Shoulder Evaluation 1 Flashcards
(38 cards)
Specific shoulder exam: IBC categories
- mobility deficits
- instability
- RTC dysfunction
- other
shoulder exam:
mobility deficits
age
40-65
shoulder exam:
mobility deficits
progressive worsening of
pain and stiffness
shoulder exam:
mobility deficits
PROM limitations
multiple directions, esp ER
shoulder exam:
mobility deficits
This motion decreases as the arm abducts
ER
shoulder exam:
mobility deficits
accessory mobility
restricted
shoulder exam:
instability
age
< 40
shoulder exam:
instability
hx of
dislocation
shoulder exam:
instability
excessive
GH accessory motion
shoulder exam:
instability
apprehension with PROM…
flexion
horizontal abduction
ER
shoulder exam:
RTC dysfunction
typical onset
OH motion
acute strain
shoulder exam:
RTC dysfunction
Will see s/s of
impingement
shoulder exam:
RTC dysfunction
weakness of
RTC muscles
shoulder exam:
(IBC classification) “other”
- arthritis
- fx
- ACJ
- neural tension
- fibromyalgia/chronic pain
- post-op
Most commonly referred dx for shoulder dysfunction
impingement syndrome
Impingement syndrome occurs d/t persistent or repeated compression of structures in the
subacromial space
Peak compressive forces in the shoulder occur between
85˚ and 136˚
Primary impingement: symptoms
- pain at night
- pain with OH activities
- stiffness
Secondary impingement:
Often d/t underlying
instability of the GH joint
Another name for posterior impingement
‘under surface impingement’
Posterior impingement:
Patients have posterior shoulder pain in this position
90/90
Posterior impingement:
Supraspinatus and infraspinatus rotate posteriorly, resulting in friction/rubbing along the
posterior superior surface of the glenoid rim
Posterior impingement:
This can develop if posterior RC is not working
dominant posterior deltoid
MRI and US have shown that (%) of asymptomatic subjects have RTC tears
13-34%
