Physiotherapy Tendonitis and Bursitis Quiz

A synovial joint where the ball-shaped head of the humerus articulates with the shallow glenoid fossa of the scapula.

The ligaments on the anterior side of the joint that limit external rotation, and provide stability during abduction.

A ligament that strengthens the superior capsule, resisting gravity's pull on the arm.

A fibrocartilaginous rim surrounding the glenoid fossa that deepens the socket, improving articulation.

The movement of the humerus relative to the glenoid fossa.

The position where the joint is most stable and least likely to dislocate.

A synovial joint between the acromion process of the scapula and the acromial end of the clavicle.

The movement of the clavicle relative to the acromion.

A synovial joint between the sternal end of the clavicle and the clavicular notch of the manubrium.

The movement of the clavicle relative to the manubrium.

A combination of movements of the scapula, clavicle, and humerus that allows for smooth and efficient arm elevation.

The muscles around the shoulder that work together to maintain joint congruency and stability.

The muscles that work together to allow upward rotation of the scapula during arm abduction.

An abnormal scapular movement where the medial border moves away from the posterior chest wall.

A condition where pain arises during a specific range of abduction, usually between 60-120 degrees.

Restricted range of motion (ROM) in all directions, especially elevation, with pain during a specific arc of movement.

Painful arc is present during shoulder movements.

Inflammation of the tendons around the shoulder joint.

A test that measures the degree to which a muscle can resist being moved. Used to check for muscle weakness in a specific direction.

The presence of scar tissue and adhesions, often seen in chronic tendonitis.

Inflammation of a tendon caused by overuse and repetitive movements. It is common in the rotator cuff muscles, especially the supraspinatus and infraspinatus, as well as the biceps brachii.

A condition where the supraspinatus tendon becomes inflamed due to overuse, poor vascularity, and degenerative changes.

Inflammation of the biceps tendon, often caused by compression in the bicipital groove. It can lead to tenosynovitis, adherence to the groove, and even biceps tendon rupture if not managed.

A later stage of rotator cuff tendinopathy, primarily affecting the supraspinatus tendon. It involves calcium deposits within the tendon, leading to pain, inflammation, and potential impingement.

A test used to assess bicipital tendinopathy by eliciting pain in the anterior shoulder during resisted elbow flexion.

A test for supraspinatus impingement, performed with the arm abducted and externally rotated in the scapular plane. A positive test elicits pain or a 'pinchy' sensation in the subacromial space.

A test for supraspinatus strain, where the patient is asked to actively lower the arm from full abduction. A positive test indicates inability to control the movement or the arm drops.

A test for subscapularis strain, in which the patient is asked to lift the arm off the back. A positive test shows weakness or pain.

A test to differentiate between supraspinatus tendinopathy and subacromial bursitis. It involves isolating the pain with specific movements.

Acute management for tendonitis involves rest, ice, reducing inflammation, maintaining ROM, and addressing trigger points. Chronic cases require breaking down adhesions, mobilizing joints, stretching, and strengthening the injured area.

Inflammation of a bursa, sac-like fluid-filled structures that cushion tendons and muscles. In the shoulder, the subacromial and subscapular bursae are clinically significant.

The subacromial bursa is located above the supraspinatus muscle and beneath the acromion and deltoid. It can be impinged due to inflammation or calcific tendonitis.

The subscapular bursa lies over the anterior joint capsule and under the subscapularis tendon. Inflammation can cause joint effusion.

Bursitis is often secondary to other conditions, such as calcific tendonitis, and is caused by overuse, poor biomechanics, muscle imbalance, and trauma.

Bursitis often presents with pain over the lateral shoulder, sometimes referred to the elbow. Symptoms include inflammation, heat, swelling, and pain that can be constant and intense.

Inflammation of a tendon in the shoulder, often affecting the supraspinatus tendon. It's characterized by pain, especially during abduction and external rotation.

It's an inflammatory condition that involves the coracoacromial arch and the space between the acromioclavicular and glenohumeral joints (subacromial space). Tissue is impinged in this space due to repetitive overhead movements.

This test involves the patient slowly moving their arm into abduction, external rotation, and extension. Apprehension, or anxiety, felt by the patient suggests a joint instability.

Pain that occurs during a specific range of abduction, usually between 60-120 degrees.

This is an inflammatory condition that involves the coracoacromial arch and the space between the acromioclavicular and glenohumeral joints (subacromial space). Tissue is impinged in this space due to repetitive overhead movements.

An injury involving the acromioclavicular (AC) joint, where the clavicle and acromion process of the scapula meet. It involves a sprain or rupture of the ligaments supporting the joint.

A fibrocartilaginous rim surrounding the glenoid fossa, helping to deepen the socket and improve stability of the glenohumeral joint.

This is a visible deformity where the deltoid muscle appears to be sunken, indicating a possible shoulder dislocation.

A self-limiting inflammatory and fibrotic condition of the shoulder joint capsule, causing significant pain and restricted range of motion.

A complete or partial separation of the articulating surfaces of the glenohumeral joint, usually occurring anteriorly.

A common cause of shoulder pain, characterized by pain and weakness in the shoulder, particularly during overhead activities. It often involves inflammation of the supraspinatus tendon, biceps tendon, or subacromial bursa.

This test involves internally rotating the patient's arm to stretch the subscapularis, which is a rotator cuff muscle. Pain during this test suggests subscapularis involvement.

This test involves resisting the patient's attempt to externally rotate the arm, which often causes pain in cases of rotator cuff pathology.

This test involves the patient resisting downward pressure on their extended arm, which is a common test for rotator cuff tears.

This test involves passively rotating the patient's arm internally and externally and assessing their pain and range of motion. It's helpful for identifying problems in structures like the subscapularis, infraspinatus, and teres minor muscles.

Involves inflammation and fibrosis of the joint capsule, primarily affecting the shoulder joint. Characterized by pain, stiffness, and progressive loss of range of motion.

A type of frozen shoulder where the cause is unknown. Thought to be related to inflammation and changes in the joint capsule.

A type of frozen shoulder linked to a previous injury, condition, or surgery. Examples include rotator cuff tears, impingement syndrome, and diabetes.

The initial stage of frozen shoulder, marked by gradual onset of pain. Pain is often worse at night and can be felt in the lateral arm.

The second stage of frozen shoulder, characterized by decreasing pain but increasing stiffness. Difficulty with daily activities becomes the main issue.

The final stage of frozen shoulder, where gradual improvement in range of motion and pain relief occurs. This phase can last for several years.

The ability to move the joint through a full range of motion without assistance. In frozen shoulder, AROM is limited due to pain and stiffness.

The range of motion achieved by someone else moving the joint, usually a therapist. In frozen shoulder, PROM is limited due to the stiff capsule.

A typical pattern of restriction in frozen shoulder: External rotation followed by abduction, and lastly internal rotation.

The loss of muscle mass and strength due to lack of use. This is common in the shoulder muscles during the frozen phase of frozen shoulder.

A test that assesses scapular mobility during the first 30 degrees of arm abduction. It is used to help differentiate frozen shoulder from other conditions.

Treatment approach for frozen shoulder that focuses on managing pain, inflammation, and improving range of motion. May include manual therapy, exercises, and modalities.

Injections into the shoulder joint that can help reduce pain and inflammation, allowing improved movement and function.

A technique used to break down adhesions in the shoulder joint using manual therapy techniques.

Techniques used to improve muscle function and coordination, particularly important in the recovery from frozen shoulder.