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Flashcards

Shoulder Evaluation

aa1503 Inglês 69 flashcards

Shoulder Evaluation

Flashcards do conjunto (69)

  1. 1What movements are associated with the scapula?Elevation/Depression, Protraction/Retraction, Upward/Downward Rotation
  2. 2What is a neuropraxia?Physiological neural block by pressure
  3. 3What is axonotmesis?A neural condition where the body is preserved but there is axon damage
  4. 4What is neurotmesis?A neural condition where the body has been destroyed and there is no neural regeneration
  5. 5The median nerve comes from what neural cords?Lateral and medial
  6. 6The ulnar and radial nerves come from what neural cord?Medial cord
  7. 7The subclavian artery continues into what other arteries?It continues into the axillary artery, and brachial artery
  8. 8What makes up the triangular space?Triceps, teres major, subscapularis
  9. 9What makes up quadrangular space?Triceps, teres major, subscapularis, and humerus
  10. 10What are the main actions are that of the anterior deltoid and coracobrachialis?flexion
  11. 11What muscles make up the rotator cuff and what are their main actions?Teres minor (ER), Subscapularis (IR), Infaspinatus (ER), Supraspinatus (ER)
  12. 12What muscles insert on the coracoid process?Short head of biceps brachii, pectoralis minor, coracobrachialis
  13. 13What muscle inserts on the lesser tubercle?Subscapularis
  14. 14What inserts on the greater tubercle?Teres minor, supraspinatus, infraspinatus
  15. 15What action does the serratus anterior have on the scapula?Protraction
  16. 16What action do the rhomboids have on the scapula?Downward rotation and retraction
  17. 17What action does the levator scapulae have on the scapula?Elevation of scapula
  18. 18What action does the pectoralis minor have on the scapula?Depression of the scapula
  19. 19What actions do the trapezius muscles have on the scapula in parts?1. Head Extension
    2. Upward rot of scapula
    3. Retraction
    4. Upward rotation, depression
  20. 20What actions do the latissimus dorsi have on the scapula?Extension, internal rotation
  21. 21What are the main MOI of a clavicular fracture?FOOSH, direct impact
  22. 22What injury is associated with supporting the injured side with head tilted toward that side?Clavicular fracture
  23. 23MOI of a sternoclavicular sprain?indirect force transmitted through the humerus of the shoulder jt
  24. 24Grade 1 Sternoclavicular spraintenderness but no deformity
  25. 25Grade 2 sternoclavicular sprainsubluxation with deformity pain, and inability to abduct the shoulder
  26. 26Grade 3 Sternoclavicular spraincomplete dislocation with gross displacement, swelling, disability
    * dangerous due to placement
  27. 27What is the MOI of an AC sprain?Direct impact of the tip of the shoulder
  28. 28Grade 1 AC sprainpoint tenderness with AC movement
  29. 29Grade 2 AC spraintearing/rupture of AC ligaments , partial displacement/prominence of lateral end of clavicle
    Cannot abduct or bring arm across chest
  30. 30Grade 3 AC Spraincomplete rupture of acromioclavicular and coracoclavicular ligaments
  31. 31Grade 4 AC sprainposterior separation of the clavicle and complete disruption of the AC ligament
  32. 32Grade 5 AC Spraincomplete loss of both acromioclavicular and coracoclavicular in addition to the trap and deltoid attachment to the clavicle and acromion
  33. 33Grade 6 AC Sprainvery rare, clavicle displaced inferior to the coracoid behind the coracobrachialis tendon
  34. 34What muscles might be tight in association with thoracic outlet syndrome?scalenes, or pectoralis minor
  35. 35What is the load and shift test? What is a positive?Grasp humeral head and put an AP load on the humerus.
    Positive: excessive translation greater than 1 cm.
    Inidication: GH ligament injury
  36. 36Sulcus sign Procedure? Positive?Grasp elbow and apply inferior traction.
    Positive: depression occurs just below the acromion
