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88 Cards in this Set
- Front
- Back
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40-60 yrs old
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rotator cuff degeneration
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20-40 yrs old
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calcium deposit
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> 30 yrs old
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chrondrosarcomas
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45-60 yrs old
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frozen shoulder
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older than 35 yrs old
due to degeneration and weakness |
primary impingement
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late teens or 20s
due to instability those involve in the vigorous overhead activities |
secondary impingement
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joint is unstable or acute problem
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sign of voluntary instability
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patient cannot use the arm functionally because of pain
feeling of unease |
going dead
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TUBS
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traumatic onset
unidirecitonal anterior with a bankard lesion responding to surgery |
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AMBRI
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atraumatic
multidirectional bilateral shoulder finding with rehabilitation as appropriate treatment inferior capsular shift surgery |
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detachment of glenoid labrum and capsule
most common lesion in traumatic anterior shoulder dislocation |
bankart dislocation
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this motion of shoulder bothers patient with anterior dislocation or recurrent dislocation of the shoulder
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shoulder lateral rotation
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sudden paralyzing pain and a weakness in the shoulder due to excessive abduction and lateral rotation
indication of anterior shoulder instability |
dead arm syndrome
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night pain and resting pain
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rotator cuff tears
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evident at greater 90 degrees abduction and tend to localize to joint
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AC pain
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this pain increases on horizontal abduction
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SC pain
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most important glenohumeral ligament
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inferior GH ligament
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support humeral head about 90 abduction
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inferior GH ligament
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absent in 30 percent of population
limit ER between 45-90 degrees |
middle
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found in the rotator interval
limits inferior translation and helps limit ER below 60 degrees abduction |
coracohumeral ligament
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most distal link of shoulder complex
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glenohumeral joint
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most proximal articulation within the shoulder joint
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sternoclavicular joint
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SC joint is what type of joint?
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sellar joint
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resting position of GH joint
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abduction 55
horizontal add 30 |
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closed packed position of GH joint
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full abduction
lateral rotation |
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capsular pattern of GH joint
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lateral rotation, abduction and medial rotation
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AC joint is what type of joint?
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plane joint
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first ligament that is injured when AC is stressed
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acromioclavicular ligament
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resting position of AC, SC and ST joints
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arm at side
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closed packed position of SC
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full elevation and protraction
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closed packed position of AC joint
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90 abduction
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hot burning pain in the shoulder
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acute calcified tendinitis
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muscle that is prone to wear and tear
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supraspinatus
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seen in skiers result of holding ski tow
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bicipital paratendonitis or tendinitis
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inflammation of paratendon of tendon
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paratendonitis
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actual degeneration of the tendon itself
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tendinosis
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frozen shoulder lasts __
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3 to 5 months
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three stages of frozen shoulder
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freezing
frozen thawing |
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swelling/ stiffness may extend all the way to the finger
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venous symptoms
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coolness or pallor in the upper limb
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arterial symptoms
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pressure may be applied to vascular or neurological structure as they enter the limb
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TOS
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3 location of TOS
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scalene triange
costoclavicular space under pec minjor and coracoid process |
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when traction is applied
caused by multidirectional instability, nerve injury and stroke |
sulcus sign/deformity
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dislocation of GH joint
paralysis of deltoid |
flattened deltoid
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swelling on anterior AC joint
indicate degeneration |
fountain sign
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higher because patient is very protective
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injured shoulder
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AC dislocation, when clavicle lies superior to acromion indicating a dislocation
both AC and CC are torn |
step deformity
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medial border moves away from the chest
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classic winging
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inferior angle is rotated further from the spine
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rotator winging
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caused by structural deformity of scapula clavicle spine or ribs
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static winging
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measuring the scapula
spinous process to superior angle, root of spine, inferior angle |
lennie's test
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superior and inferior border tilt away
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scapular tilt
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congenitally or undescend scapula
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sprengel's deformity
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scapular muscle are poorly developed/ replaced by fibrous band
either unilateral or bilateral |
sprengel's deformity
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scapula is smaller and medial rotated than normal
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sprengel's deformity
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most convenient to assess the ROM of the shoulder
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apley's scratch test
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group of counter acting muscles that show obcious action when movement is done quickly
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force couples
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active elevation throughout the plane of scapula
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scaption
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painful arc within 60 to 120 degrees (GH painful arch)
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sub acromial bursa, rotator cuff esp supraspinatus
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caused by pathology in AC or by a positive impingement test
pain is usually localized on the anterior shoulder |
painful arc of 10-20 degrees
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120 degrees abduction occurs in ___
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GH joint
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60 degrees of abduction occurs in
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scapulothoracic joint
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rotation is tested at 90 in abduction
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abrasion sign
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patient appears to hike the entire shoulder complex rather than produce a smooth coordinated abduction movement
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reverse scapulohumeral rhythm
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crepitus is present in rotation
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abrasion sign
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indicate abrasion of torn tendon margins against CC arch
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abrasion sign
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the difference in medial rotation
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GIRD
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normal GIRD
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20 degrees
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difference in lateral rotation
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GERG
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scapular rubbing over the underlying ribs
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snapping scapula
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120 degrees abduction occurs in ___
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GH joint
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60 degrees of abduction occurs in
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scapulothoracic joint
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rotation is tested at 90 in abduction
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abrasion sign
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patient appears to hike the entire shoulder complex rather than produce a smooth coordinated abduction movement
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reverse scapulohumeral rhythm
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crepitus is present in rotation
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abrasion sign
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indicate abrasion of torn tendon margins against CC arch
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abrasion sign
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the difference in medial rotation
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GIRD
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normal GIRD
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20 degrees
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difference in lateral rotation
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GERG
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scapular rubbing over the underlying ribs
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snapping scapula
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weakness of full extension commonly implies weakness of the posterior deltoid in one arm as both arms do not extend the same amount either because of injury to the muscle itself or axillary nerve
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swallow tail sign
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may limit full lateral flexion
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subcoracoid buristis
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may limit full abduction
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subacromial bursitis
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restricted external rotation of shoulder and limited supination in forward flexion
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ROWE sign/ posterior dislocation
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a third degree strain or rupture of the long head of the biceps brachii
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popeye muscle
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1st phase of scapulohumeral rhythm
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clavicle 0-5
scapula is in setting phase |
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2nd phase of scapulohumeral rhythym
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clavicle elevates 30-36
scapula rotate 20 humerus 40 |
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3rd phase of scapulohumeral rhythm
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clavicle elevates 60 and rotate posteriorly 30-50
scapular rotates 30 humerus laterally rotates 90 |
