Dpt 2 - MSK - shoulder ppt Exam Questions With Correct Answers

Dpt 2 - MSK - shoulder ppt Exam Questions With Correct Answers RC degeneration / tears commonly occur in pts of what age - answer40-60 yo s/sx of RC compromise - answerER weakness night pain > 65 yo what percent of individuals with an RC tear are asymptomatic - answer67% primary impingement - answeranatomically driven (ex: shape of acomion) typically seen in pts > 35 yo secondary impingement - answerdoes not require anatomical predisposition, is laxity, hypermobility, dyskinesia, etc. commonly seen in pts in their teens to early 20's chondrosarcomas - answercancer usually > 50 yo age range most likely for calcium deposits - answer20-40 typical age range for onset of frozen shoulder - answer~45-60 if resulting from atraumatic origins typically asymptomatic onset labrum pathology typical age range - answerunder 30 yo if the pt fell (FOOSH) what might you consider - answerAC separations EXAM STUDY MATERIALS July 29, 2024 12:59 PM clavicular fx humeral fx subluxation if tip of shoulder: AC, brachial plexopathy, bone contusion FOOSH injury - forced extension or horizontal ABD and/or ER - answeranterior dislocation if shoulder feels unstable, how might pt present during exam - answermay appear normal bc fatigue is not yet present to affect dynamic stability interventions for shoulder instability - answerTUBS - gross, anatomical instability AMBRI - subtle, translational instability shoulder instability classifications - answeratraumatic (AMBRI) traumatic (TUBS) AMBRI - answeratraumatic multidirectional bilateral rehabilitation inferior capsular shift non surgical presentation pts have feeling of unstable shoulder, often have hypermobility/laxity TUBS - answertraumatic unilateral bankart surgery macrotrauma results in dislocation of the shoulder so compromises labrum EXAM STUDY MATERIALS July 29, 2024 12:59 PM example questions to ask during pt hx - recurrent dislocations/instability - answeraggs/eases how many episodes there have been was there an injury that precipitated this what direction does the shoulder "go out" most frequently pt hx for AC joint (superior shoulder pain) - answerhx of direct trauma FOOSH, cycling? push up positions? injury related shoulder pain was related to work in what percent of PT visits (blue flag) - answer> 20% what could indicate a poor prognosis for shoulder pathology - answergradual onset of pain longer duration (>3 months) higher pain/irritability scores normal shoulder movement during elevation - answerscapular upward rotation, posterior tilting, ER scapular winging - answer*neuro pathology* long thoracic n (C5,6,7 typically) involvement pathologic state due to neurological involvement scapular dyskinesia - answerdue to motor control/NM involvement see kibler type I, II, III kibler type I shoulder dyskinesia - answerinf angle prominence, ant tipping commonly seen in pts with RC impingement kibler type II shoulder dyskinesia - answermedial border scap dysfunction; IR of the scapula in the transverse plane often seen in pts with GH instability due to altered glenoid position kibler type III shoulder dyskinesia - answ