MT-MT20 Techniques II Class 19: Dislocations/Frozen Shoulder Glenohumeral Dislocation
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Questions and Answers

A dislocation is a complete separation of the surfaces of a joint resulting in loss of all ______

apposition

Subluxations are partial separations of the articular surfaces of a ______

joint

The glenohumeral joint is particularly susceptible to dislocation due to the shallow ______ fossa

glenoid

Complications of a dislocation may include increased possibility of re-subluxation or dislocation, tendonitis, bursitis, adhesive capsulitis, osteoarthritis, nerve damage, associated fractures (greater tuberosity), and some texts indicate ______ as well

<p>fibromyalgia</p> Signup and view all the answers

When a dislocation occurs, there is an immediate sickening pain and an obvious deformity to the shoulder. It will appear as flat with a prominent ______

<p>clavicle</p> Signup and view all the answers

A dislocation is most commonly due to direct or indirect ______

<p>trauma</p> Signup and view all the answers

What is the main difference between a dislocation and a subluxation?

<p>The extent of separation of joint surfaces</p> Signup and view all the answers

Why is the glenohumeral joint particularly susceptible to dislocation?

<p>The shallow glenoid fossa</p> Signup and view all the answers

What soft tissues are likely to be damaged when a joint dislocation occurs?

<p>Muscles, capsule, ligament, and tendons</p> Signup and view all the answers

What is one of the complications that may arise from a joint dislocation?

<p>Adhesive capsulitis</p> Signup and view all the answers

Which scenario is most likely to cause a joint dislocation?

<p>A fall resulting in direct trauma</p> Signup and view all the answers

Why should most dislocations be treated as severe sprains?

<p>Due to the similar damage caused by the traumatic force</p> Signup and view all the answers

Anterior Subcorocoid dislocation is the ______ common type of glenohumeral dislocation

<p>most</p> Signup and view all the answers

The Foramen of Weitbrecht is a weak portion of the joint capsule that allows for easy ______ in anterior subcorocoid dislocations

<p>displacement</p> Signup and view all the answers

Subclavicular (Infraclavicular) dislocation is ______ common than anterior subcorocoid dislocation

<p>less</p> Signup and view all the answers

Posterior Subglenoid dislocation is considered ______

<p>uncommon</p> Signup and view all the answers

Inferior Subglenoid dislocation is ______

<p>rare</p> Signup and view all the answers

In an Inferior Subglenoid dislocation, the person cannot lower their arm and must hold it above their head until it is ______

<p>reduced</p> Signup and view all the answers

Which type of glenohumeral dislocation is driven posteriorly and inferiorly into the subspinous fossa inferior to the spine of the scapula?

<p>Posterior Subglenoid</p> Signup and view all the answers

What is the primary cause of an Anterior Subcorocoid glenohumeral dislocation?

<p>Direct trauma with arm in 90 degrees abduction and 90 degrees external rotation</p> Signup and view all the answers

Which glenohumeral dislocation results in the head of the humerus being driven through the inferior joint capsule?

<p>Inferior Subglenoid</p> Signup and view all the answers

What is a less common form of glenohumeral dislocation where the humeral head comes to rest more medially under the clavicle?

<p>Subclavicular (Infraclavicular)</p> Signup and view all the answers

What specific position of the arm is associated with causing an Anterior Subcorocoid dislocation?

<p>90 degrees abduction and 90 degrees external rotation</p> Signup and view all the answers

Which type of glenohumeral dislocation requires the individual to hold their arm above their head until it is reduced due to an inability to lower it?

<p>Inferior Subglenoid</p> Signup and view all the answers

_______ barked

<p>dog</p> Signup and view all the answers

The ______ meowed

<p>cat</p> Signup and view all the answers

______ should be treated as severe sprains?

<p>most dislocations</p> Signup and view all the answers

The Foramen of Weitbrecht is a weak portion of the joint capsule that allows for easy ______ in anterior subcorocoid dislocations

<p>dislocation</p> Signup and view all the answers

In an Inferior Subglenoid dislocation, the person cannot lower their arm and must hold it above their head until it is ______

<p>reduced</p> Signup and view all the answers

What is one common symptom observed in patients with shoulder joint dislocations?

