Thumb goniometry Flashcards

1
Q

CMC flexion:
plane =
axis =
range =

A

CMC flexion:
plane = frontal
axis = ant/post
range = 0-15

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2
Q

CMC flexion:

position =

A

CMC flexion:
position = sitting, forearm in full supination with wrist neutral and fingers relaxed, thumb against lateral side of 2nd digit(arbitrary zero)

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3
Q

CMC flexion:

stabilize =

A

CMC flexion:

stabilize = carpal bones to prevent wrist motion

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4
Q

CMC flexion:

end-feel =

A

CMC flexion:

end-feel = soft(muscle bulk) or firm(EPB and APB)

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5
Q

CMC flexion:

fulcrum =

A

CMC flexion:

fulcrum = palmar aspect of 1st CMC joint

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6
Q

CMC flexion: Gon. position:
stationary =
moving =

A

CMC flexion: Gon. position:
stationary = palmar midline of radius
moving = palmar midline of 1st metacarpal

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7
Q

CMC extension:
plane =
axis =
range =

A

CMC extension:
plane = frontal
axis = ant/post
range = 0-20

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8
Q

CMC extension:

position =

A

CMC extension:

position = sitting, forearm in full supination with wrist neutral and fingers relaxed, thumb at arbitrary zero

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9
Q

CMC extension:

end-feel =

A

CMC extension:

end-feel = firm(FPB, AP, OP)

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10
Q

CMC extension:

stabilize =

A

CMC extension:

stabilize = carpal bones to prevent wrist motion

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11
Q

CMC extension:

fulcrum =

A

CMC extension:

fulcrum = palmar aspect of 1st CMC joint

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12
Q

CMC extension: Gon. position:
stationary =
moving =

A

CMC extension: Gon. position:
stationary = palmar midline of radius
moving = palmar midline of 1st metacarpal

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13
Q

Palmar Abd/adduction:
plane =
axis =
range =

A

Palmar Abd/adduction:
plane = sagittal
axis = coronal
range =0-70

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14
Q

Palmar abd/adduction:

position =

A

Palmar abd/adduction:

position = sitting, forearm and wrist neutral supported on table

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15
Q

Palmar abd/adduction:

stabilize =

A

Palmar abd/adduction:

stabilize = carpal bones to prevent wrist motion

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16
Q

Palmar abd/adduction:

end-feel =

A

Palmar abd/adduction:

end-feel = firm(web space skin and fascia, AddP)

17
Q

Palmar abd/adduction:

fulcrum =

A

Palmar abd/adduction:

fulcrum = between dorsal aspects of 1st and 2nd metacarpal

18
Q

Palmar abd/adduction: Gon. position:
stationary =
moving =

A

Palmar abd/adduction: Gon. position:
stationary = lateral midline of 2nd metacarpal
moving = lateral midline of 1st metacarpal

19
Q

opposition:
plane =
axis =
range =

A

opposition:
plane = multiplanar
axis =
range =

20
Q

opposition:

position =

A

opposition:

position = sitting, forearm in full supination with wrist neutral and fingers relaxed

21
Q

opposition:

stabilize =

A

opposition:

stabilize = 5th metacarpal to prevent wrist motion

22
Q

opposition:

end-feel =

A

opposition:

end-feel = soft(muscle bulk) or firm(EPB)

23
Q

opposition:

measurement =

A

opposition:

measurement = with ruler, measure distance between thumb tip to base or tip of 5th digit

24
Q

MCP Flex/extension:
plane =
axis =
range =

A

MCP Flex/extension:
plane = frontal
axis = ant/post
range = 0-50

25
Q

MCP flex/extension:

position =

A

MCP flex/extension:

position = sitting, forearm in full supination with wrist neutral and fingers relaxed

26
Q

MCP flex/extension:

stabilize =

A

MCP flex/extension:

stabilize = 1st MC to prevent thumb CMC flexion and opposition or wrist motion

27
Q

MCP flex/extension:
end-feel:
flex =
ext =

A

MCP flex/extension:
end-feel:
flex = hard or firm
ext = firm(palmar jt capsule, FPB, intersesamoid lig)

28
Q

MCP flex/extension:

fulcrum =

A

MCP flex/extension:

fulcrum = dorsal aspect of MCP joint

29
Q

MCP flex/extension: Gon. position:
stationary =
moving =

A

MCP flex/extension: Gon. position:
stationary = dorsal midline of metacarpal
moving = dorsal midline of proximal phalanx

30
Q

IP flex/ext:
plane =
axis =
range =

A

IP flex/ext:
plane = frontal
axis = ant/post
range = 0-80

31
Q

IP flex/ext:

position =

A

IP flex/ext:

position = sitting, forearm in full supination with wrist neutral and fingers relaxed

32
Q

IP flex/ext:

stabilize =

A

IP flex/ext:

stabilize = proximal phalanx to prevent MCP motion

33
Q

IP flex/ext:
end-feel:
flex =
ext =

A

IP flex/ext:
end-feel:
flex = firm(dorsal jt capsule and lig)
ext = firm(palmar jt capsule, lig)

34
Q

IP flex/ext:

fulcrum =

A

IP flex/ext:

fulcrum = dorsal aspect of IP joint

35
Q

IP flex/ext: Gon. Position:
stationary =
moving =

A

IP flex/ext: Gon. Position:
stationary = dorsal midline of proximal phalanx
moving = dorsal midline of distal phalanx