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

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

Subluxations are partial separations of the articular surfaces of a ______

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

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

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 ______

A dislocation is most commonly due to direct or indirect ______

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

Why is the glenohumeral joint particularly susceptible to dislocation?

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

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

Which scenario is most likely to cause a joint dislocation?

Why should most dislocations be treated as severe sprains?

Anterior Subcorocoid dislocation is the ______ common type of glenohumeral dislocation

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

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

Posterior Subglenoid dislocation is considered ______

Inferior Subglenoid dislocation is ______

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

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

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

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

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

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

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?

_______ barked

The ______ meowed

______ should be treated as severe sprains?

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

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

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

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

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

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

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

______ barked

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

Subluxations are partial separations of the articular surfaces of a ______

______ should be treated as severe sprains?

A dislocation is most commonly due to direct or indirect ______

The ______ meowed

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

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

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

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

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

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

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

Why is immediate medical attention necessary for dislocations?

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

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

Why are x-rays taken after reducing a dislocation?

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

Why might a shoulder dislocation patient require surgical repair?

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

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

Which post-dislocation symptom may suggest axillary nerve involvement?

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

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

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

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

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

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

In Subglenoid dislocations the arm is locked in full ______.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Posterior Subglenoid dislocation is considered ______

The ______ meowed

______ barked

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

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 ______

Anterior Subcorocoid dislocation is the ______ common type of glenohumeral dislocation

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

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

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

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

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

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

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

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

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

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

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

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

_______ pendulum swings in flexion and extension and progressing to circles

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

______ is treated with swedish massage

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

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

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

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

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

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

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

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

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

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

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.

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

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

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

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

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

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

Joint play techniques are contraindicated in cases of unstable joints.

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

Onsite work is recommended for individuals with acute dislocations.

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

The ______ barked

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

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

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

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

A dislocation is most commonly due to direct or indirect ______

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

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

Distal work includes stroking, ______ squeezing

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 ______

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

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

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

Joint play techniques are contraindicated in the treatment of dislocations.

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

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

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

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

Proximal limb is treated with deep tissue massage.

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

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

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

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

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