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Flashcards in Shoulder Practical Deck (56):
1

A-C PS visualization

normal/smooth
slight bump

2

A-C PS static palpation pain point

A-C joint

3

A-C PS ROM that is decreased

abduction

4

A-C PS orthopedic exams that are significant

dawbarn's
dugas
yergason's

5

A-C PS potential neurological problems

coracobrachialis

6

A-C PS fluid motion, joint play

decreased S-I at A-C joint

7

G-H I visualization

sulcus sign

8

G-H I static palpation pain point

anterior joint

9

G-H I ROM decreased

external rotation

10

G-H I orthopedic tests

dawbarn's
dugas
yergason's

11

neurological signs of G-H I

anterior deltoid weakness

12

G-H I fluid motion that is decreased

I-S, A-P

13

G-H P visualization

normal/smooth

14

G-H P static palpation pain point

posterior joint

15

G-H P ROM that is decreased

internal rotation

16

orthopedic tests that could be positive for G-H P

drop arm test

17

neurological problems with G-H P

teres major weakness

18

fluid motion joint play G-H P

decreased I-S, P-A

19

S-T L visualization

>3 fingers width from spine

20

S-T L palpation pain point

anterior to scapula (subscapularis muscle)

21

ROM that could be decreased with S-T L

adduction

22

fluid motion that could be decreased with S-T L

decreased L-M scapula

23

S-T M visualization

<3 fingers width from spine

24

static palpation pain point for S-T M

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