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Joint mobilization > joints of upper extremities > Flashcards

joints of upper extremities Flashcards

(47 cards)

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0
Q

GH range of motion (Osteokinematic motions)

A 
Flexion 180
Extension 45
Abduction: 180
Adduction 45
Medial Rotation 70
Lateral rotation 90
Horizontal adduction 45
Horizontal abduction 100
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1
Q

Glenohumeral joint classification

A

Structure: synovial
Subtype: ball and socket
Axis of rotation: multiaxial
Function diathrotic

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2
Q

Articular surfaces of GH

A

Scapula: glenoid fossa (concave) - glenoid labrum
Humerus: Humeral head (convex)
Capsular strength: weak

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3
Q

Ligaments of GH

A

Glenohumeral ligament
Coracohueral ligament
Transverse humeral ligament

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4
Q

Bursae of GH

A

Subscapular
Subdeltoid
Subacromial
Subcoracoid

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5
Q

Resting position of GH

A

55-70 abduction, 30 horizontal adduction, neutral rotation

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6
Q

Closed pack position of GH

A

Full elevation - maximum combined abduction and ext rotation

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7
Q

Capsular pattern of restriction of GH

A

Ext. Rotation > abduction >internal rotation

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8
Q

Joint mob of GH

A

Traction/distraction
Lateral distraction
Inferior glide - increase abduction,
Posterior glide - increase flexion (medial rotation, horizontal adduction)
Anterior glide - increase external rotation (extension, horizontal abduction)

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9
Q

Humeroulnar/humeroradial joints classification

A

Structure: synovial
Subtype: hinge
Axis of rotation: uniaxial
Function: diarthrotic

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10
Q

Range of motion of Humeroulnar/humeroradial

A

Flexion: 135
Extension: up to 5 (most functional activities occur between 30-130 of elbow flexion, 50 pronation, 50 supination)

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11
Q

Resting and closed pack position and capsular pattern of restriction of Humeroulnar

A

Resting: 70 flextion, 10 supination
Closed pack full extension and supination
Capsular pattern: flex > extension

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12
Q

Resting, closed pack position and capsular pattern for Humeroradial jt

A

Resting: Full extension and supination
Closed pack: 90 flexion, 5 supination
Capsular pattern: flex> extension

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13
Q

Articular surface of Humeroulnar and Humeroradius jt

A

Humerus: capitulum (radius) and Trochlea (ulnar) (both convex)
Radius: articular surface of the head (concave)
Ulna: Trochlear notch (concave)

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14
Q

Ligaments and bursa of Humeroulnar and humeroradial joint

A

Radial collateral ligament
Ulnar collateral ligament
Olecranon bursa
Weak due to excessive spread of capsule

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15
Q

joint mobs of Humeroulnar

A

Traction/distraction - increase flex/ext
Medial glide and medial gap- treating medial epicondylalgia, (elbow flexion)
Lateral glide and lateral gap - treating lateral epicondylalgia

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16
Q

joint mob of Humeroradial

A 
Distraction (correcting a humeroradial joint compression positional fault)
Compression
Posterior glide (increasing ROM into elbow joint extension)
Anterior glide (increasing ROM into elbow joint flexion)
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17
Q

Roximal radioulnar joint classification

A

Structure: synovial
Subtype: pivot
Axis: uniaxial
Function: diarthrotic

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18
Q

Proximal radioulnar joint ROM

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A

Pronation 70-90

Supination: 90

19
Q

Proximal raidoulnar Resting, closed pack, capsular pattern

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A

Resting 35 flexion, 70 supination
Closed pack full supination/pronation
Capsular pattern supination = pronation

20
Q

Articular surface of Proximal radioulnar

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A

Articular circumference of Radius bone (convex)
Radial notch of the ulna (concave)
Weak, same capsule as the elbow

21
Q

Ligaments of Proximal radioulnar joint

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A

Annular ligament
Oblique cord
Interosseous membrane

22
Q

Joint mob’s proximal radioulnar

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A

Posterior glide of the proximal radius: increasing ROM of forearm pronation
Anterior glide of the proximal radius: increasing ROM of forearm supination

