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SHOULDER COMPLEX EXAMINATION (INCLUDES PATHOLOGIES) $12.49
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Exam (elaborations)

SHOULDER COMPLEX EXAMINATION (INCLUDES PATHOLOGIES)

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  • SHOULDER COMPLEX
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  • SHOULDER COMPLEX

SHOULDER COMPLEX EXAMINATION (INCLUDES PATHOLOGIES)

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  • November 20, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • SHOULDER COMPLEX
  • SHOULDER COMPLEX
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GEEKA
SHOULDER COMPLEX EXAMINATION (INCLUDES
PATHOLOGIES)
Pain generating tissues - Answers- •Bone
•Muscle
•Tendon
•Capsule
•Labrum
•Ligaments
•Nerves
•Bursa

Stressors - Answers- compression
tension
shear
chemical/ ischemic

During exam figuring out which structures aren't handling certain ----- well - Answers-
stressors

. At lot of times when I hear that a person has bursitis, I think of how that pathology
often does not occur ---- - Answers- alone

These structures have mechanoreceptors and pain sensors, if overstressed can be pain
generating tissues - Answers- ligaments

what is adhesive capulitis "frozen shoulder" - Answers- •Synovial inflammation of joint
capsule
•Progresses to capsular fibrosis

what kind of onset does frozen shoulder have? - Answers- idiopathic

What is frozen shoulder correlated with/ things to look for in the hx? - Answers- -women
-age over 40
-diabetes/thyroid disease
-autoimmune disease
-immobilization
-stroke

Adhesive capsulitis= mainly issue with --- and ----; --- should be good up until you rly get
into this pathology do to atrophy of not using the musculature - Answers- AROM and
PROM
RROM

what is the pain generator in adhesive capsulitis? - Answers- capsule

,Patient subjective of frozen shoulder - Answers- -severe pain
-Pain for several months
-Achy pain at lateral arm
-No known MOI
-Loss of ability to raise arm overhead
History should include questions for known
-DM
-Thyroid disease
-Autoimmune disease

What are the four stages of adhesive capsulitis? - Answers- I= progressive pain, pre
freezing
II= freezing
III= frozen
IV= thawing

is the early stage where there is a lot of pain and the patient loses ROM pretty quickly. -
Answers- stage I of frozen shoulder

In this stage the pain is present and they don't have motion despite stretching or almost
anything else they try - Answers- stage II

At this point the pain is better but ROM continues to be limited - Answers- stage III

This is where the ROM begins to return slowly. - Answers- stage IV

Stage I adhesive capsulitis - Answers- •months 0-3)
•Progressive pain
•Global loss of AROM & PROM due to pain at this time
•Stage II (months 3-9)

Stage II adhesive capsulitis - Answers- •months 3-9)
•Freezing phase
•Persistent pain & loss of motion
•Capsular fibrosis is present
•No inflammatory markers in capsule at this point

Stage III adhesive capsulitis - Answers- •months 9-14)
•Frozen stage
•Pain is reduced
•Global loss of AROM & PROM due to capsular fibrosis
•DECREASED CAPSULAR VOLUME

Stage IV adhesive capsulitis - Answers- •14 month - 3 years)
•Thawing phase

, •Slow steady recovery of AROM & PROM
•CAPSULE REMODELS

Objective of adhesive capsulitis
-Global loss of --- = ----
-must do ----
----- often misdiagnosed as frozen shoulder

what would you see with RROM= ----
--- or ---- free

see poor ----- kinematics
-would see excessive ---- --- and ---- trunk ----

would see shoulder ---- due to --- ---

are there special tests? - Answers- AROM= PROM
both
RTC
strong
painful or pain free
scapulohumeral
scapular elevation excessive contralateral trunk lean

atrophy
non use

no

What's this structure?

•Fibrocartilaginous rim

•Assists in providing stability to glenohumeral joint

•Long head of the biceps has direct attachment superiorly

•Damage often results in structural ---- of joint - Answers- glenoid labrum

instability

If you know your pt has labral tear what tendon might you want to check the integrity of?
- Answers- biceps

is the glenoid labrum a pain generating tissue? - Answers- yes

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