Shoulder Classification/Diagnoses

Question 1

RC Injury

Body Chart

Answer 1

• pain & weakness at shoulder
• can refer to deltoid and scapular regions
• dull ache

Question 2

Adhesive Capsulitis

Body Chart

Answer 2

• Dull/sharp pain over shoulder/deltoid region

- pain to palp over joint capsule

Question 3

SIS

Body Chart

Answer 3

• pain at ant shoulder
• slipping, catching, popping
• can refer to deltoid region

Question 4

AC/SC Injury

Body Chart

Answer 4

• pain right over joint

- may have visible gap between acromion and clavicle

Question 5

TOS

Body Chart

Answer 5

-N/T, pain down arm(s), side of neck

Question 6

Bursitis

Body Chart

Answer 6

• Aching over deltoid region

- rapid onset with activity

Question 7

GH Instability

Body Chart

Answer 7

-pain with overhead movements

Question 8

SLAP Lesion

Body Chart

Answer 8

• no pain at rest

- clicking, popping, catching with overhead activities

Question 9

RC Injury

Agg Factors

Answer 9

• arc of pain with active elevation

- repetitive overhead activities

Question 10

Adhesive Capsulitis

Agg Factors

Answer 10

• pain/difficulty with grooming, dressing, reaching

- especially ER + Abd

Question 11

SIS

Agg Factors

Answer 11

arc of pain with overhead activities

Question 12

TOS

Agg Factors

Answer 12

• repeated arm movements
• discomfort with overhead motions
• ache

Question 13

AC/SC Injury

Agg Factors

Answer 13

• pain at end range motion

- crossing arm over body

Question 14

TOS

Agg Factors

Answer 14

• repeated arm movements
• discomfort with overhead motions
• ache

Question 15

Bursitis

Agg Factors

Answer 15

• painful overhead motions

- Acute: unable to reach overhead

Question 16

GH Instability

Agg Factors

Answer 16

-Abd and Er activities

Question 17

SLAP

Agg Factors

Answer 17

-overhead motions, compression through the joint

Question 18

RC

Ease Factors

Answer 18

Rest

Question 19

Adhesive Capsulitis

Ease Factors

Answer 19

Rest

Question 20

SIS

Ease Factors

Answer 20

Rest

Question 21

AC/SC

Ease Factors

Answer 21

• rest

- hold arm in 90* elbow flexion adducted against side

Question 22

TOS

Ease Factors

Answer 22

Rest

Question 23

Bursitis

Ease Factors

Answer 23

Rest

Question 24

GH Instability

Ease Factors

Answer 24

Rest

Question 25

SLAP | Ease Factors

Answer 25

Rest

Question 26

RC Injury | History

Answer 26

- FOOSH - repeated mechanical trauma - tears men>women - Tendonitis: usually better after 3 weeks

Question 27

Adhesive Capsulitis | History

Answer 27

- female>male - age >40 - MI, CVA, diabetes, thyroid disease - trauma which lead to decreased use of shoulder - prolonged immobilization - autoimmune disease

Question 28

SIS | History

Answer 28

- microtrauma due to mechanical use - repetitive trauma - anterior instability

Question 29

AC/SC Injury | History

Answer 29

AC Acute: FOOSH or falling onto shoulder with arm adducted AC Chronic: OA, RA, mechanical overuse

Question 30

TOS | History

Answer 30

- Trauma (MVA) - recent clavicle fracture - repeated trauma from work related posture - work with overhead activities

Question 31

Bursitis | History

Answer 31

- injury/trauma - infection - inflammatory arthritis

Question 32

GH Instab | History

Answer 32

- dislocation - trauma - repetative microtrauma - joint laxity

Question 33

SLAP | History

Answer 33

- FOOSH - forceful biceps contraction - dislocation

Question 34

Neurodynamic Testing for Shoulder

Answer 34

ULNT1

Question 35

TOS | Neurological Examination

Answer 35

-check dermatome affected by N/T

Question 36

RC Injury | ROM

Answer 36

- arc of pain with active elevation | - PROM not affected

Question 37

Adhesive Capsulitis | ROM

Answer 37

-capsular pattern with decrease in all directions

Question 38

SIS | ROM

Answer 38

- painful arc - limited horizontal abd, IR - excessive ER possible

Question 39

AC/SC | ROM

Answer 39

- horizontal add | - flexion and abd at end range

Question 40

Bursitis | ROM

Answer 40

- flexion | - scaption

Question 41

GH Instab | ROM

Answer 41

- excessive | - self limit Er + Abd

Question 42

RC | Special Tests

Answer 42

- Supraspinatus (full can) - Drop arm (tear) - IR Lag test (subscap)

Question 43

SIS | Special Tests

Answer 43

- Neer (supraspinatus, biceps) - Hawkins Kennedy - Speeds - Modified Scapular Assistance - Scapular Reposition (with HK or Neer)

Question 44

AC/SC | Special Tests

Answer 44

- O'Brien's Test | - Crossover Test

Question 45

TOS | Special Tests

Answer 45

- Adson's (scalenes) - Halstead (scalenes) - Costoclavicular (Roo's) - Wright/Allen (pec minor)

Question 46

SLAP | Special Tests

Answer 46

- Clunk - Crank - O'Brien's - Compression Test

Question 47

GH Instab | Special Tests

Answer 47

- Apprehension - Relocation - Load and shift - Sulcus sign

Question 48

RC Injury | Palpation

Answer 48

- Muscle atrophy at RC muscle affected | - tenderness over Mm

Question 49

Adhesive Capsulitis | Palpation

Answer 49

-tenderness over joint capsule

Question 50

SIS | Palpation

Answer 50

-tenderness at subacromial space

Question 51

AC/SC | Palpation

Answer 51

-tenderness at AC or SC directly

Question 52

Bursitis | Palpation

Answer 52

-extremely sensitive with palp over bursa

Question 53

GH Instab | Palpation

Answer 53

-GH accessory motion excessive

Question 54

RC Injury | Mm Length/Strength

Answer 54

- weakness of affected RC Mm | - Tear: reverse scapulohumeral rhythm with deltoid dominance

Question 55

Adhesive Capsulitis | Mm Length/Strength

Answer 55

-dominance of upper trap

Question 56

SIS | Mm Length/Strength

Answer 56

Weakness in scapulothoracic Mm

Question 57

TOS | Mm Length/Strength

Answer 57

- short pec minor | - general weakness or loss of endurance in UE

Question 58

SLAP | Mm Length/Strength

Answer 58

-biceps contraction causes pain