Flashcards in Upper Extremity Deck (75)
Most common shoulder dislocation
Causes of posterior shoulder dislocation
Sz, electrocution (rare)
Deformity in anterior shoulder dislocation
What xray view to get for posterior shoulder dislocation?
Axillary lateral view
Complications of shoulder dislocation
- Labral tear (cartilage surrounding glenoid)
- Axillary nerve injury
What is disrupted in AC joint sprain?
- AC ligaments
- Coracoclavicular ligaments
How are AC joint sprains graded? How to determine grade? Which are operative?
- 1-6 (1 is least severe displacement)
- Need xray to grade
- 1-3: non-operative
- 3-6: operative
Most common cause of AC joint pain
AC joint arthrosis
Cause of shoulder impingement syndrome
Overuse (AKA swimmer's shoulder)
When is pain usually present in shoulder impingement syndrome? And with which motions?
- Reaching overhead/backwards, lifting
Muscles of rotator cuff
- Teres minor
Most commonly torn muscle of rotator cuff
Diagnostic modality for rotator cuff tear
Tests for rotator cuff inflam or impingement
- Hawkin's test: pain abducting shoulder or flexing elbow
- Neer's test: pain w/ forward arm flexion
How to tell bt impingement and rotator cuff tear
Rotator cuff tear: there is a pop/rip
Frozen Shoulder AKA...
Pathophys of frozen shoulder
Inflam, loss of motion from thickening of glenohumeral capsule
3 phases of frozen shoulder
- Inflammatory: significant pain
- Frozen: limited pain, but significant motion loss
- Thawing: gradual return of motion, permanent deficits
Does frozen shoulder have loss of ACTIVE or PASSIVE movement?
Treatment for frozen shoulder
Decrease inflam (NSAIDS, steroids), improve motion (PT)
- May take 2-3 yrs to resolve
Complications of shoulder fracture
- Adhesive capsulitis
- Rotator cuff tear
Most common location to break your clavicle
How does a broken clavicle present?
Deformity w/ point tenderness and ecchymosis
What is the most common fracture in women >50?
Proximal humerus fx
What is the most common site of radial nerve injury?
Proximal humerus fx
What do you worry about in kids w/ proximal humerus fx?
- Compartment syndrome
- Brachial artery
What splint do you put on a proximal humerus fx?
Sugar tong splint
What is the layman's term for lateral epicondylitis?
What is the layman's term for medial epicondylitis?