Flashcards
SHOULDER
Flashcards do conjunto (49)
- 1Glenohumeral subluxation and dislocation''
- 2most dislcations occur inanterior-inferior
- 3anterior- inferior dislocation occurs how-when the abducted UE is forcefully ER causing a tear of the inferior glenohumeral ligament, anterior capsule, occasionally glenoid labrum
- 4posterior dislocations are ? occur with?-rare
-multidirectional laxity of glenohumeral joint
-horizontal adduction and IR - 5for the position of the anterior-posterior dislocation, what is providing the stabilitysubscapualris
GH ligaments
LH of the triceps - 64 complications-Hills-Sachs lesion
-SLAP lesion
-avulsion of the anteroinferior capsule and ligaments associated with the glenoid rim (Bankart lesion)
-bruising of the axillary nerve - 7position to avoid after surgery-APPREHENSION POSITION
flexion to 90 or more
horizontal abduction to 90 or more
ER to 90 or more
(at least first 3 months) - 8focus of PTregain dynamic scapulothoracic and glenohumera stabilization and muscle re ed
- 9strengthen which 4 muscles-deltoids
-RTC
-Traps
-Pecs - 10LABRUMLABRUM
- 11superior injury tear of the rim above the middle of the socket which may also involve the biceps tendonSLAP
- 12TEAR OF The rim below the middle of the glenoid socket is called involves the inferior glenohumeral ligamentBankart Lesion
- 136 signs1. shoulder pain that can not be localized to one point
2. pain is worse with overhead activities or when the arm is behind the back
3. weakness
4. shoulder instability
5. pain on resisted elbow flexion
6. tenderness over the front of the shoulder - 14inuries that require surgery-unstable injuries
-Bankart's Lesion - 15TOSTOS
- 16compression of the neurovascular bundle in the thoracic outlet between bony and soft tissue structures''
- 17compression occurs whenwhen the size or shape of the TO is altered
- 184 common area of compression1. superior TO
2. scalene triangle
3. between clavicle and first rib
4. b/w pec minor and thoracic wall - 194 tests1. Roo's test
2. Adson's test : INTERSCALENE TRIANGLE
3. Wright's test
4. Costoclavicular test - 2010 signs1. pain
2.paresthesia
3. numbness
4. weakness
5. discoloration
6. swelling
7. loss of pulse
8. ulceration
9. gangrene
10. Raynaud's phenomenon - 213 etiologiescompressive neuropathy
faulty posture
entrapment of neural tissue from scar tissue or pressure - 222 main PT goals1. postural re-ed
2. manipulations of the first rib articulation to diminish pain and soft tissue grinding - 23AC AN STC JOINT DISORDERS''
- 24mechanism of injury?-fall onto shoulder with UE adducted
- collcison with another during sports - 25avoid what during acute phase of healingshoulder elevation
- 26pain with?-the involved area
-end range of motion with shoulder elevation
-shoulder horizontal abd/abb - 27main PT-cross fiber massage to the fiber/capsule
-manual therapy; STM, JT oscilaltions/mobs, - 28have a close relationship to RC tendons which makes them susceptible to over usesub-acromial and sub-deltoid bursa
- 29can become impinged beneath theacromial arch
- 30tendons of rotator cuff are susceptible to tendinitis due to ? RC tendonitis-relatively poor blood supply near the insertion of the muscles
- 31results from ?mechanical impingement of the distal attachment of the RC muscles on the anterior acromion and/or coraoacromial ligament with repetivie overhead activites
- 32characterized by sot tissue inflammation of the shoulder from impingement against?the acromion with repetitive AROM
- 33THREE TEST1. Neer's impingement test
2. supraspinatus test
3. drop arm test - 34avoid which mvmtshoulder elevation over 90
- 35PT activityrestore posture
- 36characterized by an irritation b/w the RC and greater tuberosity or posterior labrum or glenoidinternal impingement
- 37often seen in ? pain commonly noted in?athletes performing overhead activites
posterior shoulder - 38most commonly an inflammation of the long head of the bicepsbicipital tendonitis
- 39results from mechanical impingement of the?proximal tendon b/w the anterior acomiron and the bicipital groove of the humerus
- 40humeral neck fxs frequently occur with ?all onto an outstretched UE among older OP women
- 41generally does snot require? bc?immobilization/surgery
fairly stable fx - 42greater tuberosity fxs frequently occur with?fall onto the shoulder
- 43more common in?middle aged/elderly adults
- 44does not require what for healing?immobilization
- 45important to prevent capsular adhesionsPROM
- 46restriction in shoulder motion as a result of infalmation and fibrosis of the shoulder capsuleadhesive capsulitis
- 47usually due todisuse following disuse or repetitive microtrauma
- 48capsular pattern of limitation-most in ER
-followed by abduction and flexion
-least restricted in IR - 49COMMONLY SEEN INPEOPLE WITH DM
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- FlashCards sobre SHOULDER, criado por ashleycarr545 em 03-07-2016.
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