MS - Posterior MyoChains - Upper Extremity TX Flashcards
Posterior Myochain Scan
Above STL in Lymphatic Row
POSTERIOR MYO-CHAINS (Medial with P/A Bias)
Also on Myo-Chain: Anterior Axillary Line (Medial with A/P Bias) / Eye Myo-Chains (Medial)
CARTILAGE (P/A) / TRAC, TMJ, EUS, SEPT (P/A)
LYMPHATICS (Lat - includes PINT-LV, AINT-LV) / Dental Veins (Lateral between Eye 3-4 Myochain)
SVE (A/P)
All Myo-Chain TP#1 located over side of Spinous Process
App lat to med
CSS1 TX
STLP
STL app pos to ant bias
Superior aspect parietal bone (Inf to STL) in sup, med, and post direction
UEC6
Upper Trapezius Chain / Anterior Axillary Fascia
TP#1: Side of C6 Spinous Process
App lat to med
TP#2: Medial Axilla btwn Pec Major and arm NV bundle
App inf to sup
TP#3: Upper Trapezius mm at base of neck
TP#4: Superior GH Jt Line, Ant to Acromion and Post to Coracoid Process
App med to lat
TX: Shoulder: Flex, IR Marked, ADD Mild /
Wrist: Ext Mod / Fingers: Ext Digits 2-5
UEC7
“I’m The Boss” / Shoulder Capsule Chain
TP#1: Side C7 Spinous Process
App lat to med
TP#2: GH Jt Line / Capsule, lat to Coracoid Process (Monitor Point)
App med to lat
TP#3: Adductor Pollicis (btwn thumb and index finger)
TX: Shoulder Flex 80-90 Degrees, Horizontal ADD Mod / Elbow Flex Mod / Wrist Radial Deviation / Thumb ABD
UET1
“You’re Under Arrest” / Pectoralis Minor Chain
TP#1: Side T1 Spinous Process
App Lat to Med
TP#2: Inf Coracoid Process
TP#3: Abductor Digiti Minimi (Little finger side of hand)
TX: Shoulder IR behind back / Wrist Flex / Thumb Ext
UET2
Levator Scapulae Chain
TP#1: Side T2 Spinous Process
App lat to med
TP#2: Trapezoid Ligament (Ant Inf aspect of Clavicle, Sup to Coracoid Process)
TP#3: Levator Scapulae mm (sup-med insertion at angle of Scapula)
TX: Scapular Elevation and ADD / Shoulder Ext / Elbow Ext / Wrist Ext and Ulnar Deviation / 5th Digit ABD
UET3
“Statue of Liberty” / Posterior Axillary Fascial Chain
TP#1: Side T3 Spinous Process
App lat to med
TP#2: High in lat axilla btwn Latissimus and NV bundle of arm
App Inf to Sup into inf axilla
TP#3: Sup attachment Conoid Lig (2-3F med to AC Jt on Post / Inf surface Clavicle)
TP#4: 1st Dorsal Interosseus Muscle
TX: Shoulder marked Flex, IR, ABD / Wrist Ext / Fingers 2-5 Ext
UET5
“Swear an Oath” / Teres Minor Chain
TP#1: Side T5 Spinous Process
App lat to med
TP#2: Post GH Jt Line / 2F Inf to Acromion (Mid Post Jt line)
App med to lat
TP#3: Teres Minor, mid belly (Med to Post aspect of Greater Tuberosity, through Post Deltoid)
TX: Shoulder ER / Elbow Flex / Fingers 2-5 Ext
UET6“Force Push” / Pec Minor / Thumb Abductor
TP#1: Side T6 Spinous Process
App lat to med
TP#2: Lat Scaphoid Bone
TP#3: Pectoralis Minor mm
TX: Shoulder Flex ~60 degrees, Mild ADD / Wrist Ext and Mod Radial Deviation / Thumb ABD
UET7
Middle Trapezius Chain
TP#1: Side T7 Spinous Process (monitor point)
App lat to med
TP#2: Ant Elbow Lat Epicondyle
TP#3: Middle Trapezius med to upper scapula, btwn ribs 4 and 5
TX: Shoulder ABD ~100 degrees / Elbow Ext / Fingers 2-5 Ext
UET8
Crossed Latissimus Chain
TP#1: Side T8 Spinous Process
App lat to med
TX: Prone or side-lying on unaffected side / Shoulder Horizontal Ext ~ 40 degrees twd OPP side / Wrist Ext and Radial Deviation
UET9
Lower Trapezius Chain
TP#1: Side T9 Spinous Process
App lat to med
TP#2: Middle Lower Trapezius mm, at Rib 8
TX: Shoulder Mod ABD / Elbow EXT / Finger Digits 2-5 Ext
UET10
Serrato-Costal Fascia
TP#1: Side T10 Spinous Process
App Lat to Med
TP#2: Ant-lat border of Scapula mid-scapula to inf angle of scapula
TP#3: Origin of Serratus
Ant on lat 6th rib
TX: Glide Scapula Ant / Lat / Inf direction (Scapular Plane)Tune with Shoulder ABD
UET11“Chicken Wing” / Latissimus / Gluteal Chain
TP#1: Side T11 Spinous Process
App lat to med
TP#2: Inf Humeral Lesser Tuberosity
TP#3: Lower, lat Latissimus Dorsi mm at Rib 11th
TX: Dorsum of Wrist against Ipsi Iliac Crest / Hip ABD / Shoulder ABD 45 degrees with IR / Wrist Ulnar deviation / Traction along Humerus
