Shoulder OMM

Question 1

Where does shoulder pain rank in the consultation of primary care?

Answer 1

Third most common

Question 2

What are the three bones that comprise the shoulder?

Answer 2

Clavicle
Humerus
Scapula

Question 3

What spinal level does the clavicular spine point to?

Answer 3

T3

Question 4

What are the 4 joints of the shoulder? Which is false?

Answer 4

Sternoclavicular
Acromioclavicular
Glenohumeral joint

Scapulothoracic= false

Question 5

What is the motion of the sternoclavicular joint?

Answer 5

Multi-axial

Question 6

What is the only bony connection of the upper extremity to the axial skeleton?

Answer 6

Sternoclavicuarl joint

Question 7

What are the three ligaments that are a part of the sternoclavicular joint?

Answer 7

Sternoclavicular
Costoclavicular
Interclavicular

Question 8

What is the ball and socket joint of the shoulder?

Answer 8

Glenohumeral joint

Question 9

What is significant about the glenohumeral joint, relative to other joints in the body?

Answer 9

Most mobile

Question 10

What are the motions of the glenohumeral joint?

Answer 10

Flexion/extension
Abduction/adduction
Medial/lateral rotation

Question 11

Why is the glenohumeral joint unstable?

Answer 11

Shallow cavity

Question 12

Where is the glenohumeral joint most unstable?

Answer 12

Anteriorly and inferiorly

Question 13

What are the three major ligaments of the shoulder joint?

Answer 13

Glenohumeral
Coracohumeral
Transverse humeral

Question 14

What are the four muscles that are around the glenohumeral joint (rotator cuff) Name them with respect to their anatomical location (i.e. anterior, posterior, superior, inferior).

Answer 14

Superiorly = supraspinatous
Anterior = infraspinatous
Inferior = teres minor
Posterior = subscapularis

Question 15

Which joint of the shoulder allows the FROM of the UE?

Answer 15

Scapulothoracic joint

Question 16

What are the spinal nerves roots that are a part of the brachial plexus?

Answer 16

C5-T1

Question 17

Draw out brachial plexus

Answer 17

Draw

Question 18

What is scalenus anticus syndrome?

Answer 18

Compression of the brachial plexus between the anterior and middle scalenes

Question 19

What is wright’s test, and what does it assess?

Answer 19

Pec minor syndrome.

Raise hands above head and apply compression to adduct the arms

Question 20

What is Adson’s test, and what does it assess?

Question 21

What is the costoclavicular test asses for, and how is it performed?

Question 22

What is the most common cause of bursitis?

Answer 22

Repetitive use of a joint

Question 23

What are the superficial, anterior muscles of the shoulder girdle?

Answer 23

Deltoid
Pec major
SCM
Biceps

Question 24

What is the O and I of the biceps Brachii?

Answer 24

Tip of the coracoid process and tubercle of the scapula to the radial tuberosity and bicipital aponeurosis

Question 25

What are the deep, anterior muscles of the shoulder?

Answer 25

Coracbranchialis Pec minor Subclavius Serratus anterior

Question 26

What is the innervation of the serratus anterior?

Answer 26

Lonog thoracic nerve

Question 27

Injury to the long thoracic nerve causes what? Why?

Answer 27

Winged scapula d/t lack of innervation to the serratus anterior

Question 28

What is the O and I of the pec minor?

Answer 28

Ribs 3-5 to coracoid process

Question 29

What is the O and I of the pec major?

Answer 29

Medial 2/3 of the clavicle | Lateral lip of the intertubercular groove

Question 30

What is the posterior, superficial muscles of the shoulder girdle?

Answer 30

Deltoid Trap Lat dorsi Triceps

Question 31

What is the O and I of the lat dorsi?

Answer 31

Spinous process of lower 6 thoracic Medial lip and floor of the intertubercular groove

Question 32

What are the posterior, deep muscles of the shoulder girdle?

Answer 32

``` Rotator cuff muscles + Levator scap Teres major Levator scap Rhomboids ```

Question 33

What are the attachments of the rhomboids?

Answer 33

``` Minor = ligamentum nuchae Major = T2-T5 ``` Insert into the scap

Question 34

What is the major shoulder flexor?

Answer 34

Deltoid

Question 35

What is the major shoulder extender?

Answer 35

Deltoid

Question 36

What is the major muscle of internal rotation of the arm?

Answer 36

Subscapularis

Question 37

What is the major muscle of external arm rotation?

Answer 37

Infraspinatus

Question 38

What are the two muscles that are involved in abduction of the shoulder?

Answer 38

Deltoid | Supraspinatus (first 15 degrees)

Question 39

What are the two muscles that are involved in abduction of the shoulder?

Answer 39

Pec major | Lat dorsi

Question 40

What are the two major muscles that effect scapular depression?

Answer 40

Pec minor | Trap

Question 41

What are the muscles that effect scapular protraction?

Answer 41

Serratus anterior | Pecs

Question 42

What are the muscles that cause scapular retraction?

Answer 42

Middle trap Rhomboids Lat dorsi

Question 43

What are the muscles that cause upward rotation of the scapula?

Answer 43

Trap | Serratus anterior

Question 44

What is the scapulohumeral rhythm?

Answer 44

Scapular movement is to facilitate glenohumeral movements in a 2:1 ratio

Question 45

What is adhesive capsulitis?

Answer 45

Frozen shoulder: shoulder capsule of the glenohumeral joint becomes inflamed and stiff, greatly restricting motion and causing pain