148 Questions
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
fibromyalgia
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 ______
clavicle
A dislocation is most commonly due to direct or indirect ______
trauma
What is the main difference between a dislocation and a subluxation?
The extent of separation of joint surfaces
Why is the glenohumeral joint particularly susceptible to dislocation?
The shallow glenoid fossa
What soft tissues are likely to be damaged when a joint dislocation occurs?
Muscles, capsule, ligament, and tendons
What is one of the complications that may arise from a joint dislocation?
Adhesive capsulitis
Which scenario is most likely to cause a joint dislocation?
A fall resulting in direct trauma
Why should most dislocations be treated as severe sprains?
Due to the similar damage caused by the traumatic force
Anterior Subcorocoid dislocation is the ______ common type of glenohumeral dislocation
most
The Foramen of Weitbrecht is a weak portion of the joint capsule that allows for easy ______ in anterior subcorocoid dislocations
displacement
Subclavicular (Infraclavicular) dislocation is ______ common than anterior subcorocoid dislocation
less
Posterior Subglenoid dislocation is considered ______
uncommon
Inferior Subglenoid dislocation is ______
rare
In an Inferior Subglenoid dislocation, the person cannot lower their arm and must hold it above their head until it is ______
reduced
Which type of glenohumeral dislocation is driven posteriorly and inferiorly into the subspinous fossa inferior to the spine of the scapula?
Posterior Subglenoid
What is the primary cause of an Anterior Subcorocoid glenohumeral dislocation?
Direct trauma with arm in 90 degrees abduction and 90 degrees external rotation
Which glenohumeral dislocation results in the head of the humerus being driven through the inferior joint capsule?
Inferior Subglenoid
What is a less common form of glenohumeral dislocation where the humeral head comes to rest more medially under the clavicle?
Subclavicular (Infraclavicular)
What specific position of the arm is associated with causing an Anterior Subcorocoid dislocation?
90 degrees abduction and 90 degrees external rotation
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?
Inferior Subglenoid
_______ barked
dog
The ______ meowed
cat
______ should be treated as severe sprains?
most dislocations
The Foramen of Weitbrecht is a weak portion of the joint capsule that allows for easy ______ in anterior subcorocoid dislocations
dislocation
In an Inferior Subglenoid dislocation, the person cannot lower their arm and must hold it above their head until it is ______
reduced
What is one common symptom observed in patients with shoulder joint dislocations?
Numbness and tingling
Why is postural assessment important when evaluating a patient with a shoulder joint injury?
To check for malalignment of the shoulder girdle
What is a common first aid treatment for shoulder joint injuries?
Application of ice directly on the skin
What type of medication is commonly used in the management of shoulder joint injuries?
Anti-inflammatories
Why is it important to inquire about the mechanism of injury in patients with shoulder joint issues?
To understand how the injury occurred
______ barked
dog
The Foramen of Weitbrecht is a weak portion of the joint capsule that allows for easy ______ in anterior subcorocoid dislocations
dislocation
Subluxations are partial separations of the articular surfaces of a ______
joint
______ should be treated as severe sprains?
dislocations
A dislocation is most commonly due to direct or indirect ______
trauma
The ______ meowed
cat
What should be done if there is no sign of apprehension during passive testing in the cardinal ranges of motion?
Progress to PF-ROM overpressure
Why is it crucial to rule out fractures after reducing a dislocation?
To check for avulsion fracture of the greater tubercle or Bankart lesions
What does Fiona Rattray suggest as an alternative if apprehension is present during AF testing?
Omit passive testing and move to AR testing
Why must dislocations be reduced promptly, especially in large joints?
To avoid prolonged stretching of tissues
What is the primary reason for conducting an apprehension test after passive ROM testing?
To assess joint stability
When treating dislocations, why should x-rays be taken after reduction?
To rule out fractures like Bankart lesions
What is the purpose of an Apprehension test in shoulder joint assessment?
To determine the stability of the joint
Why is immediate medical attention necessary for dislocations?
To avoid further tissue damage and complications
What type of fracture should be ruled out after reducing a dislocation?
Greater tubercle avulsion fracture
What is a common complication that may arise from a joint dislocation?
Re-subluxation or dislocation
Why are x-rays taken after reducing a dislocation?
To confirm complete reduction
When treating large joint dislocations, why is prompt reduction important?
To avoid complications due to muscle guarding and swelling
Why might a shoulder dislocation patient require surgical repair?
To reattach or shorten ruptured ligaments
What is the major concern for a young client post shoulder dislocation?