<p>Numbness and tingling</p> Signup and view all the answers

Why is postural assessment important when evaluating a patient with a shoulder joint injury?

<p>To check for malalignment of the shoulder girdle</p> Signup and view all the answers

What is a common first aid treatment for shoulder joint injuries?

<p>Application of ice directly on the skin</p> Signup and view all the answers

What type of medication is commonly used in the management of shoulder joint injuries?

<p>Anti-inflammatories</p> Signup and view all the answers

Why is it important to inquire about the mechanism of injury in patients with shoulder joint issues?

<p>To understand how the injury occurred</p> Signup and view all the answers

______ barked

<p>dog</p> Signup and view all the answers

The Foramen of Weitbrecht is a weak portion of the joint capsule that allows for easy ______ in anterior subcorocoid dislocations

<p>dislocation</p> Signup and view all the answers

Subluxations are partial separations of the articular surfaces of a ______

<p>joint</p> Signup and view all the answers

______ should be treated as severe sprains?

<p>dislocations</p> Signup and view all the answers

A dislocation is most commonly due to direct or indirect ______

<p>trauma</p> Signup and view all the answers

The ______ meowed

<p>cat</p> Signup and view all the answers

What should be done if there is no sign of apprehension during passive testing in the cardinal ranges of motion?

<p>Progress to PF-ROM overpressure</p> Signup and view all the answers

Why is it crucial to rule out fractures after reducing a dislocation?

<p>To check for avulsion fracture of the greater tubercle or Bankart lesions</p> Signup and view all the answers

What does Fiona Rattray suggest as an alternative if apprehension is present during AF testing?

<p>Omit passive testing and move to AR testing</p> Signup and view all the answers

Why must dislocations be reduced promptly, especially in large joints?

<p>To avoid prolonged stretching of tissues</p> Signup and view all the answers

What is the primary reason for conducting an apprehension test after passive ROM testing?

<p>To assess joint stability</p> Signup and view all the answers

When treating dislocations, why should x-rays be taken after reduction?

<p>To rule out fractures like Bankart lesions</p> Signup and view all the answers

What is the purpose of an Apprehension test in shoulder joint assessment?

<p>To determine the stability of the joint</p> Signup and view all the answers

Why is immediate medical attention necessary for dislocations?

<p>To avoid further tissue damage and complications</p> Signup and view all the answers

What type of fracture should be ruled out after reducing a dislocation?

<p>Greater tubercle avulsion fracture</p> Signup and view all the answers

What is a common complication that may arise from a joint dislocation?

<p>Re-subluxation or dislocation</p> Signup and view all the answers

Why are x-rays taken after reducing a dislocation?

<p>To confirm complete reduction</p> Signup and view all the answers

When treating large joint dislocations, why is prompt reduction important?

<p>To avoid complications due to muscle guarding and swelling</p> Signup and view all the answers

Why might a shoulder dislocation patient require surgical repair?

<p>To reattach or shorten ruptured ligaments</p> Signup and view all the answers

What is the major concern for a young client post shoulder dislocation?

<p>Recurrent dislocation</p> Signup and view all the answers

What is the purpose of deliberate reduction in lateral rotation during shoulder surgery?

<p>To prevent redislocation without affecting daily activities</p> Signup and view all the answers

Which post-dislocation symptom may suggest axillary nerve involvement?

<p>Joint fixation</p> Signup and view all the answers

What is a common effect of gentle massage before a physiotherapy session for a dislocated shoulder?

<p>Anxiety reduction</p> Signup and view all the answers

Why does physiotherapy typically begin with movements to the fingers, wrist, elbow, and shoulder joint post shoulder dislocation?

<p>To guide gentle movements after immobilization</p> Signup and view all the answers

Physiotherapy may begin the day after the dislocation beginning with movements to the fingers, wrist, elbow and ______ joint.

<p>shoulder</p> Signup and view all the answers

Gentle massage BEFORE a physiotherapy session can help reduce anxiety, pain, muscle guarding and help physiotherapy begin gentle ______.

