Shoulder Injury Assessment and Treatment Quiz

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Questions and Answers

What is a key characteristic of the initial phase of Adhesive Capsulitis?

  • Pain with gradual range of motion loss
  • Pain at night and difficulty sleeping (correct)
  • Normal muscle performance
  • Substantial range of motion deficits

Which outcome measure is specifically validated for Adhesive Capsulitis?

  • Penn Shoulder Scale (PSS)
  • Shoulder Pain and Disability Index (SPADI) (correct)
  • Patient Specific Functional Scale (PSFS)
  • QuickDASH

What intervention has Level A Evidence for Adhesive Capsulitis?

  • Stretching Exercises
  • Corticosteroid Injection (correct)
  • Patient Education
  • Joint Mobilizations

What is a key consideration when looking to rule-in Osteoarthritis?

<p>Advanced age or previous trauma to the area (D)</p> Signup and view all the answers

What is a key characteristic of the frozen phase of Adhesive Capsulitis?

<p>Less pain, substantial range of motion deficits (D)</p> Signup and view all the answers

What is a key aspect of the intervention focus for Adhesive Capsulitis?

<p>Match the intensity of stretching to the patient’s current level of irritability (B)</p> Signup and view all the answers

What is a potential objective information for AC joint separation?

<p>Increased joint mobility in AC joint (C)</p> Signup and view all the answers

Which special test is relevant for AC joint separation?

<p>AC Shear Test (A)</p> Signup and view all the answers

Which grade of shoulder separation involves complete tearing of acromioclavicular and coracoclavicular ligaments?

<p>Grade III (C)</p> Signup and view all the answers

What is a potential intervention focus for AC joint separation?

<p>Improve coordination and activation of muscles (B)</p> Signup and view all the answers

What type of pain is commonly associated with AC joint separation during shoulder movements?

<p>Shoulder pain with cross-body and overhead movements (D)</p> Signup and view all the answers

Which diagnostic tool is recommended for Glenohumeral Osteoarthritis (GHOA)?

<p>MRI (C)</p> Signup and view all the answers

How are Stages of RTC Tendinopathy categorized?

<p>By extent of tear and symptoms (D)</p> Signup and view all the answers

What may Labral Injuries (SLAP Tears) be categorized based on?

<p>Extent of the tear and biceps tendon involvement (A)</p> Signup and view all the answers

What may be a potential objective information for Glenohumeral Instability?

<p>High Beighton Score (C)</p> Signup and view all the answers

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Study Notes

Shoulder Injury Assessment and Treatment

  • For Glenohumeral Osteoarthritis (GHOA), key symptoms include stiffness in the morning, pain with activity, and decreased joint mobility.
  • MRI is the recommended diagnostic tool for GHOA, and interventions may include physical therapy, medication, injections, and surgery.
  • Rotator Cuff Tendinopathy (RTC) may present with pain at the top and lateral aspect of the shoulder, weakness, and a history of repetitive overhead activity.
  • Stages of RTC Tendinopathy include inflammation, partial tearing, and full tear, with symptoms such as painful arc of movement and weakness.
  • Treatment for RTC Tendinopathy may involve physical therapy to improve tissue tolerance and force production, as well as medical interventions like anti-inflammatories and corticosteroid injections.
  • Labral Injuries (SLAP Tears) can occur in throwing athletes or due to forceful arm traction, with different types categorized based on the extent of the tear and biceps tendon involvement.
  • Symptoms of SLAP Tears include decreased overhead range of motion, pain with cross body movements, and decreased dynamic mobility control.
  • There is no current clinical practice guideline (CPG) for SLAP Tears, and interventions may focus on physical therapy to improve muscle coordination and activation, normalize movement, and reduce tissue stress.
  • For Glenohumeral Instability, potential diagnoses should consider sudden onset of symptoms, participation in contact sports, and generalized joint hypermobility.
  • Objective information for Glenohumeral Instability may include decreased joint mobility and muscle performance, and special tests like the Biceps Load Test.
  • Interventions for Glenohumeral Instability may involve physical therapy and medical interventions, with surgical repair for severe cases.
  • Outcome measures for all shoulder injuries may include the Patient Specific Functional Scale (PSFS), QuickDASH, Penn Shoulder Scale (PSS), and Shoulder Pain and Disability Index (SPADI).

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