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Shoulder Common Disorders

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Question
Answer
What is the MOI for an AC joint sprain?   direct blow to the superior lateral shoulder  
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With an AC joint sprain, the scapula is driven _______ and the clavicle is stopped by the _________.   Inferiorly, ribcage  
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What grade AC sprain? Incomplete tear of AC joint capsule and ligament, coracoclavicular ligs intact.   grade 1  
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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  
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How do you treat a grade one AC joint sprain?   Ice, sling, oral anti-inflammatories for pain  
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When can a person with a grade 1 AC joint sprain return to activity?   1-2 weeks  
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Complete tear of AC ligament with the coracoclavicular ligament intact is what grade of AC joint sprain?   grade II  
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What grade of AC joint sprain is also know as a mild shoulder separation?   grade II  
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What are the signs/sx of a grade II AC joint sprain?   Moderate AC joint tenderness, increased A/P motion  
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How would you tx a grade II AC joint sprain?   Ice, sling, injection, del/trap strengthening  
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When can a person with a grade II AC joint sprain return to activity?   2-4 weeks  
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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  
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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  
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Treatment for what grade of AC joint sprain lacks consensus and is symptom driven?   grade III  
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Should one expect long term pain or loss of function with a grade III AC joint sprain?   no  
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Is the complication rate for grade III AC joint surgery high or low?   high  
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Return to activity for a grade III AC joint sprain usually occurs within what time frame?   6 months  
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What exercise should you avoid during rehab of a grade III AC joint sprain?   shoulder shrugs with weight at side  
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AC joint point tenderness, Pain with horiz ADD, X-rays may show spurs/degenerative changes...what does this describe?   degenerative AC joint  
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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  
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The following describes what grade of SC joint sprain? intact capsule/ligaments, stable joint   Grade I:  
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The following describes what grade of SC joint sprain? SC subluxation, capsule/ligaments partially disrupted   Grade II:  
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The following describes what grade of SC joint sprain? Capsule/ligaments completely disrupted, joint dislocated   Grade III:  
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What is the common MOI for SC joint sprains?   MVA, athletics...indirect force applied to lateral shoulder  
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How do you treat grade I/II SC joint sprain?   figure of 8 sling for days-weeks  
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How do you treat anterior SC dislocation?   closed reduction, figure of 8 sling for days to weeks  
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Posterior SC joint dislocation is a _______ _______.   medical emergency  
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Resorption of the distal clavicle is called what? It is most common in what pop.?   osteolysis of the clavicle. Weight lifters  
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What does the following MOI describe? Indirect force to lateral shoulder, FOOSH, Direct blow to clavicle.   Clavicle fracture  
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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  
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Strong contraction (against resistance) in lengthened position is a common MOI for what tendon rupture?   Biceps  
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After surgical repair of a biceps tendon rupture, the surgeon may delay resisted biceps exercises for __ weeks.   12  
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Is impingement a common cause of biceps tear in the young?   no  
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_____ trauma is required to tear the biceps in the young.   violent  
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Allen, Adson, and Roos are tests commonly used for what?   Thoracic outlet syndrome  
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What is the purpose of a total shoulder arthroplasty?   improve pain and function  
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After TSA, weeks __-__ are the protective phase.   0-4  
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After TSA, weeks __-__ are the early strengthening phase.   4-6  
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After TSA, weeks __-__ are the moderate strengthening phase.   6-10  
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After TSA weeks __-__ are the max strengthening phase.   10-12  
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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"  
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Created by: txst fall 2009
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