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Extremity Clet Final Information Exam Questions and Answers 2024
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Extremity Clet Final Information Exam Questions and Answers 2024
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Extremity Clet Final InformationImpingement syndrome typical sign/symptom
•pain with overhead activity
Impingement syndrome causes/etiology
•overuse, degenerative changes
•co-exists w/ instability & excessive superior movement of humeral head
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Impingement syndrome evaluation
•Hawkins-Kennedy
•Neer Test
• Anterior Apprehension w/ Relocation test for underlying accompanying instability
• painful arc test
•Impingement sign (old test)
Impingement syndrome mgmt/goals
,•care plan based on severity
•stability, stretching, strengthening
•open chain v close chain, proprioception
•adjustments, esp. C-spine adjustments
TRY CONSERVATIVE CARE FIRST
Traumatic shoulder Instability signs/symptoms
•past hx. of shoulder dislocation
•pain/weakness overhead or apprehension position of 90 degrees flexion coupled with external
rotation and horizontal extension
Traumatic shoulder instability etiology
•acute/subacute GH dislocation
•clavicle fx, muscle contusions
Traumatic shoulder instability evaluation
•Apprehension test & variants
•Sulcus sign with load and shift
Labrum Tear presentation
•painful "clunking" and locking w/ specific movements
•loss of strength, decreased ROM, pain at night
•sense of instability
Labrum tear causes/etiology
•SLAP lesion
•acute trauma, FOOSH
•tears of rim below middle glenoid socket involving inferior GH lig = Bankart lesion
•often accompany dislocation
Labrum tear evaluation
•O'Brien sign
, •Anterior slide
•Clunk test
•Biceps load test
Labrum tears mgmt
•Refer to orthopedic surgeon
•small tears - conservative treatment
•adjustments to restore proprioception and alignment
Non-traumatic instability of shoulder signs/symptoms
•usually asymptomatic
•pain during sudden traction/pulling
•supporting arm provides relief
•fatigue & discomfort working overhead rather than actual pain
Non-traumatic instability of shoulder etiology
•aggravated by sports that stretch capsule
-swimming, throwing
Non-traumatic instability of shoulder evaluation
•Load and shift tests
•Apprehension test
•Relocation Test (reduce pain)
Non-traumatic instability of shoulder mgmt
•strengthening rotator cuff and serratus anterior
•taping/bracing (sully brace)
Adhesive capsulitis (Frozen Shoulder) signs/symptoms
•usually >40 y/o
Acute: mod-severe pain that limits shoulder use, pain when sleeping
Middle: hx of acute phase, decreased pain but discomfort, restricted ROM
Final: very slow increase in ROM but still reduced
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