MSK II- UE Practical Pathologies || with 100% Error-free Answers

SHOULDER Capsule becomes inflamed→adheres to humeral head→becomes fibrotic ● Starts gradually, insidious onset (primary) ● Results from immobilization or other pathology ● Pt c/o lateral shoulder pain; worsens w/positions or activities that stretches GH ● Progresses to stiffness ● Substitutions during AROM - scap and UT sub Risk Factors: ● Women Men ● Non-dominant arm dominant arm ● Age range: 40-60 ● Thyroid ● Diabetes ● Postmenopausal ● Post-op immobilization ● 12% bilateral ● Self limiting disorder: lasts ~30 months correct answers Adhesive Capsulitis What are the best exam steps for adhesive capsulitis? correct answers ● AROM/PROM Classical: ○ ↓ER ABD IR ○ End-feel: Hypomobile, capsule tightness ● PROM Accessory: ○ ↓Anterior Glide Inferior Glide Posterior Glide (matches AROM/PROM limitations) ○ End-feel: Hypomobile, capsule tightness ● Movement Analysis: trouble with any overhead activities. ● Also find: tight pecs, teres major, lats, and subscap What are treatments for adhesive capsulitis? correct answers Joint mobs: Post glide ↑IR more than Anterior glide ● Supervised Neglect ● Non-aggressive rehab- will increase inflammation and set down more adhesions ● Pendulums Stages: ● Freezing: ↓ inflammation: modalities, jt mobs (grade I/II), distraction, mm setting ● Frozen: restore PROM, grade II/III, progress to AAROM ● Thawing: focus on AROM ● Improve ER early ● Last resort: Mobilization under anesthesia SHOULDER ●Anterior/inferior labrum avulsed; scapular periosteum disrupted ● Anterior dislocation of humeral head - comes out and stretches tissue - impairs it ●Common with ant dislocation → anterior instability → avulsion of the labroligamentous complex correct answers Bankart Lesion What are the best exam steps for Bankart Lesions? correct answers ● Structural Inspection Humeral head displacement (anterior most common); Acromion step deformities ● PROM Accessory: ○ Hypermobile in anterior inferior direction ● Special Tests- Apprehension test, Clunk test, Jobe Relocation, Sulcus