Shoulder

Question 1

What is the most sensitive indicator to joint disease

Answer 1

Range of motion

Question 2

What are the ROM for shoulder

Answer 2

Flexion - 180

Extension - 60

Abduction - 180

Adduction - 50

Internal Rotation - 90

External Rotation - 90

Horizontal Abduction - 40-55

Horizontal Adduction - 130-140

Question 3

Shoulder Horizontal Adduction

Answer 3

130-140

Question 4

Shoulder Horizontal Abduction

Answer 4

40-55

Question 5

Shoulder Extension

Answer 5

60

Question 6

What is the most popular specialty test that indicates a Subacromial Bursa Impingement and/or Rotator Cuff Injury

Answer 6

Painful Arc Test

Question 7

What makes the Painful Arc Test so important

Answer 7

Highest positive likelyhood ratio of all rotatory cuff maneuvers & lowest negative likelyhood ratio of all rotatory cuff maneuvers.

It’s the most sensitive & specific

Question 8

What indicates a positive painful arc test?

Answer 8

Pain between 60-120. The other ROM in the arc is pain free.

Question 9

What are the key upper extremity myotomes

Answer 9

C5 - Elbow flexers (biceps)

C6 - Wrist extensors

C7 - Elbow extensors

C8 - Finger flexors

T1 - Finger abductors

Question 10

Where should pulses and/or capillary refill be checked after an injury?

Answer 10

distal to the site of the injury

Question 11

What population is a clavicle fracture most common in

Answer 11

Kids

Question 12

What group is a proximal humerus fracture most popular

Answer 12

Elderly

Question 13

How does one typically get a scapular fracture

Answer 13

Blunt Trauma

Question 14

What are the nerve roots for the UE DTR

Answer 14

Triceps (C6-7)

Biceps (C5-6)

Brachioradialis (C5-6)

Question 15

What is the most common glenohumeral dislocation

Answer 15

Anterior dislocation

Question 16

How does a AC joint injury typically occur

Answer 16

Direct trauma to the superior or lateral aspect of the shoulder (acromion) with the arm adducted

(Direct blow or falling onto the shoulder)

Question 17

What are some extrinsic causes of shoulder pain

Answer 17

GI related, Upper lung disease & diaphragm irritation

These are also known as referred pain

Question 18

What are some intrinsic causes of shoulder pain

Answer 18

Septic arthritis, overuse, bursitis & synovitis

Question 19

Where does the most common Rotator Cuff Injury occure

Answer 19

Supraspinatus Tendon

Question 20

Rotator Cuff diagnosis

Answer 20

X-rays are not helpful

Ultrasound &/or MRI are the tests of choice

Question 21

Adduction of GH joint

Answer 21

Scapular motion - Depressed

Clavicle AC joint (distal) - Inferior glide

Clavicle SC joint (proximal) - Superior glide

Question 22

Abduction GH joint motion

Answer 22

Scapular motion - Elevation

Clavicle AC joint (distal) - Superior glide

Clavicle SC joint (proximal) - Inferior glide

Question 23

Flexion GH joint motion

Answer 23

Scapular motion - protraction

Clavicle AC joint (distal) - anterior glide

Clavicle SC joint (proximal) - posterior glide

Question 24

Extension GH joint motion

Answer 24

Scapular motion - Retraction

Clavicle AC joint (distal) - Posterior glide

Clavicle SC joint (proximal) - Anterior glide

Question 25

Internal Rotation GH joint motion

Answer 25

Scapular motion - none Clavicle AC joint (distal) - Internal rotation Clavicle SC joint (proximal) - none

Question 26

External Rotation GH joint motion

Answer 26

Scapular motion - none Clavicle AC joint (distal) - external rotation Clavicle SC joint (proximal) - none

Question 27

Apprehension Test

Answer 27

Test for - Glenohumeral Instability (+) Test - Patient apprehension **Think how apprehensive you get when someone trying to bend your shoulder's backward**

Question 28

Empty Can Test

Answer 28

Tests for Rotator Cuff Pathology specifically _Supraspinatous_ Pathology + Test = pain or weakness **Think of motion when you pour out soda's with both hands**

Question 29

Drop Arm Test

Answer 29

Rotator Cuff Pathology - Supraspinatous + Test = Uncontrolled arm drop

Question 30

Painful Arc Test

Answer 30

Subacromial Bursa Impingement &/or Rotator Cuff injury + Test = pain btw 60-120 degrees of abduction

Question 31

Neer Impingement

Answer 31

Subacromial Bursa Impingement &/or Rotator Cuff impingement + Test = Pain **Neer to the Ear**

Question 32

Hwakins Test

Answer 32

Subacromial Bursa Impingement &/or Rotator Cuff impingement + Test = Pain

Question 33

Cross Arm Test

Answer 33

AC joint pathology + Test = AC joint pain or increased tissue texture abnormalities

Question 34

What forces are used in a shoulder myofascial release?

Answer 34

distraction, compression, twist & shear

Question 35

_Spencer's Technqiue_ What does it treat Direct or Indirect How is the patient positioned

Answer 35

Glenohumeral joint Direct/restrictive barrier - MFR and/or MET Lateral recumbent with involved shoulder up

Question 36

What are the steps of Spencer's technique

Answer 36

Extension Flexion Compression Circumduction Traction circumduction ABduction w/ external rotation ADduction Internal Rotation Traction w/ inferior glide

Question 37

How are the AC and SC somatic disfunctions named

Answer 37

They are named after the direction the shoulder likes to go