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UE Ortho
Shoulder Common Disorders
Question | Answer |
---|---|
What is the MOI for an AC joint sprain? | direct blow to the superior lateral shoulder |
With an AC joint sprain, the scapula is driven _______ and the clavicle is stopped by the _________. | Inferiorly, ribcage |
What grade AC sprain? Incomplete tear of AC joint capsule and ligament, coracoclavicular ligs intact. | grade 1 |
What are the s/sx of a grade one AC joint sprain? | min/mod AC joint tenderness, pain with arm motions(esp horizontal add), no joint laxity |
How do you treat a grade one AC joint sprain? | Ice, sling, oral anti-inflammatories for pain |
When can a person with a grade 1 AC joint sprain return to activity? | 1-2 weeks |
Complete tear of AC ligament with the coracoclavicular ligament intact is what grade of AC joint sprain? | grade II |
What grade of AC joint sprain is also know as a mild shoulder separation? | grade II |
What are the signs/sx of a grade II AC joint sprain? | Moderate AC joint tenderness, increased A/P motion |
How would you tx a grade II AC joint sprain? | Ice, sling, injection, del/trap strengthening |
When can a person with a grade II AC joint sprain return to activity? | 2-4 weeks |
A complete disruption of AC and coracoclavicular ligaments describes what grade of AC joint sprain.(also called a moderate or severe shoulder separation) | Grade III |
What are the signs/sx of a grade III AC joint sprain? | pt supports arm with other arm, UE depressed, clavicle prominent, pain increases with UE motion, tenderness of AC joint and coracoclavicular interspace |
Treatment for what grade of AC joint sprain lacks consensus and is symptom driven? | grade III |
Should one expect long term pain or loss of function with a grade III AC joint sprain? | no |
Is the complication rate for grade III AC joint surgery high or low? | high |
Return to activity for a grade III AC joint sprain usually occurs within what time frame? | 6 months |
What exercise should you avoid during rehab of a grade III AC joint sprain? | shoulder shrugs with weight at side |
AC joint point tenderness, Pain with horiz ADD, X-rays may show spurs/degenerative changes...what does this describe? | degenerative AC joint |
This is one of the least commonly injured joints in the body, Anterior dislocation is much more common than posterior, Posterior much more serious than anterior...which joint? | SC |
The following describes what grade of SC joint sprain? intact capsule/ligaments, stable joint | Grade I: |
The following describes what grade of SC joint sprain? SC subluxation, capsule/ligaments partially disrupted | Grade II: |
The following describes what grade of SC joint sprain? Capsule/ligaments completely disrupted, joint dislocated | Grade III: |
What is the common MOI for SC joint sprains? | MVA, athletics...indirect force applied to lateral shoulder |
How do you treat grade I/II SC joint sprain? | figure of 8 sling for days-weeks |
How do you treat anterior SC dislocation? | closed reduction, figure of 8 sling for days to weeks |
Posterior SC joint dislocation is a _______ _______. | medical emergency |
Resorption of the distal clavicle is called what? It is most common in what pop.? | osteolysis of the clavicle. Weight lifters |
What does the following MOI describe? Indirect force to lateral shoulder, FOOSH, Direct blow to clavicle. | Clavicle fracture |
This is commonly caused by overuse, forceful eccentric contractions, abduction/ER maneuvers, shallow or irregular biccipital groove, direct blow, and overhand throwing motions. | Bicipital tendonitis |
Strong contraction (against resistance) in lengthened position is a common MOI for what tendon rupture? | Biceps |
After surgical repair of a biceps tendon rupture, the surgeon may delay resisted biceps exercises for __ weeks. | 12 |
Is impingement a common cause of biceps tear in the young? | no |
_____ trauma is required to tear the biceps in the young. | violent |
Allen, Adson, and Roos are tests commonly used for what? | Thoracic outlet syndrome |
What is the purpose of a total shoulder arthroplasty? | improve pain and function |
After TSA, weeks __-__ are the protective phase. | 0-4 |
After TSA, weeks __-__ are the early strengthening phase. | 4-6 |
After TSA, weeks __-__ are the moderate strengthening phase. | 6-10 |
After TSA weeks __-__ are the max strengthening phase. | 10-12 |
What does the following describe? Chronic inflammation or fibrosis of the joint capsule, painful and stiff shoulder, unknown cause, self-limiting. | Adhesive Capsulitis "frozen shoulder" |