MOI
What is the MOI for Pectoralis Rupture?
Forceful contraction (ex. benchpress weightlifting)
What special test targets the subscapularis?
The lift-off test
What are S&S you may notice with a contusion?
swelling, pain, tenderness, loss of function
What does a 2nd degree SC Joint sprain signify?
Partial ligament tearing; mild displacement and laxity of medial clavicle
The serratus anterior is innervated by which nerve?
The long thoracic
An athlete FOOSH'd during practice, what are some injuries that can occur with this mechanism?
AC joint sprain, RC strain, Posterior GH Joint Dislocation, Humeral Fracture
What are the special tests for TOS?
Adson's, Allen's, Military Brace, ROOS
In what types of Joint dislocation will the athlete present with the arm supported in slight adduction and IR?
Posterior GH Joint dislocation
What are the four main mechanisms for TOS?
1. scalenus anterior syndrome
2. cervical rib syndrome
3. costoclavicular space syndrome
4. hyperabduction syndrome
What is the origin of the biceps brachii?
Long head: supraglenoid tubercle of scapula
Short head:coracoid process of scapula
An athlete reports to you with shoulder pain immediately after completing a straight arm block; what injury may you suspect?
Posterior GH Joint Dislocation
Scarf Test, Shear Test, and the Piano Key sign are all special tests for which condition?
AC Joint Sprain
Besides pain, swelling, and deformity what is a tell tale sign that an athlete has suffered a clavicular fracture?
The athlete will present holding their arm like a sling.
What are the six types of AC joint classifications?
I- ligament stretch
II- Partial rupture of AC Ligaments
III- Complete rupture of AC/CC ligaments
IV- Clavicle displaced posteriorly
V- Clavicle displaced just under the skin
VI- Clavicle is underneath coracoid (rare)
Actions of the pectoralis major
adduction, IR, horizontal adduction, flexion, extension
What is the MOI for Shoulder Strains?
ballistic motion, overstretching, forceful contraction, and eccentric loading
You believe your athlete has GH Joint instability, what special tests could you use to confirm your diagnosis?
sulcus sign, apprehension/ relocation test, posterior drawer test
Upon evaluation, you notice your patient has shoulder pain/ weakness, rotational winging, and atrophy of the trapezius what injury do you suspect may be present?
Spinal Accessory Nerve Injury
Describe the differences between primary and secondary impingement syndrome.
Primary:
Secondary:
What is the innervation of the pectoralis major?
medial and lateral pectoral nerves
If the MOI is force-applied with abduction, ER, and hyperextension, what injury has occurred?
Anterior GH Joint Dislocation
You believe your athlete is suffering from severe bicipital tendonitis or a partial tear. Which special tests would you use to determine tendonitis vs complete tear?
Tendonitis: Speed's, Yergason's
Tear: Speed's, Ludington's
Describe the differences in pain distribution between the three forms of TOS.
Vascular Arterial: localized in hands
Neurological: localized in c-spine, shoulder, axilla, periscapular region, arm
Vascular Venous: localized in the chest and UE
If an athlete has a bucket handle tear with the labrum and biceps anchor still attached to the glenoid what snyder classification does this injury fall under?
Type III
What are the muscles of the RC and their actions?
Supraspinatus: abduction
Infraspinatus: external rotation
Teres Minor: external rotation/ stabilization
Subscapularis: internal rotation, adduction