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Flashcards in Extremities Deck (32):
1

These are the three true joys of the shoulder.

1. Glenohumeral
2. Sternoclavicular – sellar Joint
3. Acromioclavicular – plane joint

2

This is the pseudo-joint of the shoulder.

Scapulothoracic

3

Rotator cuff tendons

SITS:
Supraspinatus
Infraspinatus
Teres minor
Subscapularis

4

These are the stages of the Spencer technique.

Extension
Flexion
Circumduction with compression
Circumduction with distraction
Abduction with internal and external rotation
Another internal rotator
Massage relaxer or limp pump
As always re-test

5

Spencer mnemonic

Elephants
Fly
Constantly
To
Annoy
Intoxicated
People

6

Name the one true joint of the elbow

Ulno humeral

7

Name the two accessory joints of the elbow

Radiohumeral and proximal radioulnar

8

What is The normal range of motion for the elbow?

160° in Flexion and 0° and extension

9

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.

10

OMT for a posterior Radial head.

Contact the radial head with fingers, encouraging anterior motion while hyper extending the elbow joint.

11

OMT for decreased wrist pronation or supination

Direct muscle energy in a shaking hands with patient position

12

OMT for lateral epicondylitis.

Treat all surrounding dysfunctions then use counterstrain by supinating the forearm. Educate.

13

OMT for medial epicondylitis.

Treat all surrounding dysfunction, then use counterstrain by extending the elbow and pronating the forearm. Educate

14

OMT for metacarpal dysfunction.

Articulatory technique – wiggle it just a little bit therefore translating the metacarpal anteriorly and posteriorly with the neighboring metacarpals.

15

Fingers

Gap and gently rotate stiff or dysfunctional phalanges.

16

What is the primary joint of the Hip?

Femoroacetabular

17

What is the primary flexor of the hip, and the primary extensor of the hip?

Flexor – iliopsoas
Extensor – gluteus maximus

18

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.

19

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.

20

Piriformis counterstrain

Flex hip and knee to 90 degrees, abduct and externally rotate.
Hold 90 s

21

3 knee joints

Tibiofemoral
Patellofemoral
Tibiofibular

22

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.

23

Patellar counterstrain

Patient supine
Foot/tibia internally rotated
Grasp quad above knee and provide inferior force while Palpating tender point with other hand

24

HVLA for Anterior fibular head

Supine with pillow under knee
Internally rotate foot and ankle then thrust fibular head posteriorly while internally rotating ankle

25

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

26

Name the major ankle joint

Talocrural

27

Which angle ligament is most commonly torn and always tears first

Anterior talofibular ligament

28

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

29

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.

30

What is the area covered by the plantar fascia

It extends from the medial calcaneus to the phalanges

31

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

32

Technique for metatarsal articulation

Patient supine, grass foot and stabilize one metatarsal while gently moving adjacent metatarsal.