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10 UPPER EXTREMITY > FINAL LAB > Flashcards

FINAL LAB Flashcards

(58 cards)

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1
Q

SC JOINT muscle test

A

Pectoralis Major (superior branch)

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2
Q

Is there a challenge for SC joint?

A

Yes, M-L

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3
Q

What is the correction for SC joint?

A

M-L, 3 ways

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4
Q

What are the 3 ways for SC joint correction?

A

Same side supine, opposite side supine, and side lying

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5
Q

Same side SC joint: CP, SCP, Stab., LOC

A

CP: Soft pisiform
SCP: Medial aspect of SC joint
Stabilize: lateral side of head of humerus (gently traction posterior and inferior)
LOC: M-L A-P along clavicle

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6
Q

SC joint Opposite side: CP, SCP, Stab., LOC

A

CP: Soft pisiform of outside hand
SCP: medial aspect of SC joint
Stabilize: Gently traction posterior and inferior (distal end of shoulder complex)
LOC: M-L A-P along clavicle

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7
Q

Modified side lying SC joint

A

Inferior hand contact and superior leg/hand stabilize back and neck. Same LOC, CP, etc.

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8
Q

AC joint muscle test

A

Coracobrachialis

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9
Q

Challenge for AC joint?

A

S-I (dugas)

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10
Q

How many thrusts for AC joint?

A

supine, seated web, and chiro over chiro

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11
Q

AC joint CP, SCP, Stab., LOC:

A

CP: end of thumb and 2nd digit middle metacarpal joint
SCP: 1/2” - 1 “ medial to AC joint (distal 1/3 of clavicle)
Stab: grasping elbow
LOC: S-I

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12
Q

HUMERUS first step

A

Anterior deltoid shoulder flexion and teres major, arm behind back (stabilize on shoulder while pulling up)

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13
Q

How many maneuver’s for AI humerus?

A

Same, Opposite, and Behind

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14
Q

HUMERUS CP, SCP, Stab., LOC

A

CP: Palm of hand
SCP: Olecranon and lateral Glenohumeral joint
Stab: (Above) tractioning GH joint
LOC: I - S and A - P

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15
Q

AI Humerus seated

A

Stabilize on the sternum and LOC is I-S, A-P, and M-L

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16
Q

How many Posterior Humerus set ups?

A

Web and Knife edge

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17
Q

Posterior Humerus CP, SCP, Stab., LOC

A

CP: Web of inside hand or knife edge of inside hand
SCP: Posterior proximal aspect of humerus (Distal to GH joint)
Stab: Long axis traction on flexed are around elbow
LOC: P-A, M-L (slightly), I-S

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18
Q

Glenohumeral Distraction:

A

Do the SC and AC muscle tests,
CP: Interlocked hands
SCP: Anterior Medial Aspect of GH joint
LOC: M-L slightly I-S

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19
Q

BICEPS TENDON

A

Test biceps, Patient supine, grab wrist with inferior hand and biceps tendon with superior hand, then slight externally rotate, (1 remove tension), then bring arm up to neck level (2 remove tension 1 thrust), bring arm back down to side, (3 take out and tension and thrust 2)

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20
Q

What is criteria for Scapula?

A
  1. Reduced Apleys
  2. Reduced SCaption
  3. Compare internal rotation (letting arms dangle supine)
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21
Q

What are the sets ups for SCAP?

A

inferior angle, medial angle, and superior angle

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22
Q

What do you do for Scapula always?

A

Have patient put hand in belt loop or on back, use knife edge for medial, and base of hand or palm for superior or inferior (NO PA, only which way it’s going)

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23
Q

ELBOW RULES

A

Medial = Doc stands inside. Lateral = Doc stands on outside. Ulna = Supinate. Radius = Pronate.

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24
Q

RMT for ELBOW

Study These Flashcards
A

Triceps (stabilize elbow on thigh)

