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SCS (Copied) (2).
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SCS (Copied)What is a Bankart Lesion? - ANS-Anterior labral detachment
What is a hill Sac Lesion - ANS-Compression fracture of the posterolateral humeral head
What ligament is a is affect with multidirectional instability - ANS-a Loose inferior ligament.
What structures are being stressed during the wind up - ANS-the posterior/middle deltoid
What structures are being involved during the Cocking phase? - ANS-"Places AGHL and
anterior capsule on stress
This repeated action will lead to posterior impingement
infraspinatus doing 90% of the ER
This is the true ER MMT"
What structures are being involved during the accleration phase - ANS-"Provided by lats, pec
major, subscap, triceps, and serratus anterior
Can lead to labral tears, joint instability, overuse tendonitis, tendon ruptures
Elbow extension/arm acceleration is a result of centrifugal force generated by trunk rotation......
Direct result of elbow extension"
What structures are being involved Deceleration? - ANS-"> Eccentric workload of external
rotators, elbow extension deceleration by LH of the bicep.
> Can lead to injury of the bicep(LH) and stresses posterior GH joint"
What structures are being involved with Follow Through? - ANS-> Tension on posterior GH
capsule
> ER cuff muscle( minimal risk here)
What are the 6 phases of throwing? - ANS-"1) Wind-up
2) Stride
3) Arm Cocking
4) Arm Acceleration
5) Arm Deceleration
How to you test the middle gleno-humeral ligament. - ANS-> Pt. is supine at the right side of he
bed. Humerus must over the edge of the bed, but scapul in contact for stabilization.> Facing the
patient, level with the shoulder girdle.
,Therapists left arm passes over the patient forearm and grasps the humerus as close to the
humeral neck as possible... Keeping the patients arm as close to their side as possible,
therapist rotates the GHJ joint to the barrier of external rotation.The therapist maintains the
external rotation while extending the GHJ, then abducts to 45 degrees. Therapist right hand
fixes the shoudler girdle.
Stress: An anterior glide together with distraction towards the therapist sternum
How do you stress the anterior-inferior humeral ligament? - ANS-"> Pt. is supine at the right side
of he bed. Humerus must over the edge of the bed, but scapul in contact for stabilization.
> Facing the patient, level with the shoulder girdle. Therapists left arm passes over the patient
forearm and grasps the humerus as close to the humeral neck as possible... Keeping the
patients arm as close to their side as possible, therapist rotates the GHJ joint to the barrier of
external rotation.The therapist maintains the external rotation while extending the GHJ, then
abducts to 90 degrees. Therapist right hand fixes the shoudler girdle.
> Stress: An anterior glide together with distraction towards the therapist sternum."
How long to you immobilize a shoulder instability? - ANS-6-8 weeks
What is SICK scapula? - ANS-1) Scapular malposition 2) Inferior medial border prominence 3)
Coracoid pain 4) scapular dyskinesis
What is Type 1 scapular dyskinesis - ANS-Inferior medial boarder prominence.... associated
with SLAP lesion
What is Type 2 scapular dyskinesis - ANS-Medial boarder prominence... associated with SLAP
lesion
What is Type 3 scapular dyskinesis - ANS-Prominence of the superomedial border.. associated
with rotator cuff tears.
What is the 3 MOI for a brachial plexus injury? - ANS-"1. Traction caused by lateral flexion of the
neck away from the involved side (similar to the mechanism in birth trauma)
2. Direct impact to the Erb point causing compression to the brachial plexus (often associated
with poor-fitting shoulder pads)
3. Nerve compression caused by neck hyperextension and ipsilateral rotation (The neural
foramen narrows in this mechanism.)"
