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chap 5 Flashcards

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1
Q

the gh joint is what type of joint

A

multiaxial-ball and socket

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2
Q

the gh joint depends primarily on _____ for supp, stab and integrity

A

muscles and ligaments

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3
Q

RP of GH joint

A

55° abd and 30° hor. add

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4
Q

CPP of GH joint

A

full abd and ER

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5
Q

capsular pattern of GH joint

A

ERAbIR

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6
Q

what are the primary ligaments of the GH joint

A

sup, mid, inf GH ligaments

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7
Q

innervation of the GH joint

A

branches of post cord of BP
suprascapular
axillary
lateral pectoral

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8
Q

it unites the supraspinatus and subscapularis tendons

A

coracohumeral ligament

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8
Q

components of rotator interval

A

coracohumeral lig, sup GH lig, GH capsule, tendons of supraspinatus and subscapularis

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9
Q

type of joint of AC joint

A

plane synovial

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10
Q

RP of AC joint

A

anatomical pos

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11
Q

CPP of AC joint

A

90° abd

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12
Q

capsular pattern of AC joint

A

extreme hor add and full ext

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13
Q

primary support of AC joint

A

coracoclavicular lig

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14
Q

first lig injured when AC joint is stressed

A

coracoclavicular lig - step deformity

since it controls vertical motion

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15
Q

most common type of claviclce

A

type 2 or curved

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16
Q

type of clavicle that causes rot cuff tears

A

type 3 or hooked - 70% of rot cuff tears

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17
Q

innervation of AC joint

A

branches of suprascapular and lateral pectoral nerve

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18
Q

type of joint of SC joint

A

saddle synovial

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19
Q

main lig of SC joint

A

costoclavicular lig

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20
Q

RP of SC joint

A

anatomical pos

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21
Q

CPP of SC joint

A

full elevation and protraction

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22
Q

capsular pattern of SC joint

A

extremes hor add and full elevation

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23
Q

innervation of SC joint

A

ant supraclavicular nerve and nerve to subclavius

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24
_____ consists of the body of scapula and muscles covering the posterior chest wall
scapulothoracic jt.
25
function of scapulothoracic jt.
funnels the forces from trunk and legs into the arm
26
what is scapular dyskinesia
SICK malpositioned Scap prominent Inferomedial border Coracoid pain and malposition scapulat dysKinesia
27
type 1 scapular dyskinesia
inferior medial border prominent at rest, scapular tilt, while acromion tilts anteriorly over the top of thorax
28
type 2 scapular dyskinesia
classic winging - whole medial border prominent and lifting away
29
type 3 scapular dyskinesia
superior border elevated at rest and movement
30
type 4 scapular dyskinesia
scapulae symmetrical, rotary winging - normal scapula
31
phase 1 of scapulohumeral rhythm
humerus - 30° abd scapula - minimal; setting phase clavicle - 0° to 5° elevation
32
phase 2 of scapulohumeral rhythm
humerus - 40° abd scapula - 20° rotation, minimal protraction or elevation clavicle - 15° elevation
33
phase 3 of scapulohumeral rhythm
humerus - 60° abduction, 90° lateral rotation scapula - 30° rotation clavicle - 30° to 50° posterior rotation, up to 15° elevation
34
most common MOI for traumatic shoulder disloc
abd, ER, ext
35
most common direction for shoulder disloc
anterior inferior
36
SLAP
superior labrum - AP
37
bankart/magnison
anteroinferior
38
presentation of TOS
deep, boring toothache-like pain in neck, shoulder tender 1st rib arm weakness
39
TUBS
Traumatic onset, Unidirectional anterior with a Bankart lesion responding to Surgery
40
AMBRI
Atraumatic cause, Multidirectional with Bilateral shoulder findings with Rehabilitation as appropriate treatment and, rarely, Inferior capsular shift surgery)
41
time frame of acute
7-10 days
42
time frame of subacute
10 days to 7 wks
43
time frame of chronic
> 7 wks
44
_____ leads to osteoporosis and joint laxity
steroids
45
used to measure distance from 3 points of medial border of scap c respect to spine
lennie test
46
grading tenderness of Grade I
Grade I—Patient complains of pain
47
grading tenderness of Grade 2
Grade II—Patient complains of pain and winces
48
grading tenderness of Grade 3
Grade III—Patient winces and withdraws the joint
49
grading tenderness of Grade 4
Grade IV—Patient will not allow palpation of the joint
50
____ first before PROM
AROM
51
Movement that is strong and pain free
no lesion of the contractile unit
52
Movement that is strong and painful
local lesion of the muscle or tendon
53
Movement that is weak and painful
severe lesion around that joint, such as a fracture
54
Movement that is weak and pain free
rupture of a muscle (third-degree strain) or its tendon or involvement of the peripheral nerve or nerve root supplying that muscle
55
C4 dermatome
shoulder area
56
C6 dermatome
anterior arm
57
C8 dermatome
medial arm
58
DTR of bicep
C5-C6
59
DTR of triceps
C7-C8
60
DTR of brachioradialis
C5-C6
61
DTR 0
absent
62
DTR 2+
normoreflexive
63
DTR 3+
hyperreflexive
64
DTR 4+
clonus
65
agonist and antagonists of scapular protraction
A - serratus ant and pec major + minor AT - traps and rhomboids
66
agonist and antagonists of scapular retraction
A - traps and rhomboids AT - serratus ant and pec major + minor
67
agonist and antagonists of scapular elevation
A - upper traps and lev scap AT - serratus ant and lower traps
68
agonist and antagonists of scapular depression
A - serratus ant and lower traps AT - upper traps and lev scap
69
agonist and antagonists of scapular lateral rot (upward rot of inferior angle)
A - upper and lower traps, serratus ant AT - lev scap, rhomboids, pec minor
70
agonist and antagonists of scapular medial rot (downward rot of inferior angle)
A - lev scap, rhomboids, pec minor AT - upper and lower traps, serratus ant
71
agonist and antagonist of scapular stabilization
A - upper traps, lower traps, rhomboids AT - serratus ant
72
agonist and antagonist of humeral abd
A - deltoids AT - supraspinatus
73
agonist and antagonist of humeral medial rot
A - subscap, pec major, lats, anterior delt AT - infraspinatus, teres minor, posterior deltoid
74
agonist and antagonist of humeral lateral rot
A - infraspinatus, teres minor, posterior deltoid AT - subscap, pec major, lats, anterior delt
75
what are the ligs that is intracapsular extrasynovial
ICES ACL, PCL, long head of bicep

mske (6 decks)

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