Module 2: Upper Extremity Part 2

Question 1

osseous pivot for shoulder is the

Answer 1

SC joint

Question 2

dynamic stabilizers of the shoulder

Answer 2

rotator cuff and biceps tendon

Question 3

most injures to upper extremity are expressed

Answer 3

distally

Question 4

anterior humerus may affect what nerve

Answer 4

axillary

Question 5

caution of anterior humerus adjustments with

Answer 5

1. ) subacromial bursitis

2. ) impingement syndrome

Question 6

what can patient not do if posterior humerus

Answer 6

patient cannot abduct or externally rotate arm

Question 7

posterior humerus may affect axillary nerve and affect

Answer 7

pain over spine of scapula and down triceps

Question 8

sign for posterior dislocation

Answer 8

6mm rim sign

Question 9

how long for transverse ligament to heal

Answer 9

3 months

Question 10

how long for pitchers to lay off for transverse ligament to heal if stretched

Answer 10

2 weeks

Question 11

is history of popping, clicking, or catching useful in labral tear dx?

Answer 11

no

Question 12

what is fairly useful with identifying impingement and/or rotator cuff tears

Answer 12

weak external rotation

Question 13

useful in dx subscap tears

Answer 13

weakness in internal rotation

Question 14

useful in identifying infraspinatus and subscap tears

Answer 14

external and internal rotation lag signs

Question 15

most helpful in identifying brachial plexus nerve root avulsions

Answer 15

shoulder protraction

Question 16

arc of abduction test rules acute rotator cuff tear with

Answer 16

flexion 80-130 degrees

abduction 70-120 degrees

Question 17

painful arc of abduction on raising arms

Answer 17

70-120

Question 18

painful arc of abduction on lowering arms

Answer 18

120-70

Question 19

normal distance of humeral head to inferior acromion

Answer 19

less than or equal to 6mm

Question 20

impingement cases with

Answer 20

less than or equal 5 mm

Question 21

humeral head depressors with impingement seen with

Answer 21

subscap and teres major

Question 22

people with frozen shoulder typically come in for care when

Answer 22

not able to sleep on affected side and interfere with work

Question 23

tx of frozen shoulder phase 1

Answer 23

2 weeks rest in a sling
ice 15 minutes 3x a day
pain free ROM

Question 24

order of releases with frozen shoulder

Answer 24

1. ) forward flexion
2. ) extension
3. ) abduction
4. ) external rotation

Question 25

goal for forward flexion before moving on with frozen shoulder is

Answer 25

110-130 degrees

Question 26

goal for extension before moving on wit frozen shoulder is

Answer 26

30 degrees

Question 27

start abduction with frozen shoulder around

Answer 27

6 weeks

Question 28

abduction goal with frozen shoulder

Answer 28

120 degrees

Question 29

when does external rotation start with frozen shoulder

Answer 29

2.5 months

Question 30

goal of external rotation with frozen shoulder is

Answer 30

90 degrees

Question 31

5 most common sites of median nerve entrapment

Answer 31

1. TOS 2. Ligament of Struthers 3. Pronator Teres 4. Anterior Interosseous Syndrome 5. Carpal Tunnel Syndrome

Question 32

muscle test for median nerve

Answer 32

opponens pollicus

Question 33

muscle test for ulnar nerve

Answer 33

adductor pollicus

Question 34

4 common sites for ulnar nerve entrapment

Answer 34

1. ) TOS 2. ) Medial Epicondyle 3. ) Flexor Carpi Ulnaris 4. ) Tunnel of Guyon

Question 35

radial adjustments performed

Answer 35

pronated

Question 36

ulnar adjustments performed

Answer 36

supinated

Question 37

what is the keystone in the wrist

Answer 37

lunate