Shoulder Eval and Dx Flashcards Preview

Medicine > Shoulder Eval and Dx > Flashcards

Flashcards in Shoulder Eval and Dx Deck (30):
1

what is an important shoulder question?

does it go past your elbow?

2

what kind of pain goes past your elbow?

cervical root damage

3

what is the most common rotator cuff tear?

superspinatous

4

why might you watch a pt undress himself?

assesses actual pain (differentiates real from fake pain)

5

what is important when inspecting?

compare bilaterally

6

what does the rotator cuff do?

"humeral head depressor"

7

what is the most common age for rotator cuff?

40s, 50s, 60s

8

when might you use a goniometer?

when you have to document for workman's comp

9

what would pain on a Neer's sign mean?

impingement under acromion

10

what would pain on Hawkin's sign menan?

impingement on coracoacromial ligament

11

what would cross body adduction pain mean?

pain at AC joint

12

what would positive apprehension test mean?

sense of impending anterior dislocation

13

what is the most common shoulder dislocation?

abduction, external rotation

14

what is pain with obriens maneuver mean?

anterior labral tear

15

what is does a positive sulcus sign mean?

inferior instability

16

what does a positive jerk test mean?

excessive laxity of humeral head relative to glenoid

17

what is stage 1 rotator cuff dz?

<25 yo
non-operative
acute, resolving inflammation

18

what is stage 2 rotator cuff dz?

25-40 yo
progresses to fibrosis and tendonitis
requires operative intervention

19

what is stage 3 rotator cuff dz?

>40 yo
mechanical disruption of the rotator cuff tendon
osteophytosis along anterior acromion
surgery usually required

20

what usu. causes rotator cuff dz?

repetitive overhead movements or trauma

21

what is characteristic of rotator cuff pain?

does not radiate past elbow
pain with overhead movements
night time pain

22

what PE findings are common with rotator cuff pain?

+ Neer sign
+ Hawkins sign
pain with FF
weakness

23

which imaging study is the gold standard for rotator cuff?

MRI

24

what is stage 1 txment for impingement?

NSAIDS
injection
PT
avoid overhead activities
+/-MRI

25

what is stage 2 txment for impingement?

arthroscopic subacromial decompression distal clavicle resection evaluation/ possible rotator cuff repair

26

what is stage 3 txment for impingement (tear greater than 4.5 cm)?

possible open repair
graft (depending on age)
total shoulder arthroplasty

27

what time frame should you refer?

if pain is greater than 6 months

28

what is a speeds test?

test biceps tendonitis
slap hand, resist motion

29

what is yergason's test?

resist supination and rotation
tests biceps tendonitis

30

what nerve root radiates abdominal pain into shoulder?

C4

Decks in Medicine Class (146):