Recurrent dislocation
What is the purpose of deliberate reduction in lateral rotation during shoulder surgery?
To prevent redislocation without affecting daily activities
Which post-dislocation symptom may suggest axillary nerve involvement?
Joint fixation
What is a common effect of gentle massage before a physiotherapy session for a dislocated shoulder?
Anxiety reduction
Why does physiotherapy typically begin with movements to the fingers, wrist, elbow, and shoulder joint post shoulder dislocation?
To guide gentle movements after immobilization
Physiotherapy may begin the day after the dislocation beginning with movements to the fingers, wrist, elbow and ______ joint.
shoulder
Gentle massage BEFORE a physiotherapy session can help reduce anxiety, pain, muscle guarding and help physiotherapy begin gentle ______.
movements
Recurrent dislocation is the major concern for dislocation in the young ______.
client
Possible axillary nerve involvement (which may lead to deltoid atrophy) All cardinal signs of inflammation (SHARP) and muscle ______.
guarding
In Subglenoid dislocations the arm is locked in full ______.
abduction
Immediate, intense pain, Tearing Sensation, Shoulder deformation, Joint Fixation are signs of Acute: Post-______.
Reduction
Recurrent dislocation is not a major concern for dislocation in the young client.
False
After shoulder surgery involving ligament repair, the shoulder is likely to be immobilized for 1-2 weeks.
False
Subglenoid dislocations result in the arm being locked in full adduction.
False
Physiotherapy sessions for a dislocated shoulder usually start with gentle massage to reduce muscle guarding.
True
Inferior Subglenoid dislocation requires holding the arm above the head until it is reduced.
True
The primary aim of physical therapy post shoulder dislocation is to stabilize the joint through surgery.
False
What is the primary focus of treatment surrounding a joint post-injury according to the text?
Eliminating residual edema
In chronic and long-term goals of treatment post-joint injury, what is recommended before attempting full range of motion?
Restore about 80% of muscle strength
What is a contraindication for joint play techniques according to the text?
Positive apprehension test results
Why is it recommended to avoid increasing lateral rotation of the arm if it has been surgically reduced?
To prevent capsular restriction
When should reflex techniques be used in post-injury joint treatment?
In acute and sub-acute phases
What should be done with circulatory techniques distal to an injury site?
Do not congest the injury site
What is the recommendation regarding muscle guarding in chronic and long-term goals of treatment post-joint injury?
Minimize muscle guarding to promote faster recovery.
Why should joint play be avoided in cases where the joint is unstable?
To prevent further damage and instability.
When is the appropriate time to begin range of motion exercises for an affected joint?
Gradually as the client moves through the sub-acute phase.
What should be restored before attempting to achieve full range of motion post-injury?
80% of muscle strength in muscles crossing the joint.
What is a common complication that may arise during treatment of a joint injury?
Capsular restriction causing reduced movement.
Why is it essential to maintain range of motion and joint health to proximal and distal joints post-injury?
To prevent further complications in other joints.
Posterior Subglenoid dislocation is considered ______
rare
The ______ meowed
cat
______ barked
dog
The Foramen of Weitbrecht is a weak portion of the joint capsule that allows for easy ______ in anterior subcorocoid dislocations
dislocation
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 ______
neck
Anterior Subcorocoid dislocation is the ______ common type of glenohumeral dislocation
most
What is the recommended treatment for trigger points that refer into the affected site?
Longitudinal muscle stripping
Which technique is used to reduce edema with lymphatic drainage in the late sub/chronic stage?
Fascial techniques
What type of massage technique is applied distally to the affected joint to maintain tissue health?
Effleurage
How should hypertonicity and trigger points distal to the injury be treated?
Specific petrissage
What is the correct protocol for remedial exercise post-injury for isotonic strengthening of the shoulder girdle?
PR-ROM mid-range, pain-free
What is the primary aim of using cool/warm contrast hydrotherapy in treatment protocols?
Decrease edema
What is a crucial factor affecting the prognosis of Adhesive Capsulitis (Frozen Shoulder)?
Compliance with self-care
In the context of treating dislocations, what is the purpose of using RICE?
To decrease edema
What technique should be avoided in the treatment of dislocations to prevent removing protective muscle spasm that crosses the affected joint?
O & I
Why is distal work limited to stroking and muscle squeezing in post-dislocation treatment?
To reduce pain and hypertonicity
What is a crucial consideration during onsite work when treating dislocations?
Avoiding congesting the affected joint
Which technique should be employed to support the shoulder girdle in a prone position during dislocation treatment?
