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Extremities > Shoulder Practical > Flashcards

Shoulder Practical Flashcards

(56 cards)

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1
Q

A-C PS visualization

A

normal/smooth

slight bump

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2
Q

A-C PS static palpation pain point

A

A-C joint

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3
Q

A-C PS ROM that is decreased

A

abduction

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4
Q

A-C PS orthopedic exams that are significant

A

dawbarn’s
dugas
yergason’s

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5
Q

A-C PS potential neurological problems

A

coracobrachialis

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6
Q

A-C PS fluid motion, joint play

A

decreased S-I at A-C joint

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7
Q

G-H I visualization

A

sulcus sign

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8
Q

G-H I static palpation pain point

A

anterior joint

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9
Q

G-H I ROM decreased

A

external rotation

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10
Q

G-H I orthopedic tests

A

dawbarn’s
dugas
yergason’s

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11
Q

neurological signs of G-H I

A

anterior deltoid weakness

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12
Q

G-H I fluid motion that is decreased

A

I-S, A-P

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13
Q

G-H P visualization

A

normal/smooth

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14
Q

G-H P static palpation pain point

A

posterior joint

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15
Q

G-H P ROM that is decreased

A

internal rotation

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16
Q

orthopedic tests that could be positive for G-H P

A

drop arm test

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17
Q

neurological problems with G-H P

A

teres major weakness

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18
Q

fluid motion joint play G-H P

A

decreased I-S, P-A

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19
Q

S-T L visualization

A

> 3 fingers width from spine

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20
Q

S-T L palpation pain point

A

anterior to scapula (subscapularis muscle)

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21
Q

ROM that could be decreased with S-T L

A

adduction

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22
Q

fluid motion that could be decreased with S-T L

A

decreased L-M scapula

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23
Q

S-T M visualization

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A

<3 fingers width from spine

24
Q

static palpation pain point for S-T M

Study These Flashcards
A

anterior to scapula (subscapularis muscle)

25
ROM decreased for S-T M
abduction
26
fluid motion potentially decreased for S-T M
decreased M-L scapula
27
St-Cl visulaization
slightly higher, more prominent
28
St-Cl static palpation pain point
St-Cl joint
29
St-Cl ROM that is decreased
abduction
30
potential neurological issues with St-Cl
pectoralis major | clavicular attachment
31
St-Cl fluid motion decrease
shoulder rolling
32
St-Co I visualization
normal/smooth to slight bump
33
St-Co I static palpation pain point
St-Co I joint
34
St-Co I possible neurological problems
pectoralis major, sternal attachment
35
fluid motion decreased in St-Co I
decreased on breathing in
36
St-Co S visualization
normal/smooth to slight bump
37
St-Co S static palpation pain point
St-Co S joint
38
possible neurological issues associated with St-Co S
pec major- sternal attachment
39
joint play decreased in St-Co S
decreased on breathing out
40
scapulo humeral ratio
humerus should move by itself until 90 degrees, then the scapula should move ratio should be 3:1 4:1 S-T L 1:1 ?
41
what subluxation are possibly indicated in the different apley scratch movements?
``` adduction decreased (S-T M) external rotation decreased (G-H I) internal rotation (S-T L, G-H I) ```
42
apprehension procedure. when would it be positive?
press P-A on posterior humerus, arm needs to be at 90 degrees and externally rotated tendancy to dislocate
43
dawbarn's procedure. when would it be positive?
press into bursa and bring arm up | decreased pain indicates subacromial bursitis
44
dugas procedure. when would it be positive?
grab other shoulder, press elbow into chest | if can't, anteriorly dislocated shoulder
45
yergason's procedure. when would it be positive?
bro handshake clicking or popping of tendon coming out of groove transverse humeral ligament laxity or shallow bicipital tendon groove
46
drop arm test
+ part 1= grade 3 tear, patient can't raise their arm + part 2= grade 2 tear, patient can bring arm up, but can't hold against any pressure + part 3= grade 1 tear, patient has pain and trouble holding up arm during impulse
47
speed's test
pain indicates | bicipital tendonitis, impingement syndrome, rotator cuff bursitis, SLAP lesion
48
pec minor muscle test
wright's test positive may be due to muscle being tight
49
pec major muscle test
weak at sternal attachment- possible St-Co I or S (bring arm straight across) clavicular attachment- St-Cl S (bring arm in a diagonal angle across the chest
50
anterior deltoid muscle test
patient supine, arm straight at 45 degrees flexion patient holds against a downward pressure weakness- G-H I
51
teres major muscle test
patient is supine, internally rotate arm and place under body, hand in lower back area patient resists doctor pulling anterior weakness: G-H P
52
coracobrachialis must test
patient supine, humerus flexed 90 degrees and elbow fully flexed and attempts to maintain position while doctor grapss biceps with both hands and tries to pull arm down weak and clavicle doesn't move:grade 3 tear clavicle moves: A-C separation
53
serratus anterior muscle test
check for scapular wingins
54
kocher's
patient seated doctor tractions S-I on arm, while doing that, doctor takes arm into external rotation, adduction when you've done that, adduct the arm across the chest and bring arm into internal rotation check vascularity, sensory and musculoskeletal
55
fares
patient is supine, doctor takes hand and bottom of humerus move arm in an A to P motion until the shoulder reaches 90 degrees once there, start externally rotating while still oscillating and continue abduction check vascularity, sensory and musculoskeletal
56
frozen shoulder
1. traction and release in the neutral position, taking care to stay within patient's pain tolerance, 3-5 times 2. traction and move through ROM gained within pain tolerance. do this until there is no progress being made 3. determine ROM that is most decreased. treaction in that direction and apply one impulse at each ROM until we have a post check of more motion or feel or hear a release tell them to do exercises at home (towel exercise, weighted traction, knotted rope over basement beam, forearm on table, lean forward, wall walking exercise

Extremities (9 decks)

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