Shoulder

Question 1

Sternoclavicular joint Sprain MOI, SS

Answer 1

MOI- FOOSH, anterior/posterior force to shoulder

SS- prot/retrac of scapula causes clicking
- Pain at SC joint w movement

Question 2

AC joint Sprain MOI, SS, TEsts

Answer 2

MOI- FOOSH, person falls on acromion

SS- dull achey pain over shoulder

 - step deformity (displacement of clavicle)
 - both AC lig and cozrococlavicular lig torn (3rd degree)

Test- Apley scratch

   - traction test( pull on humerus)
   - AC compression test

Question 3

Clavicle Fracture MOI, SS

Answer 3

MOI- direct/indirect force

SS- distal shoulder collapses, visible deformity, pain w/ movement

Question 4

Anterior GH instability MOI, TEST

Answer 4

MOI- Repetitive overhead, follows sublux, dislocation
- weak rotators

Test- Apprehension test( arm rotated back at 90 degrees)

Question 5

Sublux/dislocating GH- MOI, associated injures

Answer 5

MOI- excessive ext. rot. + abduction

Bankart lesion- Inferior GH avulsed w/ portion of labrum

Hills-Sachs- boney defect of humeral head

Question 6

SLAP lesion (type 1,2,3,4)

Answer 6

-tear of superior aspect of glenoid labrum

1- fraying of labrum
2- Avulsion of labrum + tear of LHBT
3- Buckle handle tear of labrum
4- Buckle handle tear + tear of LHBT

Question 7

Subacromial Impingement MOI, SS, Tests

Answer 7

MOI- overhead work, weak posterior rc, imbalance in muscle strength

SS- will cause weakening, deep pain, pain b/w 70-120

Tests- Painful arc
- Hawkens kennedy impingment ( forward flexed + internally rotated

    - neer impingement( arms raised straight up, pain b/w 90-120)

Question 8

Subacromial Burrsae inflammation SS

Answer 8

SS- causes rc impingent, localized pain, swelling, jelly like