Soft tissue injuries of the shoulder (Smarty PANCE) Exam Questions and Answers 100% Pass

Soft tissue injuries of the shoulder (Smarty PANCE) Exam Questions and Answers 100% Pass Describe Neer's test - Rotator cuff inflammation/impingement Forward arm flexion, press greater tuberosity and supraspinatus muscle. Positive test is pain Describe the Hawkins test for rotator cuff inflammation/impingement Abduct shoulder 90 degrees, flex elbow 90, and rotate arm to limit. A positive test is pain Describe the empty can test - Supraspinatus tear or inflammation 90-degree abduct, 30-degree flex, rotate internally. Apply downward pressure. A positive test is weakness or pain Describe the full can test - Supraspinatus tear or inflammation 90-degree abduct, 30-degree flex, rotate externally. Apply downward pressure. A positive test is weakness or pain Describe Speeds test - suggestive of inflammation or lesions related to the long head of biceps or biceps/labral complex The patient's elbow is extended, forearm supinated, and the humerus elevated to 60°. The examiner resists humeral forward flexion. Positive if pain located in the bicipital groove Describe Yergason's test - Biceps Tendinitis Elbow flexed 90 degrees, wrist supination against resistance. A positive test is pain located in the bicipital groove. Suggests pathology in the long head of biceps in its sheath Describe the arm drop test - Supraspinatus tear or inflammation Arm passively abducted and actively adducted slowly. A positive test is when the arm drops quickly at 30 degrees Describe the Lift off test - Subscapularis tear or inflammation Elbow 90 degrees, rotate medially against resistance. A positive test is pain or weakness Describe the Infraspinatus Test - Teres minor/infraspinatus tear or inflammation Elbow 90 degrees, rotate laterally against resistance. A positive test is pain or weakness What is the Dx? Glenohumeral joint space narrowing spurring and flattening of the humeral head on X-ray. Glenohumeral joint osteoarthritis What is most likely Dx? A 50-year-old female with no trauma has shoulder pain, stiffness, and decreased active and passive ROM. Adhesive Capsulitis (AKA: Frozen shoulder ) What is the Dx? Acute injury with bulging of the biceps muscle distally (Popeye arm) Proximal biceps tendon rupture What is the treatment for biceps tendonitis? Treat conservatively: NSAIDs - Rest - Steroids What is the Dx? Pain at bicipital groove of the humerus worse with arm movements (+Speeds test + Yergason's test). Biceps Tendonitis Best imaging study for diagnosis of a rotator cuff tear? MRI Best imaging study for diagnosis of labral tears?