Podcast
Questions and Answers
Which condition is most likely associated with altered shoulder alignment due to overuse in athletes?
Which condition is most likely associated with altered shoulder alignment due to overuse in athletes?
What posture might indicate a potential case of Thoracic Outlet Syndrome?
What posture might indicate a potential case of Thoracic Outlet Syndrome?
What is a characteristic posture in individuals suffering from a Frozen Shoulder?
What is a characteristic posture in individuals suffering from a Frozen Shoulder?
Occupational shoulder injuries are most common in which of the following activities?
Occupational shoulder injuries are most common in which of the following activities?
Signup and view all the answers
Which of the following is NOT a typical finding in someone with a postural dysfunction affecting the shoulder?
Which of the following is NOT a typical finding in someone with a postural dysfunction affecting the shoulder?
Signup and view all the answers
At what age is frozen shoulder most commonly seen, assuming no trauma is involved?
At what age is frozen shoulder most commonly seen, assuming no trauma is involved?
Signup and view all the answers
What is a significant cause of secondary impingement in the shoulder?
What is a significant cause of secondary impingement in the shoulder?
Signup and view all the answers
Which demographic is most likely to present with chondrosarcomas?
Which demographic is most likely to present with chondrosarcomas?
Signup and view all the answers
What symptom might suggest thoracic outlet syndrome in shoulder assessment?
What symptom might suggest thoracic outlet syndrome in shoulder assessment?
Signup and view all the answers
Which group is most likely to experience secondary impingement?
Which group is most likely to experience secondary impingement?
Signup and view all the answers
Which of the following statements is true regarding the dominant shoulder?
Which of the following statements is true regarding the dominant shoulder?
Signup and view all the answers
What common shoulder complaint indicates potential vascular involvement?
What common shoulder complaint indicates potential vascular involvement?
Signup and view all the answers
Which condition is likely to develop from rotator cuff degeneration?
Which condition is likely to develop from rotator cuff degeneration?
Signup and view all the answers
What is a common symptom of a pectoralis major rupture?
What is a common symptom of a pectoralis major rupture?
Signup and view all the answers
Which condition is characterized by snapping or clunking sounds when moving the shoulder?
Which condition is characterized by snapping or clunking sounds when moving the shoulder?
Signup and view all the answers
Which assessment position is used to evaluate scapula symmetry?
Which assessment position is used to evaluate scapula symmetry?
Signup and view all the answers
What type of gait observation should be noted during an assessment?
What type of gait observation should be noted during an assessment?
Signup and view all the answers
Which of the following is a sign of supraspinatus tendinitis?
Which of the following is a sign of supraspinatus tendinitis?
Signup and view all the answers
What is a characteristic feature of static winging of the scapula?
What is a characteristic feature of static winging of the scapula?
Signup and view all the answers
Which of the following conditions can result from chronic subluxations?
Which of the following conditions can result from chronic subluxations?
Signup and view all the answers
Which condition is indicated by a sulcus sign during shoulder assessment?
Which condition is indicated by a sulcus sign during shoulder assessment?
Signup and view all the answers
Which symptom would most likely be absent in a frozen shoulder diagnosis?
Which symptom would most likely be absent in a frozen shoulder diagnosis?
Signup and view all the answers
What is a typical observation that indicates thoracic outlet syndrome?
What is a typical observation that indicates thoracic outlet syndrome?
Signup and view all the answers
Study Notes
Shoulder Joint Assessment
-
Glenohumeral Joint:
- Resting position: 40°-55° abduction, 30° horizontal adduction (scapular plane)
- Close packed position: Full abduction, lateral rotation
- Capsular pattern: Lateral rotation, abduction, medial rotation
-
Acromioclavicular Joint:
- Resting position: Arm resting by side in normal physiological position
- Close packed position: 90° abduction
- Capsular pattern: Pain at extremes of range of motion, especially horizontal adduction and full elevation
-
Sternoclavicular Joint:
- Resting position: Arm resting by side in normal physiological position
- Close packed position: Full elevation and protraction
- Capsular pattern: Pain at extremes of range of motion, especially horizontal adduction and full elevation
Demographic Data
-
Age:
- Many shoulder problems are age-related.
- Rotator cuff degeneration: 40-60 years
- Primary impingement (due to degeneration and weakness): >35 years
- Calcium deposits: 20-40 years
- Chondrosarcomas: >30 years
- Frozen shoulder: 45-60 years (if not from trauma)
-
Occupation:
- Secondary impingement (instability due to weakness in scapular or humeral control muscles): common in late teens/20s
- More common in overhead activities (swimmers, baseball pitchers)
-
Hand Dominance:
- Dominant shoulder often lower
- Dominant shoulder usually shows greater muscularity but often less range of motion (ROM)
Chief Complaint
- Pain
- Restricted motion
- Instability
- Feeling of weakness/heaviness in limb after activity
- Limb tires easily (possible vascular involvement)
- Swelling/stiffness (possible venous symptoms)
Thoracic Outlet Syndrome
- Pressure on neurovascular structures at 3 locations: scalene triangle, costoclavicular space, under pectoralis minor/coracoid process
Present Illness
- Anatomical site (e.g., fall, blow to shoulder/elbow)
- Limb position (e.g., FOOSH injury, subluxation/dislocation)
- Subjective experience (snapping, cracking sounds, "popping out")
Pain History
- Location (where)
- Referred pain (if present)
- Duration (when)
- Type of pain (what)
- Aggravating/relieving factors
Past Medical History
- Includes medical, surgical, personal, and occupational history (diabetes, arthritis, surgery, sleeping positions, occupation/repetitive movements)
Assessment
- Ocular Inspection (posture, pelvic and spinal alignment, shoulder/protective guarding)
- Standing Posture (anterior, lateral, posterior view - e.g., dominant side slightly lower, scoliosis, scapula position)
- Gait (posture, limb movement, any external devices)
- Tropical Changes (color, texture, scar, bruises)
Palpation
- Anterior (clavicle, sternoclavicular joint, acromioclavicular joint, coracoid process, ribs, costal cartilage, humerus, rotator cuff muscles, axilla)
- Posterior (spine of scapula, spinous processes, etc.)
- Lateral
- Superior
- Anterior Compartment (e.g., Bicipital tendinitis, subscapularis tendinitis)
- Posterior Compartment (e.g., infraspinatus tendonitis, teres minor tendonitis)
- Superior Compartment (e.g., acromioclavicular joint sprain)
- Lateral Compartment (e.g., supraspinatus tendinitis)
Deformities
- Scapula: Static winging, Sprengel's deformity
- Shoulder: Step deformity
- Sulcus sign: Sulcus/groove below the acromion
- Muscle wasting: Deltoids (paralysis/anterior dislocation), upper trapezius (CN11 nerve palsy), supraspinatus/infraspinatus, serratus anterior
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on the assessment of shoulder joints, including the glenohumeral, acromioclavicular, and sternoclavicular joints. This quiz covers joint positions, capsular patterns, and demographic considerations related to shoulder health. Perfect for students and professionals in physical therapy or sports medicine.
