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Flashcards in joints of upper extremities Deck (47)
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Glenohumeral joint classification

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

1

GH range of motion (Osteokinematic motions)

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

2

Articular surfaces of GH

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

3

Ligaments of GH

Glenohumeral ligament
Coracohueral ligament
Transverse humeral ligament

4

Bursae of GH

Subscapular
Subdeltoid
Subacromial
Subcoracoid

5

Resting position of GH

55-70 abduction, 30 horizontal adduction, neutral rotation

6

Closed pack position of GH

Full elevation - maximum combined abduction and ext rotation

7

Capsular pattern of restriction of GH

Ext. Rotation > abduction >internal rotation

8

Joint mob of GH

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

9

Humeroulnar/humeroradial joints classification

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

10

Range of motion of Humeroulnar/humeroradial

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

11

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

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

12

Resting, closed pack position and capsular pattern for Humeroradial jt

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

13

Articular surface of Humeroulnar and Humeroradius jt

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

14

Ligaments and bursa of Humeroulnar and humeroradial joint

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

15

joint mobs of Humeroulnar

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

16

joint mob of Humeroradial

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)

17

Roximal radioulnar joint classification

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

18

Proximal radioulnar joint ROM

Pronation 70-90
Supination: 90

19

Proximal raidoulnar Resting, closed pack, capsular pattern

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

20

Articular surface of Proximal radioulnar

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

21

Ligaments of Proximal radioulnar joint

Annular ligament
Oblique cord
Interosseous membrane

22

Joint mob's proximal radioulnar

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

23

Distal Radioulnar joint classification

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)