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Pathology of Shoulder
Pathology of nerves and muscles related to the shoulder.
39
Pathology
Professional
09/13/2009

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Cards

Term
What is narrowing impingement syndrome?
Definition
a narrowing of the space below the acromion and an inflammatory swelling of the synovial bursa. Referred to as narrowing or mechanical impingement syndrome.
Term
What are the 4 types of brachial plexus injuries?
Definition
avulsion- tearing away nerve from spine
rupture- tearing of nerve but not from spine
neurome- scar tissue puts pressure on nerve
neuropraxia- stretching of nerve
Term
What is the most severe type of brachial plexus injury?
Definition
avulsion
Term
What is the most common type of brachial plexus injury?
Definition
neuropraxia
Term
What are the common sites of injury in the brachial plexus?
Definition
axillary nerve
radial nerve (crutch/saturday night palsy)
upper trunk (waiters tip sign)
lower trunk
Term
What nerve of the brachial plexus is affected in the injury called waiters tip sign?
Definition
upper trunk
Term
what nerve is affected in the injury called crutch/sat night palsy?
Definition
radial nerve
Term
If your patient is unable to extend his elbow or wrist, what injury might he have?
Definition
crutch/sat night palsy
radial nerve
Term
What might cause Erb-Duchenne's palsy?
Definition
trauma at birth, damage to upper roots C5 and C6.
Term
What are the four signs of Erb-Duchenne's palsy?
Definition
internal rotation of the arm, extension of the elbow, pronation of the forearm, flexion of the fingers
Term
Damaging the lower roots of C8 and T1 might cause what injury?
Definition
Klumpke's paralysis
Term
A claw hand might be a sign of what injury?
Definition
lower roots of C8-T1, Klumpke's paralysis.
Term
What is the second leading cause in cancer of death of women?
Definition
breast cancer
Term
Lymph is a clear fluid that travels though ____________ and circulates through ___________.
Definition
arteries, tissues
Term
Lymph fluid circulates through tissues and does what?
Definition
cleanse and keeps them firm
Term
Lymph nodes are ___________ along the lymphatic system.
Definition
filters
Term
What do lymph nodes do?
Definition
filter out and trap bacteria and safely eliminate them from the body
Term
Absence of what muscle would cause the nipple to be more inferior on one side?
Definition
pectoralis major, due to absence of muscle and with that absence of fascia that would overly pec major.
Term
What nerve is affected with winged scapula?
Definition
long thoracic nerve
Term
When the long thoracic nerve is injured, what muscle is paralyzed?
Definition
serratus anterior
Term
When the thoracodorsal nerve is injured, what muscle is paralyzed?
Definition
latissimus dorsi
Term
When the latissimus dorsi is paralyzed, what problems will a person have?
Definition
unable to raise trunk (climbing). Cannot use an axillary crutch because the shoulder is pushed superiorly by it.
Term
If you have injury to what muscle you cannot use an axillary crutch?
Definition
latissimus dorsi
Term
If you have injury to what nerve you can not use an axillary crutch?
Definition
thoracodorsal
Term
If you have injury to the dorsal scapular nerve, what muscles are affected?
Definition
rhomboids
Term
If the rhomboids of one side are paralyzed, the scapula on the affected side is located more medial/lateral than other side.
Definition
laterally
Term
The one scapula is more lateral than another, there is probably an injury to what nerve? what muscle?
Definition
dorsal sacral nerve, rhomboids
Term
Fracture of the proximal end of the humerus will cause injury to what nerve?
Definition
axillary
Term
Damage to axillary may be caused by what?
Definition
fracture of proximal end of humerus or dislocation
Term
What nerve winds around the surgical neck of the humerus?
Definition
axillary
Term
Injury or disease may damage the _______________ rotator cuff, causing ______________ of the glenohumeral joint.
Definition
musculotendinous, instability
Term
What is common in older people that may cause damage to the musculotendinous rotator cuff?
Definition
degenerative tendontitis of the rotator cuff
Term
What is the most commonly torn part of the rotator cuff?
Definition
supraspinatous
Term
Why is the supraspinatous the most commonly torn tendon of the rotator cuff.
Definition
it is relatively avascular
Term
When the supraspinatous tendon is torn or eroded, it does what?
Definition
causes two associated bursae to communicate
Term
If a patient has subacromial bursitis, they experience pain when?
Definition
abduction of the arm between 50 and 130 degrees.
Term
The acromioclavicular joint is weak/strong.
Definition
weak
Term
An AC joint injury is severe when what happens?
Definition
both the AC and coracoclavicular ligaments are torn.
Term
When the coracoclavicular ligament tears the shoulder does what?
Definition
separates from the clavicle because of the weight of the upper limb.
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