,What is the nerve level and muscle for Dorsal scapular nerve - ANS-1) C5... 2) both
rhomboids.... 3) scapular retraction
What is the nerve level and muscle for axillary nerve - ANS-1) C5-C6.... 2) teres minor/
deltoid.... 3) abductions of the arm/external rotation
What is the nerve level and muscle for upper subscapular - ANS-1) C5-C6.....2)
subscapularis......3) internal rotation
What is the nerve level and muscle for lower subscapular nerve - ANS-1) C5-C6.... 2)
subscapularis/teres major. 3) internal rotation/lateral
What is the nerve and muscle for suprascapular nerve? - ANS-1) C5-C6 2)
suprascapular/infraspinatus...3) abduction/external rotation
what is the nerve and muscle for long thoracic nerve? - ANS-1) C5-C6-C7....2) serratus
anterior.... 3) upward rotation of the scapula
what is the nerve and muscle for the lateral pectoral nerve? - ANS-1) C5-C6-C7.....2) upper
pectoralis major....3) adduction/flexion of the arm
What is the nerve and muscle for the medial pectoral nerve? - ANS-1) C5-C6-C7.....2) lower
pectoralis major.....3) adduction/extension/depression of the arm
What is the nerve and muscle for the thoracodorsal nerve - ANS-1) C6-C7-C8.....2) lats.....3)
extension/adduction of the arm
What is the nerve and muscle for the musculocutaneous nerve? - ANS-1) C5-C6-C7......2) bicep
brachii/coracobrachialis/brachialis...3) flexion/supination/adduction/forearm flexion
What is the nerve and muscle for the radial nerve? - ANS-1) C5-C6-C7-C8...... 2)
triceps/anconeus.......3) extension of forearm
What is the nerve and muscle for the median nerve? - ANS-1) C5-C6-C7-C8-T1.... 2) abductor
pollicis brevis/oppenens pollicis/ lumbricals 1 and 2..... 3) opposition of thumb/abduction of
thumb/extension of IP joints/flexions of MP joints
What is the nerve and muscle for the ulnar nerve? - ANS-1) C6-T1.... 2) adductor
pollicis/abductor digit minimi/lumbricals 3/4.....3)
What are the no contraindications to return to play for brachial plexus injury? - ANS-Fewer than
three episodes of prior burner/stinger last < 25 hours with full cervical motion without any
evidence of neurologic deficit.... one episode of transient quadriparesis/quadriplegia with full
, range of cervical motion. no evidence of residual neurologic deficit, and no evidence of
herniated disk or instabilty.
"Differences between grade I,IIand III AC - ANS-...
sprains with regards to specific ligaments" - ANS-1) Type 1: is a partial injury to the capsule.
Paired with an incomplete tear of the acromioclavicular ligament and joint capsule... 2) Type 2:
is a moderate injury. A partial tear of the ligament coracoclavicular with a rupture of the capsule
and the acrominclavicular ligament. Often described as a subluxation. 3) Type 3 injury: a severe
injury. Complete ruture of the acromioclavicular ligament but also the coracoclavicular ligament.
This can lead to displacement of the clavicle and therefore very unstable. This is often
described as a dislocation. Type 4: posterior dislocation.. Type 5: dislocation with serve upward
displacement of the clavicle into or through the traqezius... Type 6: This is a rare injury.
Dislocation of the clavicle inferiorly. locked under the coracoids process.
What causes SICK scapula, and what problems stem from scapular dyskinesia? - ANS-...
Special testing for the instability and labral teats. What tests are best at ruling in diagnoses, and
which are best at ruling out - ANS-...
Mechanism of injury for AC sprains, acute and chronic labral tears, as well as dislocations -
ANS-...
How does an internal impingment differ from typical subacrominal impingemen? - ANS-...
What ligaments is responsible for preventing anterior humeral translation in the 90/90 position? -
ANS-...
What are the acronymes TUBS and AMBRI? - ANS-"TUBS: Traumatic, unidirectional, bankart,
surgery.
When considering the diagnosis of MDI, it is helpful to remember the mnemonic device AMBRII:
A traumatic etiology
M ultidirectional instability
B ilateral involvement
R ehabilitative initial management
Rotator I nterval tightening with I nferior capsular shift
What specific nerve injuries could lead to scapular dyskinesia, and why are they prevalent in
pitchers? - ANS-...
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