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Functional Anatomy > Elbow/Forarm/Wrist/Hand > Flashcards

Elbow/Forarm/Wrist/Hand Flashcards

(70 cards)

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1
Q

Normal Range Elbow Flexion/Extension

A

Flexion- 150 (normal end feel soft)
Extension- 0-15 (normal end feel hard/firm)

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2
Q

Normal Range Forearm Pronation/Supination

A

Supination- 80-90 (normal end feel firm)
Pronation- 80-90 (normal end feel firm/hard)

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3
Q

Normal Range Wrist Flexion/Extension

A

Flexion- 80 (normal end feel firm)
Extension- 70 (normal end feel hard)

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3
Q

Normal Range Finger MCP Flexion/Extension

A

Flexion- 90 (normal end feel firm)
Extension- 45 (normal end feel firm)
ROM increases with lesser digits

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3
Q

Normal Range Wrist Ulnar/Radial Deviation

A

Radial- 20 (normal end feel firm/hard)
Ulnar- 30 (normal end feel firm)

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3
Q

Normal Range Finger IP Flexion/Extension

A

PIP Flexion- 100 (soft/firm/hard)
DIP Flexion- 90 (firm)
Extension- 0 (firm)

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4
Q

Normal Range Finger MCP Adduction/Abduction

A

None - usually firm/soft end feel

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4
Q

Normal Range Thumb CMC Flexion/Extension

A

Flexion- 15 (soft)
Extension- 30 (firm)

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4
Q

Normal Range Thumb CMC Abduction

A

70 (firm)

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5
Q

Normal Range Thumb Opposition

A

none - soft end feel

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6
Q

Substitutions Elbow Flexion/Extension

A

Flexion: Trunk extension, shoulder flexion, scapular depression, wrist flexion
Extension: Trunk flexion, shoulder extension, scapular elevation, wrist extension

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7
Q

Substitutions Forearm Pronation/Supination

A

Shoulder abduction/adduction, internal/external shoulder rotation

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8
Q

Substitutions for Wrist Flexion/Extension

A

Radial/Ulnar deviation
Make sure fingers relaxed

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9
Q

Substitutions for Wrist Radial/Ulnar Deviation

A

Wrist flexion/extension, Abduction/adduction of MCP’s

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10
Q

Substitutions for Finger MCP Flexion/Extension

A

none- IP joint relaxed

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11
Q

Substitutions for Finger MCP abduction/adduction

A

none - flex other fingers out of way to allow full ROM

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12
Q

Substitutions for Finger IP Flexion/Extension

A

none

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13
Q

Substitutions for Thumb CMC Flexion/Extension

A

none - measure 0 as relaxed, adducted position

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14
Q

Substitutions for Thumb CMC Abduction

A

none - measure 0 as relaxed, adduction postion

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15
Q

Substitutions for Thumb Opposition

A

none

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16
Q

Biceps Brachii Muscles and action

A

P: Biceps brachii
A: Brachialis, brachioradialis, pronator teres, ECRL, ECRB
Action: elbow flexion in supination

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17
Q

Biceps Brachii Substitutions

A

none

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18
Q

Brachialis Muscles and action

A

P: brachialis
A: biceps brachii, brachioradialis, pronator teresm ECRL, ECRB
Action: elbow flexion

