Shared Flashcard Set

Details

Painful Shoulder Orthos
NMS Diagnosis
11
Health Care
Professional
04/22/2013

Additional Health Care Flashcards

 


 

Cards

Term
With the patient seated and their arms hanging in the neutral position, pull down on the arm. If there is a visible separation of the acromioclavicular joint = acromioclavicular separation
Definition
Acromioclavicular traction
Term
Passively abduct the seated patient’s extended arm to just above the level of the shoulder. Tell the patient to let the arm down slowly when you let go. If this action causes pain and results in the patient hunching the deltoid = rotator cuff injury = tear in the supraspinatus tendon.
Definition
Codman [Drop Arm]
Term
Palpate the seated patient’s shoulder feeling for a localized area of tenderness. With the fingers on this painful spot, passively abduct the patient’s arm. If this action causes the pain to disappear when the arm is abducted = subacromial bursitis.
Definition
Dawbarn
Term
Ask the seated patient to place the hand of the affected side on the opposite shoulder and attempt to touch the chest with the elbow. If the patient is unable to touch the chest = anterior shoulder dislocation.
Definition
Dugas
Term
Abduct the seated patient’s shoulder to 900 with the elbow in extension. Ask the patient to hold this position while you try to adduct the arm. Asked the patient to turn the shoulder so that the thumb is facing the floor while maintaining abduction. If there is any pain while the shoulder is being medially rotated and held in abduction = supraspinatus injury.
Definition
Empty Can [Jobe or supraspinatus press test]
Term
Raise the seated patient’s arm to approximately 900 of shoulder flexion with one hand while your other hand stabilizes the scapula. Forcibly internally rotate the arm. If this action reproduces the patient’s shoulder pain = impingement or rotator cuff tendonitis.
Definition
Hawkins-Kennedy
Term
Slightly abduct the seated patient’s arm and move the shoulder through full flexion by bringing the arm across the anterior chest of the patient. If this action causes pain in the shoulder = injury to the supraspinatus tendon.
Definition
Impingement
[painful arc]
Term
Ask the patient to place the palm of the affected upper limb over the top of the opposite shoulder. If this aggravates the pain = adhesive capsulitis
Definition
Mazion shoulder maneuver
Term
Passively elevate arm into forward flexion. If this action causes pain = impingement syndrome
Definition
Neer
Term
With the patient standing, ask them to extend the elbow, supinate the forearm, flex the arm and hold that position. Attempt to push the forearm down. If there is pain in the bicipital groove = bicipital tendonitis.
Definition
Speed
Term
Asked the seated patient to flex the elbow to 900 and hold the forearm in a pronated position. Instruct the patient to supinate the forearm while you hold the patient’s hand in that fixed position. If this action causes pain or an audible click in the region of the intertubercular groove of the humerus = tenosynovitis of the long head of the biceps.
Definition
Yergason
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