<p>movements</p> Signup and view all the answers

Recurrent dislocation is the major concern for dislocation in the young ______.

<p>client</p> Signup and view all the answers

Possible axillary nerve involvement (which may lead to deltoid atrophy) All cardinal signs of inflammation (SHARP) and muscle ______.

<p>guarding</p> Signup and view all the answers

In Subglenoid dislocations the arm is locked in full ______.

<p>abduction</p> Signup and view all the answers

Immediate, intense pain, Tearing Sensation, Shoulder deformation, Joint Fixation are signs of Acute: Post-______.

<p>Reduction</p> Signup and view all the answers

Recurrent dislocation is not a major concern for dislocation in the young client.

<p>False</p> Signup and view all the answers

After shoulder surgery involving ligament repair, the shoulder is likely to be immobilized for 1-2 weeks.

<p>False</p> Signup and view all the answers

Subglenoid dislocations result in the arm being locked in full adduction.

<p>False</p> Signup and view all the answers

Physiotherapy sessions for a dislocated shoulder usually start with gentle massage to reduce muscle guarding.

<p>True</p> Signup and view all the answers

Inferior Subglenoid dislocation requires holding the arm above the head until it is reduced.

<p>True</p> Signup and view all the answers

The primary aim of physical therapy post shoulder dislocation is to stabilize the joint through surgery.

<p>False</p> Signup and view all the answers

What is the primary focus of treatment surrounding a joint post-injury according to the text?

<p>Eliminating residual edema</p> Signup and view all the answers

In chronic and long-term goals of treatment post-joint injury, what is recommended before attempting full range of motion?

<p>Restore about 80% of muscle strength</p> Signup and view all the answers

What is a contraindication for joint play techniques according to the text?

<p>Positive apprehension test results</p> Signup and view all the answers

Why is it recommended to avoid increasing lateral rotation of the arm if it has been surgically reduced?

<p>To prevent capsular restriction</p> Signup and view all the answers

When should reflex techniques be used in post-injury joint treatment?

<p>In acute and sub-acute phases</p> Signup and view all the answers

What should be done with circulatory techniques distal to an injury site?

<p>Do not congest the injury site</p> Signup and view all the answers

What is the recommendation regarding muscle guarding in chronic and long-term goals of treatment post-joint injury?

<p>Minimize muscle guarding to promote faster recovery.</p> Signup and view all the answers

Why should joint play be avoided in cases where the joint is unstable?

<p>To prevent further damage and instability.</p> Signup and view all the answers

When is the appropriate time to begin range of motion exercises for an affected joint?

<p>Gradually as the client moves through the sub-acute phase.</p> Signup and view all the answers

What should be restored before attempting to achieve full range of motion post-injury?

<p>80% of muscle strength in muscles crossing the joint.</p> Signup and view all the answers

What is a common complication that may arise during treatment of a joint injury?

<p>Capsular restriction causing reduced movement.</p> Signup and view all the answers

Why is it essential to maintain range of motion and joint health to proximal and distal joints post-injury?

<p>To prevent further complications in other joints.</p> Signup and view all the answers

Posterior Subglenoid dislocation is considered ______

<p>rare</p> Signup and view all the answers

The ______ meowed

<p>cat</p> Signup and view all the answers

______ barked

<p>dog</p> Signup and view all the answers

The Foramen of Weitbrecht is a weak portion of the joint capsule that allows for easy ______ in anterior subcorocoid dislocations

<p>dislocation</p> Signup and view all the answers

The primary focus of treatment surrounding a joint post-injury according to the text is to focus on tissue surrounding joint such as the back, chest, opposite arm, and ______

<p>neck</p> Signup and view all the answers

Anterior Subcorocoid dislocation is the ______ common type of glenohumeral dislocation

<p>most</p> Signup and view all the answers

What is the recommended treatment for trigger points that refer into the affected site?

<p>Longitudinal muscle stripping</p> Signup and view all the answers

Which technique is used to reduce edema with lymphatic drainage in the late sub/chronic stage?

