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Shoulder Evaluation
Prevention and Care of Athletic Injuries - The Shoulder
42
Medical
Undergraduate 3
07/01/2009

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Cards

Term
Sternoclavicular Joint
Definition
Sternum and clavicle
Term
Acromioclavicular Joint
Definition
Acromion process (scapula) and clavicle
Term
Glenohumeral Joint
Definition
Glenoid Fossa (scapula) and humeral head
Term
Scapulothoracic Articular
Definition
Scapula and rib cage
Term
Purpose of Acromioclavicular Ligament
Definition
prevents clavicle from riding up
Term
Coracoclavicular
Definition
Trapezoid - restricts lateral movement, conoid - restricts superior movement (jointly limit rotation of scapula)
Term
Glenohumeral joint
Definition
ball and socket joint, head of humerous articulates with glenoid fossa, movements- flexion/extension, abduction/adduction, IR/ER, horizontal flexion/extension, circumduction
Term
GH Ligaments
Definition
Superior- External rotation
Middle - External rotation & abduction
Inferior - External/internal rotation, abduction, inferior displacement
Term
Motions of Shoulder Complex
Definition
flexion & extension, abduction & adduction, external rotation & internal rotation
Term
Scapulohumeral rhythm
Definition
combination of glenohumeral motion and scapulothoracic motioin (function together to achieve max arc of motion), reported as 2:1 (GH:scapular rotation)
Term
Radial Nerve
Definition
derived from posterior cord, provides innervation to: triceps brachii, anconeous, brachioradialis, forearm extensors
Term
Median Nerve
Definition
derived from medial and lateral cord, provides innervation to: muscles of anterior forearm, muscles of the hand and thumb
Term
Ulnar Nerve
Definition
derived from medial and lateral cord, provides innervation intrinsic muscles of hand, flexors of hand
Term
Brachial artery
Definition
splits into radial and ulnar artery, palpable in the antecubital fossa
Term
Painful Arc
Definition
glenohumeral joint, AC joint (between 60-120 and 170-180 degrees)
Term
Sternoclavicular sprains
Definition
land on acromion or fall on outstretched arm (direct blow), point tenderness, deformity, crepitus, anterior, superior or posterior dislocation, dysphagia (medical emergency)
Term
AC Sprain
Definition
collision sports "separated shoulder", fall on outstretched arm, direct blow
Grade 1-AC ligament, Grade 2-AC ligament, damage to Coracoclavicular, Grade 3- AC and Coracoclavicular, step-off deformity
Term
Acromioclavicular Sprain
Definition
"separated shoulder", step-off deformity, can affect both AC joint and coracoclavicular ligaments
Term
Pre-Disposing Factors to Glenohumeral Instability
Definition
bony stability, flat glenoid fossa, thin capsular space
Term
Passive Stabilizers of GH Joint
Definition
Ligaments, capsule, coracohumeral ligaments
Term
Active Stabilizers of the GH joint
Definition
muscles, rotator cuff
Term
Anterior GH Instability
Definition
excessive external rotation and abduction, middle GH ligament, resultant f rom dmirect blow
Term
Posterior GH Instability
Definition
rare, resultant from flexion and internal rotation along with longitudinal force (blocking in football), weakness in subscapularis muscle
Term
Mechanical Instability
Definition
loss of control of small arthrokinematic joint movements that occur when patient tries to stabilize the joint during movement
Term
Anatomic Instability
Definition
Excessive or gross physical movement in a joint where patient becomes apprehensive at end of ROM (subluxation or dislocation is imminent)
Term
Functional Instability
Definition
Either an inability to control ROM consciously or unconsciously
Term
Glenohumeral Dislocation
Definition
special caution to blood and nerve supply (axillary nerve palsy), 90% recurrence, fall on outstretch arm or direct blow
Term
Gleniod Labrum Tears
Definition
Detachment of labrum from Glenoid Fossa
Term
Hill-Sachs Lesion
Definition
tear resultant from dislocation or anterior instability (posterior aspect of humeral head)
Term
Bankart Lesion
Definition
inferior GH ligament avulsed from labrum, crepitis as humeral head moves against anterior labrum
Term
SLAP Lesions
Definition
superior labrum anteroposterior lesion - small articular defect on humeral head (due to impact of humeral head and glenoid fossa when trying to relocate), falling on outstretched arm, excessive forceful biceps contraction
Term
Factors that Pre-Dispose Rotator Cuff Pathology
Definition
Tensile failure of the RC, poor scapular mechanics, posterior capsule contraction
Term
Rotator Cuff Pathology
Definition
resultant from decreased space coracoacromial arch, normal IR strength is 30% of ER strength in dominant arm
Term
Rotator Cuff Tendinitis
Definition
gradual, pain following activity, poor vascularization, supraspinatous (stabilizer) most succeptible, painful arc syndrome
Term
Impingement
Definition
compression of structures under coracoacromial arch (including supraspinatus, subacromial bursa, long head of biceps), chronic irritation and inflammation, repetitive forces
Term
Most Common Cause of Impingement
Definition
Anatomical variation in coracoarcomial arch
Term
Subacromial Bursitis
Definition
resultant from chronic impingement, rotator cuff tears, acute inflammation, pain in subacromial space
Term
Biceps Tendinitis
Definition
pain over bicipital groove or tendon, resultant from rotator cuff, dysfunction, overuse, impingement, more to do with dysfunction than function of GH joint
Term
Thoracic Outlet Syndrome
Definition
comprise of the brachial plexus or associated neurovascular bundle (Erb's Point), resultant from pressure on brachial plexus, subclavian artery/vein, pressure from ribs or clavicle, muscle tightness
Term
Frozen Shoulder
Definition
adhesive capsulitis, thickened joint capsule, little synovial fluid, produces stiffness, restore motion, agressive mobilizations and stretching
Term
Burner/Stinger
Definition
compression to one side of neck, stretching of the other, no return to play
Term
Linebacker's Arm
Definition
direct blow to upper arm, deltoid tuberosity (getting stiff armed)
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