(CN) The Shoulder
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show | Upper traps, Levator scapulae
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Which muscles depress the scapula? (4) | show 🗑
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show | Serratus anterior, Pec major and minor
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show | Traps, Rhomboids
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show | Upper and Lower traps, Serratus anterior
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Which muscles downwardly rotate the scapula? (3) | show 🗑
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Which muscles flex the shoulder? (5) | show 🗑
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Which muscles extend the shoulder? (4) | show 🗑
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Which muscles abduct the shoulder? (3) | show 🗑
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Which muscles adduct the shoulder? (3) | show 🗑
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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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What is Ludington’s used to test for? Describe how it is performed. | show 🗑
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show | Tests for bicipital tendonitis. Place pt in sitting or standing w/ elbow extended and forearm supinated. Place hand on bicipital groove and resist active shoulder flexion. Positive test indicated by pain or tenderness in bicipital groove region.
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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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show | Indicates shoulder impingement involving supraspinatus tendon. Stabilize pt's scapula posteriorly, and passively flex their arm. Positive test is facial grimace or pain.
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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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show | AKA: Hyperabdduction Test. Use to indicate compression in costoclavicular space. PT moves pt's arm overhea in the frontal plane while monitoring radial pulse. Positive test: Diminished or absent radial pulse.
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Describe the glenoid labrum tear test (Clunk test). | show 🗑
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Locations and causes of TOS? | show 🗑
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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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show | The scapula is depressed, moved laterally, and the inferior angle is lateraly rotated
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show | congenitaly high or undescended scapula. Scapular muscles are poortly developed or replaced by fibrouse band. Shoulder abduction is lomited. Scapula is small and mid. rotated
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painfull abduction of shoulder between 60 - 120 degree? | show 🗑
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painfull abduction of shoulder between 170-180 degree? | show 🗑
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what are the primary ligaments in GH joint? | show 🗑
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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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what is the primary role of inferior GH ligament? | show 🗑
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What is a step deformity? | show 🗑
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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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show | 160 - 180 degree
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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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What is the ROM in GH Medial rotation? | show 🗑
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What is the normal ROM in GH Abduction? | show 🗑
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What is the normal ROM in Adduction? | show 🗑
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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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show | 75-90 horizontal abduction/30-44 abduction/90+ medial rotation
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What is the ROM nessesery for tacking in shirt? | show 🗑
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What is the ROM nessesery to put hand behind head? | show 🗑
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show | 70-80 hor. add/70-80 forward flex/45 lat.rot.
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show | 60-90 forward flex/60-120 hor.add
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