<p>Fascial techniques</p> Signup and view all the answers

What type of massage technique is applied distally to the affected joint to maintain tissue health?

<p>Effleurage</p> Signup and view all the answers

How should hypertonicity and trigger points distal to the injury be treated?

<p>Specific petrissage</p> Signup and view all the answers

What is the correct protocol for remedial exercise post-injury for isotonic strengthening of the shoulder girdle?

<p>PR-ROM mid-range, pain-free</p> Signup and view all the answers

What is the primary aim of using cool/warm contrast hydrotherapy in treatment protocols?

<p>Decrease edema</p> Signup and view all the answers

What is a crucial factor affecting the prognosis of Adhesive Capsulitis (Frozen Shoulder)?

<p>Compliance with self-care</p> Signup and view all the answers

In the context of treating dislocations, what is the purpose of using RICE?

<p>To decrease edema</p> Signup and view all the answers

What technique should be avoided in the treatment of dislocations to prevent removing protective muscle spasm that crosses the affected joint?

<p>O &amp; I</p> Signup and view all the answers

Why is distal work limited to stroking and muscle squeezing in post-dislocation treatment?

<p>To reduce pain and hypertonicity</p> Signup and view all the answers

What is a crucial consideration during onsite work when treating dislocations?

<p>Avoiding congesting the affected joint</p> Signup and view all the answers

Which technique should be employed to support the shoulder girdle in a prone position during dislocation treatment?

<p>Pillowing prone</p> Signup and view all the answers

_______ pendulum swings in flexion and extension and progressing to circles

<p>Codman’s</p> Signup and view all the answers

Cold/hot contrast hydrotherapy 1:3 ratio repeat 3x

<p>ration</p> Signup and view all the answers

______ is treated with swedish massage

<p>Proximal limb</p> Signup and view all the answers

The Foramen of Weitbrecht is a weak portion of the joint capsule that allows for easy ______ in anterior subcorocoid dislocations

<p>dislocation</p> Signup and view all the answers

Possible axillary nerve involvement (which may lead to deltoid atrophy) All cardinal signs of inflammation (SHARP) and muscle ______

<p>guarding</p> Signup and view all the answers

Physiotherapy sessions for a dislocated shoulder usually start with ______ massage to reduce muscle guarding

<p>gentle</p> Signup and view all the answers

Treatment of Dislocations includes using RICE, which stands for Rest, Ice, Compression, and ______

<p>Elevation</p> Signup and view all the answers

To support the shoulder structures during dislocation treatment in a prone position, a small towel roll is placed under the ______

<p>shoulder girdle</p> Signup and view all the answers

The primary focus of treatment post-joint injury is to focus on tissues surrounding the joint such as the back, chest, opposite arm, and ______

<p>neck</p> Signup and view all the answers

Immediate, intense pain, tearing sensation, shoulder deformation, and joint fixation are signs of an Acute: Post-______

<p>trauma</p> Signup and view all the answers

Proximally treating to reduce pain and hypertonicity may involve techniques like O & I, fingertip kneading, effleurage, and repetitive ______

<p>petrissage</p> Signup and view all the answers

Distal work during dislocation treatment is limited to stroking and muscle squeezing to avoid congesting the affected ______

<p>joint</p> Signup and view all the answers

After a shoulder dislocation, it is recommended to begin physiotherapy with gentle massage to reduce muscle guarding.

<p>True</p> Signup and view all the answers

In the treatment of shoulder dislocations, isotonic strengthening of shoulder girdle muscles is primarily aimed at regaining approximately 30% of strength before achieving full range of motion.

<p>False</p> Signup and view all the answers

Cool/warm contrast hydrotherapy in treatment protocols for shoulder dislocations typically involves a 1:3 ratio of cold to hot, repeated three times.

<p>False</p> Signup and view all the answers

It is crucial to reduce hypertonicity and trigger points proximally when treating a shoulder joint injury.

<p>True</p> Signup and view all the answers

Longitudinal muscle stripping followed by specific petrissage is recommended to be performed after performing full stretches in the treatment of a shoulder dislocation.

