VERBALS SHOULDER Flashcards Preview

6 ORTHO > VERBALS SHOULDER > Flashcards

Flashcards in VERBALS SHOULDER Deck (17):
1

Bony Palpation:  SHOULDER

  1. Sternoclavicular Articulation
  2. Clavicle
  3. Coracoid Process
  4. Acromioclavicular Articulation
  5. Acromion
  6. Greater Tuberosity of the Humerus
  7. Bicipital Groove
  8. Lesser Tuberosity of the Humerus
  9. Spine of the Scapula
  10. Body of Scapula
  11. Scapulothoracic Articulation

2

Soft Tissue Palpation:  SHOULDER

  1. Rotator Cuff Muscle:  Supraspinatus, Infraspinatus, Teres Minor, Subscapularis
  2. Subacromial Bursa
  3. Subdeltoid Bursa
  4. Axillary Borders:  Pectoralis Major, Serratus Anterior, Axillary Lymph Nodes, Latissimus Dorsi, Bicipital Tendon
  5. Prominent Muscles of Region:  Sternocleidomastoid, Biceps, Deltoid as a whole, (anterior, middle and posterior portion of deltoid), Trapezius, Rhomboid (minor and major)

3

RANGE OF MOTION:  SHOULDER

  • Flexion:  180
  • Abduction:  180
  • External Rotation:  90
  • Internal Rotation:  70
  • Extension:  60
  • Adduction:  50

 

Scapular retraction, elevation, protaction

4

Yergason Test (Cipriano)

POSITIVE:  

- Localized Pain and/or tenderness at the bicipital groove

- Audible click or the biceps tendon subluxes or dislocates

 

INDICATES:  

- Bicipital Tendinitis

- Instability of the biceps tendon possibly associated with a torn transverse humeral ligament

5

Abbott-Saunders Test

POSITIVE:  

- Palpable and/or audible click

INDICATES:  

Subluxation or dislocation of the biceps tendon due to a rupture of the transverse humeral ligament or tendon subluxation beneath subscapularis muscle belly/tendon

6

SPEED TEST

POSITIVE:  

- Pain and/or tenderness in the bicipital groove

INDICATES:

- Bicipital Tendinitis

7

APLEY TEST:

POSITIVE:

- Exacerbation of pain

INDICATES:

- Degenerative tendinitis of rotator cuff tendons (usually supraspinatus)

8

IMPINGEMENT SIGN:

POSITIVE:

- Pain in the shoulder 

INDICATES:

- Overuse injury to the supraspinatus and possibly biceps tendon

9

DUGAS TEST

POSITIVE:

- Inability to touch the opposite shoulder and/or inability of the elbow to touch the chest

INDICATES:

- Acute dislocation of the shoulder (glenohumeral joint)

10

ANTERIOR APPREHENSION TEST

POSITIVE:

- Patient will have a noticeable look of apprehension or alarm on their face with possible pain

INDICATES:

- Chronic anterior dislocation of the shoulder (glenohumeral joint)

11

POSTERIOR APPREHENSION TEST

POSITIVE:  

- Patient will have a noticeable look of apprehension or alarm on their face with possible pain

INDICATES:

- Chronic Posterior dislocation of the glenohumeral joint

12

DROP ARM TEST/ aka CODMAN DROP ARM TEST

POSITIVE:

- Patient will not be able to lower the arm slowly or the arm drops suddenly

INDICATES:

- Rotator cuff tear, usually supraspinatus

13

DAWBARN TEST

Deep palpation of shoulder elicits well-localized tender area, by subacromial bursa

 

POSITIVE

- Decrease in pain and/or tenderness

INDICATES:

- Subacromial bursitis

14

BONY PALPATION OF THE ELBOW

  1. Medial Epicondyle
  2. Medial Supracondylar line of the humerus
  3. Groove of the ulnar nerve
  4. Trochlea
  5. Olecranon
  6. Olecranon fossa
  7. Lateral Epicondyle
  8. Lateral Supracondylar line of the humerus
  9. Radial head

15

SOFT TISSUE PALPATION of ELBOW

  1. Ulnar Nerve
  2. Wrist flexor muscles (Palpate as a unit and individually)
    1. Pronator Teres
    2. Flexor Carpi Radialis
    3. Palmaris Longus
    4. Flexor Carpi Ulnaris
  3. Medial Collateral Ligament
  4. Supracondylar Lymph Nodes
  5. Brachial Artery
  6. Triceps Muscle
  7. Lateral Collateral ligament
  8. Biceps
  9. Olecranon Bursa
  10. Elbow Flexors muscles "mobile wad of three" (palpate as a unit and individually)
    1. Brachioradialis
    2. Extensor Carpi Radialis Longus
    3. Extensor Carpi Radialis Brevis

16

Range of motion:  ELBOW

  • Elbow Flexion:  150
  • Elbow Extension:  0
  • Forearm Supination (radio-ulnar joint): 80
  • Forearm Pronation: 80

17