Shoulder Examination

Question 1

When are calcific deposits more common in the shoulder?

Answer 1

20-40 years old

Question 2

when do chondrosarcomas usually occur?

Answer 2

after age 30

Question 3

when does rotator cuff degeneration occur?

Answer 3

40-50s

Question 4

frozen shoulder is more common in what ages?

Answer 4

45-60

Question 5

Overhead exertion involving repetitive motions is a common mechanism for what type of pathology?

Answer 5

subacromial

Question 6

a fall on the shoulder is a common mechanism for what injury?

Answer 6

AC separation

Question 7

For an AC separation, what is the common mechanism for anterior dislocation?

Answer 7

forced horizontal extension of an abducted, externally rotated arm

Question 8

Catching, clunking, grinding, or popping may indicate what type of pathology(ies)?

Answer 8

labral disorders
rotator cuff tears
snapping scapula
subacromial bursitis
bicep tendon disorders

Question 9

what are common complaints with a rotator cuff tear?

Answer 9

difficulty with elevation of arm in abduction + ER
attempt to put hand in back poclet
tucking in shirts painful

Question 10

anterior shoulder pain suggests what type of pathology?

Answer 10

bicipital tendinitis/rotator cuff

Question 11

posterior shoulder pain suggests what type of pathology?

Answer 11

posterior labral tear

Question 12

C2-C4 Myotomal movement?

Answer 12

shoulder shrug

Question 13

C5 myotomal movement?

Answer 13

shoulder abduction

Question 14

C6 myotomoal movement?

Answer 14

elbow flexion, wrist extension

Question 15

C7 myotomal movement?

Answer 15

elbow extension, wrist flexion

Question 16

C8 myotomal movement?

Answer 16

thumb extension, finger flexion

Question 17

T1 myotomal movement?

Answer 17

finger abduction

Question 18

C4 dermatome?

Answer 18

acromion

Question 19

C5 dermatome?

Answer 19

lateral humerus

Question 20

C6 dermatome?

Answer 20

thumb/index finger

Question 21

C7 dermatome?

Answer 21

middle finger

Question 22

C8 dermatome?

Answer 22

pinky finger

Question 23

T1 dermatome?

Answer 23

medial forearm

Question 24

T2 dermatome?

Answer 24

medial humerus

Question 25

C5-C6 reflex?

Answer 25

biceps & brachioradialis

Question 26

C7-C8 reflex?

Answer 26

triceps

Question 27

a "popeye" appearance is indicative of what injury?

Answer 27

biceps long head rupture

Question 28

tipping of the scapula (inferior angle protrudes away from rib cage) is a weakness of which muscle?

Answer 28

lower trap

Question 29

adaptive shortening of rhomboids and levator scapulae results in what?

Answer 29

elevation of scapula at super angle and a downward rotatoin

Question 30

what is sprengel's deformity?

Answer 30

hypoplastic, incorrectly rotated scapula sits abnormally high on posterior chest wall

Question 31

winging of the scapula is a result of a weakness in which muscles?

Answer 31

serratus anterior

Question 32

what is the ratio for scapulohumeral motion?

Answer 32

GH : ST 2 : 1 120 : 60

Question 33

if PROM at the shoulder is limited at the same point as AROM, what does it indicate?

Answer 33

capsular restriction scar tissue formation hypomobility

Question 34

when it comes to arthritis at the shoulder, what motion is most limited/painful?

Answer 34

horizontal adduction

Question 35

interventions for shoulder arthritis?

Answer 35

joint mobz grade I or II estim shoulder strengthening

Question 36

interventions for rheumatoid arthritis at the shoulder?

Answer 36

ice, heat, PT (ROM/strength), surgery in severe cases symptoms are exacerbated with aggressive stretching

Question 37

what are *some* factors for adhesive capsulitis?

Answer 37

female >40 yrs trauma diabetes prolonged immobilization

Question 38

primary adhesive capsulitis signs/symptoms?

Answer 38

idiopathic, progressive, and painful loss of active/passive shoulder motion, particularly ER

Question 39

secondary adhesive capsulitis signs/symptoms? (two types)

Answer 39

pain is more noticeable than motion restriction (self-limiting, spontaneously recovers within 6-12mos) pain is as noticeable as motion restriction (unable to sleep on that side, ER of GH joint more affected)

Question 40

what is stage 1 of adhesive capsulitis?