(CN) The Shoulder
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| show | Upper traps, Levator scapulae
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| show | Serratus, pectoralis major & minor, latisimus, trapezius (lower fibers)
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| Which muscles protract the scapula? (3) | show 🗑
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| Which muscles retract the scapula? (2) | show 🗑
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| Which muscles upwardly rotate the scapula? (3) | show 🗑
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| Which muscles downwardly rotate the scapula? (3) | show 🗑
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| show | Anterior delt, Coracobrachialis, Pec major, Biceps, Supraspinatus
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| Which muscles extend the shoulder? (4) | show 🗑
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| show | Middle delt, Supraspinatus, Infraspinatus
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| show | Pec major, Lats, Teres major
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| Which muscles laterally rotate the shoulder? (3) | show 🗑
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| Which muscles medially rotate the shoulder? (5) | show 🗑
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| show | Tests for rupture of the long head of the biceps tendon. Place pt in sitting, have him clasp hands behind head and interlock fingers. Alternately contract and relax biceps. Positive test is absence of movement in biceps tendon.
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| What is Speed’s test used for? Describe how it is performed. | show 🗑
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| show | Used for bicipital tendonitis. Place pt in sitting w/ 90 deg elbow flexion w/ forearm pronated.Resist supination and lateral rotation. Positive test is pain or tenderness in bicipital groove.
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| show | Used to indicate rotator cuff tear. Abduct arm to 90, and have pt slowly lower their arm to their side. Positive test: pt fails to lower the arm, or presence of severe pain.
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| What is the Hawkins-Kennedy test used for? Describe it. | show 🗑
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| What is the Neer test used for? Describe it. | show 🗑
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| show | Indicates tear of the supraspinatus tendon, impingement, or suprascapular nerve damage. Position pt with arm in 90 abduction, 30 horizontal adduction, with thumb pointed downward. Resist the pt's attempt to abduct the arm. Positive test : weakness or pain
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| What is the Adson maneuver used for? Describe it. | show 🗑
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| show | Indicates TOS. Abduct the arm to 90. Pt rotates head away from test shoulder while PT monitors radial pulse. Positive test: Absent or diminished pulse w/ head turned away.
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| What is costoclavicular syndrome? Describe the test for it. | show 🗑
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| What is the roos test used for? Describe it. | show 🗑
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| What is the Wright test AKA? What is it used for? Describe it. | show 🗑
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| Describe the glenoid labrum tear test (Clunk test). | show 🗑
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| show | Scalenus anterior syndrome, cerviacal rib syndrome, costocalvicular space syndrome, hyperabduction syndrome
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| show | Long thoracic N. Palsy and Spinal Accessory N. Palsy, Raeticulopathy of trapezius, rhomboid, serratus anterior
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| wwhat happens with scapula in Long Thoracic N. Palsy | show 🗑
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| what happens with scapula inSpinal Accessory N. Palsy? | show 🗑
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| What is the Sprengel's deformity? | show 🗑
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| show | subacromial bursa, calcium deposit, rotator cuff tendonitis
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| show | acromioclavicular lesion, impingement
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| show | the superior,middle, and inferior glenohumeral ligaments
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| show | It limits inferior translation in adduction
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| show | it limits lateral rotation to 45 degree and 90 abduction
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| show | supports the humeral head above 90 degree abduction limiting inferior translation
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| show | caused by acromioclavicular dislocation, with the distal end of clavicle lying superior to the acromion process. Both coracoclavicular and acromioclavicular ligaments are torn.
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| show | apparence of sulcus or groove below the acromion process caused by multidirectional instability or loss of muscle control due to the nerve injury
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| What is the normal ROM in GL fforward lexion? | show 🗑
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| show | 50- 60 degree
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| What i sthe normal ROM in Lateral Rotation? | show 🗑
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| show | 60 - 100 degree
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| What is the normal ROM in GH Abduction? | show 🗑
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| show | 50-75 degree
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| What is the ROM nessesery for eating? | show 🗑
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| What is the ROM nessesery for combing hair? | show 🗑
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| What is the ROM nessesery for reaching perineum? | show 🗑
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| What is the ROM nessesery for tacking in shirt? | show 🗑
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| show | 10-15 hor.add/110-125 forward flex/90 lat.rot.
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| What is the ROM nessesery to put something on the shelf? | show 🗑
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| What is the ROM nessesery to wash opposite shoulder? | show 🗑
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