<p>False</p> Signup and view all the answers

Proximal limb is commonly treated with gentle massage in the context of shoulder dislocation treatment.

<p>False</p> Signup and view all the answers

Adhesive Capsulitis is more common in elderly individuals who have experienced a dislocation.

<p>False</p> Signup and view all the answers

Treatment of dislocations includes removing protective muscle spasm that crosses the affected joint.

<p>False</p> Signup and view all the answers

Joint play techniques are contraindicated in cases of unstable joints.

<p>True</p> Signup and view all the answers

Proximal treatment for dislocations aims to reduce pain and hypertonicity using various massage techniques.

<p>True</p> Signup and view all the answers

Onsite work is recommended for individuals with acute dislocations.

<p>False</p> Signup and view all the answers

Acute dislocations should be treated with hot applications around the affected joint.

<p>False</p> Signup and view all the answers

The ______ barked

<p>dog</p> Signup and view all the answers

Immediate, intense pain, tearing sensation, shoulder deformation, and joint fixation are signs of an Acute: Post-______

<p>trauma</p> Signup and view all the answers

Proximally treating to reduce pain and hypertonicity may involve techniques like O & I, fingertip kneading, effleurage, and repetitive ______

<p>petrissage</p> Signup and view all the answers

Subclavicular (Infraclavicular) dislocation is ______ common than anterior subcorocoid dislocation

<p>less</p> Signup and view all the answers

Possible axillary nerve involvement (which may lead to deltoid atrophy) All cardinal signs of inflammation (SHARP) and muscle ______

<p>weakness</p> Signup and view all the answers

A dislocation is most commonly due to direct or indirect ______

<p>trauma</p> Signup and view all the answers

Cold/hot contrast hydrotherapy ratio is 3:1 repeat __x

<p>3</p> Signup and view all the answers

Joint play grade 1 and 2 in the direction that the dislocation did not occur if ______

<p>hypomobile</p> Signup and view all the answers

Distal work includes stroking, ______ squeezing

<p>muscles</p> Signup and view all the answers

Specific petrissage followed by short-cross fiber frictions to adhesions in a small portion of the affected area in one treatment. Follow with segmental stretch to prevent over mobilizing and ______

<p>ice</p> Signup and view all the answers

Restore ROM has lost with AA- ROM, AF-ROM, AR-ROM. Commonly ROM will begin with flexion and extension, followed by adduction and abduction, internal rotation and lastly ______ rotation

<p>external</p> Signup and view all the answers

Fascial techniques to reduce any pocket edema around dislocated joint. Lymphatic drainage to eliminate edema. Reduce hypertonicity and trigger points ______

<p>proximally</p> Signup and view all the answers

Adhesive Capsulitis (Frozen Shoulder) is more common in young people who've sustained a dislocation.

<p>False</p> Signup and view all the answers

Joint play techniques are contraindicated in the treatment of dislocations.

<p>False</p> Signup and view all the answers

Physiotherapy sessions for a dislocated shoulder usually start with gentle massage to reduce muscle guarding.

<p>True</p> Signup and view all the answers

Recurrent dislocation is a major concern for dislocation in the young client.

<p>False</p> Signup and view all the answers

Posterior Subglenoid dislocation is considered more common than Anterior Subcorocoid dislocation.

<p>False</p> Signup and view all the answers

The primary aim of physical therapy post shoulder dislocation is to stabilize the joint through surgery.

<p>False</p> Signup and view all the answers

Proximal limb is treated with deep tissue massage.

<p>False</p> Signup and view all the answers

Cold/hot contrast hydrotherapy involves a 3:1 ratio of cold to hot.

<p>False</p> Signup and view all the answers

Longitudinal muscle stripping is followed by full stretch to the affected area.

<p>False</p> Signup and view all the answers

Joint play techniques are always indicated in cases of unstable joints.

<p>False</p> Signup and view all the answers

Isotonic strengthening of shoulder girdle aims to regain approximately 60% of strength before achieving full ROM.

<p>False</p> Signup and view all the answers

Restoring ROM post-injury should be attempted before achieving full range of motion.

<p>True</p> Signup and view all the answers

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