Shoulder

Question 1

3 structures found in the subacromial space

Answer 1

subacromial bursa
supraspinatus mm
biceps tendon -long head

Question 2

Overhead injuries are usually

Answer 2

RC and bursal problems

Question 3

T/F arms by side (static posturing) positioning is usually an impingement mechanism

Answer 3

F - more myofascial in origin

Question 4

Risk factors for persistent shoulder pain

Answer 4

high pain severity at presentation, gradual onset of pain, symptoms greater than 3 mo

Question 5

R shoulder pain referral

Answer 5

peptic ulcer, liver abcess, gallstones/cholecystitis, hiatal hernia

Question 6

L shoulder pain referral

Answer 6

splenic rupture, pancreatitis, cardiac, renal

Question 7

RC impingement

Answer 7

pain referred to deltoid tub

Question 8

AC joint is ______ honest

Answer 8

anatomically

Question 9

Rot cuff history importance

Answer 9

hypercholesterolemia, family history, excessive lifting, above shoulder work, vibration work, >60 yo

Question 10

AC history importance

Answer 10

weightlifting

Question 11

OA history importance

Answer 11

hx of dislocation, >75 yo, knee OA

Question 12

Adhesive capsulitis

Answer 12

diabetes or thyroid disorder

Question 13

posterior labral tear

Answer 13

football

Question 14

born loose

Answer 14

AMBRI

Question 15

torn loose

Answer 15

TUBS

Question 16

Outcome recommondations for shoulder

Answer 16

DASH, SPADI

Question 17

clavicle angle

Answer 17

should be 10 degrees upward angle

Question 18

impingement syndrome test cluster

Answer 18

HK, painful arc, infra mm test

Question 19

full thickness RCT

Answer 19

drop arm, painful arc, infra mm test

Question 20

Anterior instability cluster

Answer 20

apprehension, relocation test

Question 21

Slap cluster

Answer 21

passive distraction, active compression

Question 22

Type I scapular dyskinesia

Answer 22

excessive anterior scap tilt

Question 23

Type II scapualr dyskinesia

Answer 23

excessive scap internal rot

Question 24

Type III scapular dyskinesia

Answer 24

excessive upward translation of the scap

Question 25

Type IV scapular dyskinesia

Answer 25

normal

Question 26

Stage I subacromial impingement syndrome

Answer 26

less than 25 yo, edema and hemorrhage in tendon, reversible without surgery

Question 27

Stage II subacromial impingement syndrome

Answer 27

25-40 yo, cuff fibrosis and tendinitis with partial tear, requires surgery considered after 1.5 years of conservative tx

Question 28

Stage III subacromial impingement syndrome

Answer 28

greater than 40 yo, bone spurs and tendon rupture, anterior acromioplasty and rotator cuff repair required

Question 29

most commonly involved RTC

Answer 29

supraspinatus, then infra, then subscap, then teres minor (rare)

Question 30

T/F pain and functional status are associated with tear size and thickness, fatty infiltrate, and atrophy

Answer 30

F

Question 31

T/F mental health, comorbidities, age, and sex are associated with pain/function in RCT

Answer 31

T

Question 32

macrotrauma

Answer 32

single episode FOOSH, dislocation, MVA

Question 33

microtrauma

Answer 33

repetitive shoulder activity (overuse - work or sport activity)

Question 34

Primary compression cuff disease

Answer 34

overcrowding in the subacromial space (thickening CA lig, AC joint OA/acromial spurring, RC tendon thickening)

Question 35

Secondary compression cuff disease

Answer 35

no anatomic "space" issues (GH instability, mm weakness, abn SH rhythm, poor motor control)

Question 36

internal impingement

Answer 36

repetitive contact of the greater tub of the hum head with the posterosuperior aspect of the glenoid when the arm is abducted and externally rotated

Question 37

primary tensile cuff disease

Answer 37

excessive tensile loads imposed on shoulder with repetitive throwing, racquet use

Question 38

rotator cuff calcific tendinopathy

Answer 38

calcium deposits in the supra tendon, usually occurs in patients with primary impingement syndrome (30-50 yo), rapid onset of pain, pain may be impingement like or may not be related to position or activity

Question 39

____ ROM in secondary impingement

Answer 39

excessive

Question 40

___ ROM in primary impingement

Answer 40

decreased