    Indication: Multi-direction instability
  37. 37Clunk test Procedure? Positive?Pt lies supine grasp elbow and other hand on post humerus, circumduct arm
    Positive: feel of a clunking sensation
    Indicates: possible labral tear
  38. 38Obrien's Test Procedure PositiveGH jt at 90 degrees flexion, humerus IR apply downward pressure. Repeat supinated/ ER.
    Positive: Pain w/ IR decreases with ER
    Indication: SLAP
  39. 39Empty can test is done in what plane?Scapular
  40. 40Serratus Anterior Test Procedure Positive IndicationPt performs push-up against a wall
    Positive: scapular winging
    Indication: weakness of serratus anterior muscle
  41. 41Ludington's Procedure PositivePt seated with hands clasped behind head, biceps are alternately contracted/relaxed
    Positive: Pt cannot contract on one side
    Indication: rupture of biceps tendon
  42. 42Adson's Test Procedure PositivePt seated radial pulse is palpated, arm is extended and pt elevates chin and turns face toward extended arm.
    Positive: pulse is depressed or stopped
    Indication: sublavian artery compression by scalenes
  43. 43Roos test Procedure PositivePt seated both arms 90/90 pt opens and closes hands for 3 min
    Positive: loss of strength in hands or loss of sensation
    Indication: sublavian artery compressed between 1st rib and clavicle
  44. 44Military brace position test Procedure PositivePt standing retracts scapulae and abduct arm and extend arms. Head is extended back, radial pulse is palpated.
    Positive: radial pulse disappears
    Indication: Costoclavicular compression
  45. 45Allen Test Procedure PositivePt elbow flexed 90 and shoulder horiz extended and ER. Pt rotates head away from affected arm. Radial pulse taken.
    Positive: Pulse disappears
    Indication: Subclavian and axillary vessels compressed by pec minor
  46. 46What condition does an acromioplasty treat?Impingement
  47. 47—Bankhart lesionBankhart lesion
  48. 48What is a bankhart lesion?an injury of the anterior (inferior) glenoid labrum of the shoulder due to anterior shoulder dislocation.
  49. 49What does the bristowe procedure treat?Anterior shoulder instability
  50. 50—SLAP lesionSLAP lesion
  51. 51What is a SLAP Lesion?superior labral tear from anterior to posterior on the glenoid labrum
  52. 52—Hill-Sach's LesionHill-Sach's Lesion
  53. 53What is Hill-Sach's Lesion?posterolateral humeral head compression fracture
  54. 54What is Blocker's Exostosis?An overgrowth in portion of bone in humerus
  55. 55What two parts make up the coracoclavicular ligament?Trapezoid and conoid
  56. 56Actions of the deltoid muscles Ant. Mid. Post.Ant: flexion, horizontal adduction, abduction
    Middle: abduction, horizontal adduction
    Post: extension, abduction
  57. 57Actions of Teres Majorinternal rotation, adduction, extension
  58. 58Action of Biceps BrachiiFlexion, and horizontal adduction
  59. 59Action of triceps brachiiextension, adduction
  60. 60Action of coracobrachialishorizontal adduction
  61. 61Action of Trapezius muscles Upper Middle LowerUpper- elevation
    Middle- Retraction
    Lower- Depression
  62. 62Action of Rhomboid musclesdownward rotation, retraction, elevation
  63. 63Action of Levator scapulaeelevation
  64. 64Action of Pec Minorprotraction, downward rotation, depression
  65. 65Action of serratus anteriorprotraction, upward rotation
  66. 66What nerve is associated with the biceps reflex?C5
  67. 67What nerve is associated with the brachioradialis reflex?C6
  68. 68What nerve is associated with the triceps reflex?C7
  69. 69—normal, forward head, kyphosis, lumbar lordosis, sway backnormal, forward head, kyphosis, lumbar lordosis, sway back

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FlashCards sobre Shoulder Evaluation, criado por aa1503 em 10-02-2016.
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aa1503
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