulcus sign, shoulder instability tests

MDI

26

- continuum starting with impingement of the tendon
- repetitive compression leads to irritation and inflammation
- fibrosis of RTC tendon can lead to tears

RTC pathology

27

- pain and weakness after eccentric load or overuse activities
- gradual onset, may occur without substantial injury

RTC pathology

28

- pain with OH activities
- pain over supraspinatus and biceps tendons, ttp over coracoacromial ligament
- night pain
- ST or RTC muscle weakness (abd/ER)
- painful arc syndrome
- dull, achy pain on lateral aspect of arm

RTC pathology

29

- compensatory shoulder shrug
- weakness in abd/ER/scaption
- ttp over RTC tendons

RTC pathology