Shoulder Joint Assessment Quiz
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Questions and Answers

Which condition is most likely associated with altered shoulder alignment due to overuse in athletes?

  • Secondary Impingement (correct)
  • Thoracic Outlet Syndrome
  • Chondrosarcomas
  • Frozen Shoulder

What posture might indicate a potential case of Thoracic Outlet Syndrome?

  • Forward head posture with rounded shoulders (correct)
  • Scapulae fully retracted
  • Dominant side higher than non-dominant side
  • Pelvic position aligned with spine

What is a characteristic posture in individuals suffering from a Frozen Shoulder?

  • Normal spinal alignment
  • Excessive shoulder elevation
  • Scapular protraction and depression (correct)
  • Scapulae symmetrically aligned

Occupational shoulder injuries are most common in which of the following activities?

<p>Swimming with improper technique (B)</p> Signup and view all the answers

Which of the following is NOT a typical finding in someone with a postural dysfunction affecting the shoulder?

<p>Symmetrical shoulder alignment (D)</p> Signup and view all the answers

At what age is frozen shoulder most commonly seen, assuming no trauma is involved?

<p>40 to 60 years (A)</p> Signup and view all the answers

What is a significant cause of secondary impingement in the shoulder?

<p>Vigorous overhead activities (A)</p> Signup and view all the answers

Which demographic is most likely to present with chondrosarcomas?

<p>Individuals older than 30 (B)</p> Signup and view all the answers

What symptom might suggest thoracic outlet syndrome in shoulder assessment?

<p>Pain extending to the fingers (D)</p> Signup and view all the answers

Which group is most likely to experience secondary impingement?

<p>Individuals engaging in overhead athletic activities (D)</p> Signup and view all the answers

Which of the following statements is true regarding the dominant shoulder?

<p>It is often lower in position. (A)</p> Signup and view all the answers

What common shoulder complaint indicates potential vascular involvement?

<p>Feeling of weakness after activity (A)</p> Signup and view all the answers

Which condition is likely to develop from rotator cuff degeneration?

<p>Primary impingement (D)</p> Signup and view all the answers

What is a common symptom of a pectoralis major rupture?

<p>Loss of axillary fold (D)</p> Signup and view all the answers

Which condition is characterized by snapping or clunking sounds when moving the shoulder?

<p>Medial border washboard effect (D)</p> Signup and view all the answers

Which assessment position is used to evaluate scapula symmetry?

<p>Hand-on-hip position (B)</p> Signup and view all the answers

What type of gait observation should be noted during an assessment?

<p>Limb movement and symmetry (D)</p> Signup and view all the answers

Which of the following is a sign of supraspinatus tendinitis?

<p>Pain with arm elevation (C)</p> Signup and view all the answers

What is a characteristic feature of static winging of the scapula?

<p>Winging at rest (A)</p> Signup and view all the answers

Which of the following conditions can result from chronic subluxations?

<p>Posterior capsule pain (C)</p> Signup and view all the answers

Which condition is indicated by a sulcus sign during shoulder assessment?

<p>Multidirectional instability (D)</p> Signup and view all the answers

Which symptom would most likely be absent in a frozen shoulder diagnosis?

<p>Increased joint laxity (D)</p> Signup and view all the answers

What is a typical observation that indicates thoracic outlet syndrome?

<p>Weak grip strength (D)</p> Signup and view all the answers

Flashcards

Rotator Cuff Degeneration Age Range

Rotator cuff degeneration is commonly seen between the ages of 40 and 60.

Primary Impingement Age

Individuals over 35 years old are more prone to primary impingement, a condition related to degeneration and weakness of the shoulder.

Calcium Deposits Age Range

Shoulder calcium deposits may develop between the ages of 20 and 40.

Chondrosarcoma Age

An individual older than 30 may experience chondrosarcoma, a type of cancer, affecting the shoulder.

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Frozen Shoulder Age Range

Frozen shoulder, if not due to trauma, often develops between 45 and 60 years of age.

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Secondary Impingement Age

Secondary impingement, often caused by unstable shoulders, is more common in late teens and early 20s.

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Dominant Shoulder Characteristics

The dominant shoulder often has lower position than the non-dominant shoulder and more muscle mass but less range of motion (ROM).

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FOOSH (Fall On Out Stretched Hand)

A FOOSH injury can cause shoulder fractures or dislocations.

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Diabetes mellitus

A chronic metabolic disorder characterized by high blood sugar levels.

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Rotator cuff repair

Surgical procedure to fix damaged rotator cuff muscles in the shoulder.

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Total shoulder arthroplasty

Surgical replacement of the shoulder joint with an artificial joint.

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Forward head posture

A postural abnormality where the head is positioned forward of its normal alignment.

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Scapular protraction

A movement of the shoulder blade away from the spine.

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Medial Border Palpation

Feel the medial border of the scapula for any irregularities during physical assessment. This helps identify potential issues like winging.

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Scapula Symmetry

Compare the position of the scapula on both sides of the body when the patient places their hands on their hips. This helps assess if the shoulder blades are level and symmetrical.

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Gait Assessment

Observe the patient's walking pattern. Note posture, limb movement, symmetry, and any assistive devices.

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Tropical Changes

Look for changes in skin color, texture, scarring, and bruises in the shoulder region. These alterations can indicate potential underlying issues.

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Pectoralis Major Rupture Signs

Identify signs of a torn pectoralis major muscle, including ecchymosis (bruising), swelling, and loss of the axillary fold.

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Lateral Compartment Pain

Pain in the lateral part of the shoulder is often linked to issues like supraspinatus tendinitis, subacromial/subdeltoid bursitis, or multidirectional instability.

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Sulcus Sign

This sign indicates a multidirectional instability of the shoulder. It's observed when a noticeable depression or a groove appears at the top of the shoulder joint.

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Posterior Compartment Pain

Pain in the posterior aspect of the shoulder can arise from issues like infraspinatus tendinitis, teres minor tendinitis, posterior capsule pain, and posterior impingement.

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Thinker's Position

This posture is used to assess for posterior impingement in the shoulder. The patient flexes their neck and brings their chin to their chest.

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Anterior Compartment Pain

Pain in the front of the shoulder can be caused by bicipital tendinitis, subscapularis tendinitis, coracoacromial ligament pain, and anterior capsule pain.

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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

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Related Documents

Shoulder Joint Assessment PDF

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.

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