25
If triceps is + with wrist in flexion, what do you adjust
ULNA
26
What is the MC listing for ulna?
Posterior medial
27
POSTERIOR MEDIAL ULNA CP, SCP, Stab., LOC
CP: Web of medial hand or end of thumb and 2nd digit SCP: Proximal medial ulna approximately 1" distal to medial epicondyle Stab: Outside hand grasping lateral humerus (firmly against docs forearm) LOC: M-L, P-A, and I-S
28
What is PP with Posterior Medial Ulna?
Supine with elbow Extended and hand SUPINATED
29
What should you do before considering Posterior Lateral Ulna?
adjust it twice!! (PM = 2 times!!)
30
POSTERIOR LATERAL ULNA CP, SCP, Stab., LOC
CP: End of the thumb and 2nd digit middle phalanx SCP: Proximal lateral ulna approximately 1" distal to olecranon on the olecranon ridge STAB: Medial hand grasping medial arm, ensuring FIRM LOC: L-M, P-A, and I-S
31
ELBOW RADIUS RMT
Wrist in extension with elbow on thigh stabilizing
32
To differentiate between Posterior Lateral Radius and Anterior Medial Radius what do you do?
Test BRACHIORADIALIS, ``` STRONG = PL WEAK = AM ```
33
POSTERIOR LATERAL RADIUS CP, SCP, Stab., LOC
CP: End of thumb against the lateral proximal radial head SCP: Proximal lateral radius approximately 1/4" distal to radial head STAB: Medial hand grasping the medial arm, ensuring patient's medial elbow is firmly against doc's forearm LOC: L-M, P-A, and I-S PP: Supine with elbow extended and hand PRONATED
34
ANTERIOR MEDIAL RADIUS CP, SCP, Stab., LOC
CP: End of thumb against anterior medial proximal radial head in the cubital fossa SCP: Proximal anterior medial radial head STAB: Outside Hand grasping lateral arm LOC: M-L, A-P, and I-S PP: Supine with elbow extended and supinated initially, then PRONATE ARM so CP rolls onto thumb
35
What do you do after adjusting ulna or radius?
CLEAN UP MOVE, AP and PA shearing with thenar pads Resets proprioception and breaks up adhesions
36
CARPAL ASSESSMENT:
1. Palpate 2. Motion 3. Pinch, Distract, Shear 4. RMT (opponens pollicis) 5. Bilateral palpation 6. Adjust 7. Recheck #4
37
What is PP with CARPAL ASSESSMENT?
Supine with elbow extended and hand pronated SCP: carpal on 1/2 of fixated joint CP: thumb and thumb LOC: P-A and A-P
38
How do you do Carpal MT?
pull apart with PINKIES
39
If weak on carpal MT, what is MC?
ANTERIOR LUNATE
40
ANTERIOR LUNATE CP, SCP, Stab., LOC
CP: Thumb and thumb SCP: Anterior lunate LOC: A-P PP: Supine with elbow extended and hand supinated (pressing in carpal tunnel region almost)
41
POSTERIOR LUNATE CP, SCP, Stab., LOC
CP: Thumb and thumb SCP: Posterior Lunate PP: Supine with elbow extended and hand pronated LOC: P-A
42
2-5th METACARPAL ROTATION
Nail angle toward the 5th digit CP: Thumb of dominant hand, other hand distract the involved MCP joint SCP: Involved metacarpal on medial side of the bone proximal to the MCP joint PP: Supine with elbow ext. and hand pronated
43
PIP and DIP joint ROTATION:
CP: Thumb of dominant hand, other hand distracts joint SCP: Distal to the involved joint while stabilizing proximal to the joint PP: Supine with elbow ext. and hand pronated LOC: M-L or L-M
44
1st MCP JOINT:
CP: Thumb of dominant hand and other hand distracts joint SCP: Distal to the involved MCP joint while stabilizing proximal to the joint PP: Supine with elbow ext. and hand pronated LOC: Along axis distraction and P-A
45
What 3 things do you need to TMJ?
Pain in TMJ, neck pain, and headaches
46
How do you assess TMJ
ACTIVE AND PASSIVE open and close, protract and retract, right and left lateral translation
47
What are you visualizing with TMJ?
INITIAL deviation, the fossa created SECOND on the affected side (deviation)
48
SUPERIOR/ LATERAL/ POSTERIOR Jaw aka ANTERIOR DISC CP, SCP, Stab., LOC
CP: 5th MCP/1st MCP/Soft Pisi SH: Upper cervical spine and non involved TMJ LOC: With mouth AJAR, P-A, S-I, and L-M
49
ANTERIOR JAW aka POSTERIOR DISC CP, SCP, Stab., LOC
CP: DIP of chiro finger overlapping other chiro DIP SCP: Mental Protuberance PP: Patient's head resting on doc's belly LOC: Patient's mouth open apply constant A-P pressure while patient closes mouth repeat 2-3 x's !!!! (INCREASE PRESSURE)
50
POSTERIOR RIB angle RMT:
Serratus Anterior
51
If Serratus Anterior is weak, what next?
(POSTERIOR RIB) Lay patient prone, and palpate for posterior rib, once found, palpate for pain above or below involved rib
52
POSTERIOR RIB ANGLES (UPPER 6) CP, SCP, Stab., LOC
CP: Knife edge or finger tips SCP: Superior aspect of the involved rib angle in the intercostal space (DEEP BREATH 1/2 through inhale = superior, and 1/2 through exhale = medial) DS: Superior corner of the table opposite side of involved rib
53
POSTERIOR INFERIOR RIB ANGLES (LOWER) CP, SCP, Stab., LOC
CP: Fingertips or knife edge SCP: Inferior aspect of the rib angle in the intercostal space DS: Opposite side by waist of patient LOC: 1/2 through inspiration = I-S, and exhale 1/2 out = M-L
54
COSTO TRANSVERSE and COSTO VERTEBRAL (RIB HEADS) CP, SCP, Stab., LOC
Rhomboid RMT (only upper 5) CP: Pisiform of superior hand SCP: Posterior superior surface of rib head (approx 2" out from spine) SH: Thenar pad of inferior on opposite TP LOC: P-A (1/2 insp.) and S-I (1/2 exhale)
55
INTERCOSTAL NEURALGIA/NEURITIS
RMT = Pec Major Sternal division (out and up), after this palpate anterior ribs to see where pain is worse
56
INTERCOSTAL NEURALGIA/NEURITIS CP, SCP, Stab., LOC
CP: Finger tips SCP: Superior aspect of prominent rib in intercostal space PP: Supine LOC: S-I on 1/2 through insp. and then M-L 1/2 through exp.
57
Anterior dorsal rules:
T9-T12: tuck chin to chest T4-T9: Extend head T1-3 : Flex their knees and put their feet on the table
58
COSTOCHONDRAL ANTERIOR
CP: Fingertips hook with the superior hand pulling from L-M and knife edge of the inferior hand SCP: Hook the sternum with the superior hand and the inferior contacts anterior rib LOC: Superior hand hook pulls towards the sternum (L-M) and the knife edge hand pushes M-L (2x's 1/2 through both inhale and exhale)

10 UPPER EXTREMITY (1 decks)

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