MSK 1 Quiz 2

Anatomy

100

What are the 5 primary internal rotators?

1. Subscapularis 

2. Teres major 

3. Deltoid - anterior 

4. Latissimus Dorsi

5. Pectoralis Major 

200

What muscles are responsible for upward rotation of the scapula?

1. Upper trapezius 

2. Middle trapezius 

3. Serratus anterior 

300

Name 3 ligaments responsible for providing stability to the GH joint against anterior translation

1. Coracohumeral 

2. Superior GH 

3. Inferior GH (anterior band)

400

What are the 5 muscles primarily responsible for scapular control? 

1. Trapezius 

2. Serratus Anterior 

3. Pectoralis minor 

4. Rhomboids 

5. Levator Scapulae 

500

Name 1 ligament that the most effective stabilizer against inferior translation of the humeral head when the arm is elevated >45 degrees: 

Inferior GH ligament 

Pathologies

100

Risk factors/contributing factors to Adhesive Capsulitis 

Diabetes 

Hypothyroidism 

Lower BMI 

Family history 

Previous arm h/o frozen shoulder 

200

Stage II of "frozen Shoulder" is more _____ than ______

Stiff, Pain 

300

Location/cause of Bankart lesion

Tear of IGHL 

associated with anterior dislocation

400

MOI for SLAP Tear 

Acute trauma 

1. FOOSH 

2. Direct blow to the shoulder

3. Sudden inferior pull (e.g. drop something heavy) 

4. Anterior traction (e.g. water skiing) 

5. Superior traction (e.g. gymnast, reach overhead to stop a fall) 

Chronic repetitive

1. Traction of bicep in overhead athletes  

500

Variant of TOS 

Paget-Shroetter Syndrome 

Special tests

100

Physical performance measures (PPM)

Designed to assess dynamic muscle strength and power 

1. CKQUEST 

2. UQYBT 

3. Single Arm Shot Put

200

Test for AC Joint 

Test for anterior instability 

1. Active compression

2. Anterior Instability test 

300

Tests for SLAP tear 

1. Passive distraction 

2. Passive compression 

3. Modified Dynamic Labral Shear 

4. Apprehension Relocation Test 

400

Tests for Subscapularis Tendinopathy 

1. Belly off 

2. Modified belly press

3. Bear hug 

4. Lift-off

500

Tests for Impingement/rotator cuff

1. Lateral Jobe 

2. ERLS 

3. Painful Arc 

4. Infraspinatus Test 

5. Shrug Test 

Clusters

100

Rotator cuff tear (full thickness) 

1. Age > 60 AND 

2. + Painful arc test AND 

3. + Drop arm test AND 

4. + Infraspinatus test 

200

Impingement  

1. + Hawkins-Kennedy test AND 

2. + Painful arc test AND 

3. + Infraspinatus test  

300

Radiculopathy 

1. + ULTT 

2. + Spurling's 

3. + Cervical distraction 

4. ROM < 60 degrees of rotation 

400

Rotator cuff tear (not full thickness) 

1. Age > 65 AND 

2. Weakness in external rotation AND 

3. Night Pain 

500

Myelopathy 

1. > 45 years 

2. + Hoffman's 

3. + Inverted Supinator 

4. + Babinski 

5. Ataxic Gait 

Miscellaneous

100

Order of examination sequence 

1. Patient history 

2. Observation 

3. Screening 

4. Active Physiologicals 

5. Passive Physiologicals 

6. Passive acccessories 

7. Muscle performance 

8. Palpation 

9. Special tests 

200

Shoulder specific questions 

1. Which is your dominant hand? 

2. Do YOU have a history of CV disease? 

3. History of smoking?

4. Imaging? 

5. Age? 

300

What is Mulligan stretching?

Mulligan takes advantage of these mobs but adds movement in the direction you are trying to achieve. Mulligan strives for a pain free technique 

400

Shoulder treatment categories 

1. Pain control 

2. Patient education 

3. Mobility 

4. Strengthening, motor activation and control 

500

This pathology is common amongst an athletic population accounting for 40-50% of all athletic shoulder injuries. 

Direct trauma to shoulder with arm adducted, or fall onto outstretched (FOOSH) hand/elbow 

AC Joint separation