Shoulder Eval and Dx Flashcards Preview

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

what is an important shoulder question?

A

does it go past your elbow?

2
Q

what kind of pain goes past your elbow?

A

cervical root damage

3
Q

what is the most common rotator cuff tear?

A

superspinatous

4
Q

why might you watch a pt undress himself?

A

assesses actual pain (differentiates real from fake pain)

5
Q

what is important when inspecting?

A

compare bilaterally

6
Q

what does the rotator cuff do?

A

“humeral head depressor”

7
Q

what is the most common age for rotator cuff?

A

40s, 50s, 60s

8
Q

when might you use a goniometer?

A

when you have to document for workman’s comp

9
Q

what would pain on a Neer’s sign mean?

A

impingement under acromion

10
Q

what would pain on Hawkin’s sign menan?

A

impingement on coracoacromial ligament

11
Q

what would cross body adduction pain mean?

A

pain at AC joint

12
Q

what would positive apprehension test mean?

A

sense of impending anterior dislocation

13
Q

what is the most common shoulder dislocation?

A

abduction, external rotation

14
Q

what is pain with obriens maneuver mean?

A

anterior labral tear

15
Q

what is does a positive sulcus sign mean?

A

inferior instability

16
Q

what does a positive jerk test mean?

A

excessive laxity of humeral head relative to glenoid

17
Q

what is stage 1 rotator cuff dz?

A

<25 yo
non-operative
acute, resolving inflammation

18
Q

what is stage 2 rotator cuff dz?

A

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

19
Q

what is stage 3 rotator cuff dz?

A

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

20
Q

what usu. causes rotator cuff dz?

A

repetitive overhead movements or trauma

21
Q

what is characteristic of rotator cuff pain?

A

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

22
Q

what PE findings are common with rotator cuff pain?

A

+ Neer sign
+ Hawkins sign
pain with FF
weakness

23
Q

which imaging study is the gold standard for rotator cuff?

A

MRI

24
Q

what is stage 1 txment for impingement?

A
NSAIDS
injection
PT
avoid overhead activities
\+/-MRI
25
Q

what is stage 2 txment for impingement?

A

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

26
Q

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

A

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

27
Q

what time frame should you refer?

A

if pain is greater than 6 months

28
Q

what is a speeds test?

A

test biceps tendonitis

slap hand, resist motion

29
Q

what is yergason’s test?

A

resist supination and rotation

tests biceps tendonitis

30
Q

what nerve root radiates abdominal pain into shoulder?

A

C4

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