Pillowing prone
_______ pendulum swings in flexion and extension and progressing to circles
Codman’s
Cold/hot contrast hydrotherapy 1:3 ratio repeat 3x
ration
______ is treated with swedish massage
Proximal limb
The Foramen of Weitbrecht is a weak portion of the joint capsule that allows for easy ______ in anterior subcorocoid dislocations
dislocation
Possible axillary nerve involvement (which may lead to deltoid atrophy) All cardinal signs of inflammation (SHARP) and muscle ______
guarding
Physiotherapy sessions for a dislocated shoulder usually start with ______ massage to reduce muscle guarding
gentle
Treatment of Dislocations includes using RICE, which stands for Rest, Ice, Compression, and ______
Elevation
To support the shoulder structures during dislocation treatment in a prone position, a small towel roll is placed under the ______
shoulder girdle
The primary focus of treatment post-joint injury is to focus on tissues surrounding the joint such as the back, chest, opposite arm, and ______
neck
Immediate, intense pain, tearing sensation, shoulder deformation, and joint fixation are signs of an Acute: Post-______
trauma
Proximally treating to reduce pain and hypertonicity may involve techniques like O & I, fingertip kneading, effleurage, and repetitive ______
petrissage
Distal work during dislocation treatment is limited to stroking and muscle squeezing to avoid congesting the affected ______
joint
After a shoulder dislocation, it is recommended to begin physiotherapy with gentle massage to reduce muscle guarding.
True
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.
False
Cool/warm contrast hydrotherapy in treatment protocols for shoulder dislocations typically involves a 1:3 ratio of cold to hot, repeated three times.
False
It is crucial to reduce hypertonicity and trigger points proximally when treating a shoulder joint injury.
True
Longitudinal muscle stripping followed by specific petrissage is recommended to be performed after performing full stretches in the treatment of a shoulder dislocation.
False
Proximal limb is commonly treated with gentle massage in the context of shoulder dislocation treatment.
False
Adhesive Capsulitis is more common in elderly individuals who have experienced a dislocation.
False
Treatment of dislocations includes removing protective muscle spasm that crosses the affected joint.
False
Joint play techniques are contraindicated in cases of unstable joints.
True
Proximal treatment for dislocations aims to reduce pain and hypertonicity using various massage techniques.
True
Onsite work is recommended for individuals with acute dislocations.
False
Acute dislocations should be treated with hot applications around the affected joint.
False
The ______ barked
dog
Immediate, intense pain, tearing sensation, shoulder deformation, and joint fixation are signs of an Acute: Post-______
trauma
Proximally treating to reduce pain and hypertonicity may involve techniques like O & I, fingertip kneading, effleurage, and repetitive ______
petrissage
Subclavicular (Infraclavicular) dislocation is ______ common than anterior subcorocoid dislocation
less
Possible axillary nerve involvement (which may lead to deltoid atrophy) All cardinal signs of inflammation (SHARP) and muscle ______
weakness
A dislocation is most commonly due to direct or indirect ______
trauma
Cold/hot contrast hydrotherapy ratio is 3:1 repeat __x
3
Joint play grade 1 and 2 in the direction that the dislocation did not occur if ______
hypomobile
Distal work includes stroking, ______ squeezing
muscles
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 ______
ice
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
external
Fascial techniques to reduce any pocket edema around dislocated joint. Lymphatic drainage to eliminate edema. Reduce hypertonicity and trigger points ______
proximally
Adhesive Capsulitis (Frozen Shoulder) is more common in young people who've sustained a dislocation.
False
Joint play techniques are contraindicated in the treatment of dislocations.
False
Physiotherapy sessions for a dislocated shoulder usually start with gentle massage to reduce muscle guarding.
True
Recurrent dislocation is a major concern for dislocation in the young client.
False
Posterior Subglenoid dislocation is considered more common than Anterior Subcorocoid dislocation.
False
The primary aim of physical therapy post shoulder dislocation is to stabilize the joint through surgery.
False
Proximal limb is treated with deep tissue massage.
False
Cold/hot contrast hydrotherapy involves a 3:1 ratio of cold to hot.
False
Longitudinal muscle stripping is followed by full stretch to the affected area.
False
Joint play techniques are always indicated in cases of unstable joints.
False
Isotonic strengthening of shoulder girdle aims to regain approximately 60% of strength before achieving full ROM.
False
Restoring ROM post-injury should be attempted before achieving full range of motion.
True
Learn about complete separation of joint surfaces, subluxations, and treatment of dislocations caused by trauma. Understand why the glenohumeral joint is particularly prone to dislocation.
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