23
Q

Distal Radioulnar joint classification

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A

Structure - synovial
Subtype - pivot
Axis - uniaxial
Function: diarthrotic

24
Distal radioulnar joint ROM
Pronation 70-90 | Supination 90
25
Distal radioulnar joint resting, closed pack, capsular pattern
Resting 10 supination Closed pack position full supination/pronation Capsular pattern: supination = pronation
26
Articular surface of distal radioulnar joint
Distal ulna (convex) Ulnar notch of the radius (concave) weak
27
Ligaments of distal radioulnar joint
Anterior radioulnar ligament Posterior radioulnar ligament Interosseus membrane
28
Important relations to Distal radioulnar joint
Anteriorly, tendons of the flexor digitorum profundus | Posteriorly the tendons of the extensor digiti minimi
29
how many joints in Wrist?
5. Radioarpal joint, ulnomeniscotriquetral joint, Triquetrum-pisiform articulation, Midcarpal joint
30
Raidocarpal/Ulnomeniscotriquetral joint classification
Structure: synovial Subtype: condyloid Axis: biaxial function: diarthrotic
31
Radiocarpal/Ulnomeniscotriquetral joint ROM
Flexion 80 Extension 70 Radial deviation 20 Ulnar deviation 30
32
Radiocarpal/Ulnomeniscotriquetral joint resting, closed pack, capsular pattern
Resting: slight flexion and ulnar deviation Closed pack position: full extension Capsular pattern: flexion = extension
33
Radiocarpal/ulnomeniscotriquetral joint articular surfaces
Carpals lunate and scapoid to radius + proximal surface to triquetram to ulna (convex) Distal Radius (concave) Distal Ulna (concave) Weak
34
Radiocarpal/ulnomeniscotriquetral joint ligaments
``` Radial collateral ligament Ulnar collateral ligament Transverse carpal ligament Palmar radiocarpal ligaments dorsal radiocarpal ligaments Intercarpal ligaments ```
35
Radiocarpal/ulnomeniscotriquetral joint joint mobs
``` Distraction Dorsal glide -increase flexion, Volar glide -increase extension radial glide -increase ulnar deviation ulnar glide to increase radial deviation ```
36
Intercarpal/midcarpal joint classification
Structure: synovial Subtype: planar Axis: nonaxial Function: diarthrotic
37
Intercarpal/midcarpal joint ROM
Flexion 80 Extension 70 Radial deviation 20 Ulnar deviation 30
38
Intercarpal/midcarpal joint Resting, closed pack, capsular pattern
Resting: Neutral or slight flexion and ulnar deviation Closed pack: full extension Capsular pattern: flexion=extension
39
Articular surface of intercarpal/midcarpal joint
Adjacent surfaces of carpals, capitate bone articulates with all carpals except pisiform and trapezium. Concave/convex varies depending on the specific joint weak
40
Intercarpal/midcarpal joint ligaments (4)
1. radial collateral ligament 2. Volar radiocarpal liagament 3. dorsal radiocarpal ligament 4. intercarpal ligament
41
Intercarpal/midcarpal joint mobs
``` distraction dorsal glide - increase flexion volar glide - increase extension radial glide - ulnar deviation ulnar glide - increase radial deviation ```
42
carpometacarpal joint classification, range of motion
digit II to V: synovial, planar, nonaxial Digit I ( thumb) synovial, saddle, biaxial Function: diarthrotic Range of motion: Digits II to V slight gliding
43
resting postion, closed pack position, capsular pattern of restriction of CMC
Midway between flexion and extension and slight ulnar deviation closed pack: n/a Capsular pattern : equal in all direction
44
Metacarpophalangeal joint classification, ROM
Structure: Digit II to V: synovial, condyloid, biaxial Digit I: synovial hinge, uniaxial Diarthrotic ROM: Digits II to V flexion 90, Extension 45, abduction 20, adduction 10 Digit I Flexion 60
45
Resting position, closed pack position, capsular pattern of MCP
1 MCP jt, slight flexion, joint 2-5 slight flexion with ulnar deviation Closed pack 1 full extension. joint 2-5 full flexion Capsular pattern : flexion>extension
46
Interphalangeal joint resting, closed pack, capsular pattern
Resting position: PIP 10, flexion, DIP 30's flexion Closed pack position full extension capsular pattern: flexion>extension (flexion is more limited than extension)

Joint mobilization (3 decks)

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