Flashcards in Extremities Deck (32):
These are the three true joys of the shoulder.
2. Sternoclavicular – sellar Joint
3. Acromioclavicular – plane joint
This is the pseudo-joint of the shoulder.
Rotator cuff tendons
These are the stages of the Spencer technique.
Circumduction with compression
Circumduction with distraction
Abduction with internal and external rotation
Another internal rotator
Massage relaxer or limp pump
As always re-test
Name the one true joint of the elbow
Name the two accessory joints of the elbow
Radiohumeral and proximal radioulnar
What is The normal range of motion for the elbow?
160° in Flexion and 0° and extension
How is an interior Radiohead treated with OMT?
HVLA: Pronate the patient’s wrist while flexing at the elbow, grab the Radial head with a few fingers, and encourage posterior motion while hyper-flexing the elbow.
OMT for a posterior Radial head.
Contact the radial head with fingers, encouraging anterior motion while hyper extending the elbow joint.
OMT for decreased wrist pronation or supination
Direct muscle energy in a shaking hands with patient position
OMT for lateral epicondylitis.
Treat all surrounding dysfunctions then use counterstrain by supinating the forearm. Educate.
OMT for medial epicondylitis.
Treat all surrounding dysfunction, then use counterstrain by extending the elbow and pronating the forearm. Educate
OMT for metacarpal dysfunction.
Articulatory technique – wiggle it just a little bit therefore translating the metacarpal anteriorly and posteriorly with the neighboring metacarpals.
Gap and gently rotate stiff or dysfunctional phalanges.
What is the primary joint of the Hip?
What is the primary flexor of the hip, and the primary extensor of the hip?
Flexor – iliopsoas
Extensor – gluteus maximus
What is the functional hip stacking technique?
With the patient supine, palpate the anterior capsule and take the leg indirectly away from all barriers including flexion, extension, abduction, adduction, internal or external rotation, compression, or distraction.
Hold until releases felt then slowly return.
Lateral trochanteric counterstrain
patient lying either prone or supine
Palpate the tender point and then abduct the leg and it just with mild flexion, extension, and or rotation to decrease the tenderness of the point.
Hold for 90 seconds and slowly return.
Flex hip and knee to 90 degrees, abduct and externally rotate.
Hold 90 s
3 knee joints
Tibia on femur dysfunction
For: abduction, abduction, and torsion dysfunctions of the tibia on the femur.
Patient supine, physician contact above and below knee and directly apply pressure to soft tissue barriers in rotation and Varus/Valois.
Foot/tibia internally rotated
Grasp quad above knee and provide inferior force while Palpating tender point with other hand
HVLA for Anterior fibular head
Supine with pillow under knee
Internally rotate foot and ankle then thrust fibular head posteriorly while internally rotating ankle
HVLA for posterior fibular head
Supine with hip and knee flexed
Externally rotate ankle and foot with other hand in popliteal fossa
Flexed knee while applying and to your pressure on fibular head
Name the major ankle joint
Which angle ligament is most commonly torn and always tears first
Anterior talofibular ligament
HVLA for anterior tibia on Talus
Supine with position at foot of table
Grasp heel And apply traction
Corrective force with other hand posteriorly through distal tibia
HVLA for posterior tibia on Talus
Supine with physician at end of table
Grasp foot with both hands, apply traction, dorsiflexion, and mild eversion. Give a gentle tug.
What is the area covered by the plantar fascia
It extends from the medial calcaneus to the phalanges
How is the hiss whip performed?
Grasp of the foot with the thumbs crossed over the dysfunctional bone, apply downward thrust while inducing a whip like motion of the foot and ankle