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19
Q

Brachialis Substitutions

A

none

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20
Brachioradialis Muscles and action
P: brachioradialis A: biceps brachii, brachhialis, pronator teres, ECRL, ECRB Action: elbow flexion with neutral forearm
21
Brachioradialis Substitutions
none
22
Triceps Brachii Muscles and action
P: Triceps brachii A: Anconeus Action: elbow extension
23
Triceps brachii substitutions
none - can be tested prone
24
Supinator and Biceps Brachii Muscles and action
P: supinator and biceps brachii A: none Action: supination
25
Supinator and biceps brachii substitutions
shoulder external rotation, shoulder adduction, ipsilateral trunk flexion
26
Pronator Teres and Pronator Quadratus Muscles and action
P: Pronator teres and pronator quadratus A: None Action: pronation
27
Pronator teres and pronator quadratus substitutions
shoulder abduction, shoulder internal rotation, contralateral trunk flexion
28
Flexor carpi radialis Muscles and action
P: Flexor Carpi Radialis A: FCU, palmaris longus Action: wrist flexion and radial deviation
29
Flexor Carpi Radialis Substitutions
straight wrist flexion (FCU compensating), finger flexion
30
Extensor Carpi Radialis Longus and Brevis Muscles and action
P: Extensor Carpi Radialis Longus and Brevis A: ECU Action: wrist extension and radial deviation
31
Extensor Carpi Radialis Longus and Brevis Substitutions
Straight wrist flexion (ECU compensating), finger extension
32
Extensor Carpi Ulnaris Muscles and action
P: extensor carpi ulnaris A: ECRL, ECRB Action: wrist extension and ulnar deviation
33
Extensor Carpi Ulnaris Substitutions
Straight wrist extension (ECRL, ECRB compensating), finger extension
34
Extensor Digitorum (and EI, EDM) Muscles and action
P: extensor digitorum and EI, EDM A: Extensor Digiti minimi, Extensor indicus Action: MCP extension
35
Extensor Digitorum (and EI, EDM) substitutions
none - maintain wrist stabilization
36
Dorsal interossei (and AbDM) Muscles and action
P: dorsal interossei and AbDM A: none Action: MCP abduction
37
Dorsal Interossei (and AbDM) substitutions
none - maintain MCP joints neutral - gravity eliminated
38
Palmar Interossei muscles and action
P: palmar interossei A: none Action: MCP adduction
39
Palmar interossei substitutions
none - maintain CMP joints neutral - gravity elminated position
40
Lumbericals Muscles and action
P: Lumbericals A: Palmar and dorsal interossei, flexor digiti minimi Action: MCP flexion and IP extension
41
Lumbericals substitutions
none - gravity elminated
42
Flexor digiti minimi Muscles and action
P: flexor digiti minimi A: 4th lumborical, 4th palmar inerosseus, AbDM Action: 5th MCP flexion
43
Flexor digiti minimi substitutions
Use of FDS/FDP, watch for flexion of other fingers
44
Flexor digitorum superficialis muscles and action
P: flexor digitorum superficialis A: FDP Action: PIP flexion
45
Flexor digitorum superficialis substitutions
test each finger individually to avoid contributions from FDP
46
Flexor Digitorum profundus muscles and action
P: flexor digitorum profundus A: none Action: DIP flexion
47
Flexor digitorum profundus substitutions
none
48
Flexor pollicis longus muscles and action
P: flexor pollicis longus A: none Action: Thumb IP extension
49
Flexor pollicis longus substitutions
none
50
Flexor Pollicis Brevis muscles and action
P: flexor pollicis brevis A: FPL Action: Thumb MCP flexion
51
Extensor Pollicis longus muscles and action
P: extensor pollicis longus A: EPL Action: Thumb IP extension
52
Extensor Pollicis Longus substitutions
none
53
Extensor Pollicis Brevis Muscles and action
P: extensor Pollicis brevis A: EPL Action: thumb MCP extension
54
Extensor Pollicis Brevis Substitutions
Watch for extension of IP joint (EPL contributions)
55
Adductor Pollicis Longus Muscles and action
P: adductor pollicis longus A: none Action: Thumb radial abduction
56
Adductor pollicis longus substitutions
palmar abduction from AbPB
57
Abductor Pollicis Brevis Muscles and action
P: Abductor Pollicis brevis A: none Action: Thumb palmar abduction
58
Abductor Pollicis Brevis Substitutions
radial abduction from AbPL
59
Adductor Pollicis Muscles and action
P: adductor pollicis A: FPB Action: Thumb adduction
60
Adductor Pollicis substitutions
Flexion of thumb
61
Opponens Pollicis and Opponens digiti minimi Muscles and action
P: Opponens Pollicis, opponens digiti minimi A: AbPH, AdP, FBP Action: 1st/5th finger opposition
62
Opponens Pollicis and Opponens digiti minimi substitutions
Flexion of thumb IP/MCP joints
63
Flexor Pollicis Brevis substitutions
Watch for flexion of IP joint (FPL contributions)
64
Flexor Carpi Ulnaris muscles and action
P: flexor carpi ulnaris A: FCR, palmaris longus action: wrist flexion and ulnar deviation
65
Flexor Carpi ulnaris substitutions
watch for straight wrist flexion (FCR compensating), finger flexion

Functional Anatomy (5 decks)

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