Musculoskeletal: Joints Flashcards

(84 cards)

0
Q

Glenohumeral Close Packed Position

A

Abduction, ER

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1
Q

Glenohumeral Loose Packed Position

A

55 Abduction, 30 horizontal adduction

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2
Q

Sternoclavicular Loose Packed Position

A

Arm resting at side

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3
Q

Sternoclavicular Close Packed Position

A

Full shoulder elevation

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4
Q

Acromioclavicular Loose Packed Position

A

Arm resting at side

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5
Q

Acromioclavicular Close Packed Position

A

90 Abduction

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6
Q

Radiohumeral Loose Packed Position

A

Full extension, supination

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7
Q

Radiohumeral Close Packed Position

A

90 Flexion, 5 supination

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8
Q

Ulnohumeral Loose Packed Position

A

70 Flexion, 10 supination

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9
Q

Ulnohumeral Close Packed Position

A

Extension

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10
Q

Proximal Radioulnar Loose Packed Position

A

70 Flexion, 35 supination

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11
Q

Proximal Radioulnar Close Packed Position

A

5 Supination

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12
Q

Radiocarpal Loose Packed Position

A

Neutral, slight ulnar deviation

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13
Q

Radiocarpal Close Packed Position

A

Extension, radial deviation

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14
Q

Glenohumeral Capsular Pattern

A

ER, abduction, IR

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15
Q

Sternoclavicular Capsular Pattern

A

Pain at extremes of ROM

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16
Q

Acromioclavicular Capsular Pattern

A

Pain at extremes of ROM

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17
Q

Radiohumeral Capsular Pattern

A

Flexion, extension, supination, pronation

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18
Q

Ulnohumeral Capsular Pattern

A

Flexion, Extension

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19
Q

Proximal Radioulnar Capsular Pattern

A

Supination, Pronation

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20
Q

Radiocarpal Capsular Pattern

A

Flexion and extension equally limited

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21
Q

Iliofemoral Loose Packed Position

A

30 Flexion, 30 abduction, slight ER

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22
Q

Iliofemoral Close Packed Position

A

Full extension, IR

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23
Q

Iliofemoral Capsular Pattern

A

Flexion, abduction, IR (sometimes IR most limited)

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24
Tibiofemoral Loose Packed Position
25 Flexion
25
Tibiofemoral Close Packed Position
Full extension, ER of tibia
26
Tibiofemoral Capsular Pattern
Flexion, extension
27
Talocrural Loose Packed Position
10 PF, midway between INV and EV
28
Talocrural Close Packed Position
Full DF
29
Talocrural Capsular Pattern
PF, DF
30
Subtalar Loose Packed Position
Midway between extremes of ROM
31
Subtalar Close Packed Position
Supination
32
Subtalar Capsular Pattern
Limitation of varus ROM
33
Midtarsal Loose Packed Position
Midway between extremes of ROM
34
Midtarsal Close Packed Position
Supination
35
Midtarsal Capsular Pattern
DF, PF, adduction, IR
36
Spine Loose Packed Position
Midway between flexion and extension
37
Spine Close Packed Position
Extension
38
Spine Capsular Pattern
SB and rotation equally limited, extension
39
Collateral Elbow Ligaments MOI
Microtears over time with repeated throwing motions lead to degeneration and rupture. FOOSH often associated with elbow dislocation.
40
ACL MOI
Twisting injury associated with hyperextension and valgus or varus stress. Tibia forced anterior, femur forced posterior, severe hyperextension.
41
PCL MOI
Superior tibia struck while knee flexed. Tibia forced posterior, femur forced anterior, severe hyperflexion.
42
MCL MOI
Pure valgus load without rotation, lateral blow to the knee, medial blow to tibia in open chain. ACL and/or medial meniscus often involved.
43
LCL MOI
Pure varus load to knee without rotation, medial blow to knee, lateral blow to tibia in open chain. ACL or PCL often involved.
44
Response to Ankle Ligament Damage
Majority are areas of increased density within joint capsule. Therefore, damage to ligaments often damages joint capsule and irritates synovial lining.
44
Response to Ankle Ligament Damage
Majority are areas of increased density within joint capsule. Therefore, damage to ligaments often damages joint capsule and irritates synovial lining.
45
Anterior Talofibular Ligament
Taut: PF and INV of talus and calcaneus; anterior translation of talus on tibia.
45
Anterior Talofibular Ligament
Taut: PF and INV of talus and calcaneus; anterior translation of talus on tibia.
46
Calcaneofibular Ligament
Extracapsular ligament. Resists INV of talus in talocrural midrange.
46
Calcaneofibular Ligament
Extracapsular ligament. Resists INV of talus in talocrural midrange.
47
Posterior Talofibular Ligament
Resists posterior displacement of talus on tibia.
47
Posterior Talofibular Ligament
Resists posterior displacement of talus on tibia.
48
Deltoid Ligament
Resists talus EV. Anterior tibiotalar ligament, tibiocalcaneal ligament, posterior tibiotalar ligament, tibionavicular ligament.
48
Deltoid Ligament
Resists talus EV. Anterior tibiotalar ligament, tibiocalcaneal ligament, posterior tibiotalar ligament, tibionavicular ligament.
54
Class 1 Lever
Seesaw. Fulcrum between effort and load. (Triceps Pulldowns: Triceps, elbow, resistance of cable)
55
Class 2 Lever
Wheelbarrow. Fulcrum, load, effort. Effort arm longer, advantage. (Pushups: Hand, gravity, triceps)
56
Class 3 Lever
Elbow Flexion. Fulcrum, effort, load. Effort arm short, disadvantage. (Lateral Raises: Glenohumeral, deltoid, free weight)
57
Plumb Line Alignment
``` Posterior to coronal suture Through external auditory meatus Through axis of ondontoid process Midway through tip of shoulder Through bodies of lumbar vertebrae Slightly posterior to hips Slightly anterior to axis of knee Slightly anterior to lateral malleolus Through calcaneocuboid ```
58
TMJ Loose Packed Position
Mouth slightly open (freeway space)
59
TMJ Close Packed Position
Teeth clenched
60
CMC Loose Packed Position
Midway between adduction-abduction and flexion-extension
61
MCP Loose Packed Position
Slight flexion
62
IP Loose Packed Position
Slight flexion
63
MCP (Fingers) Close Packed Position
Full flexion
64
MCP (Thumb) Close Packed Position
Full opposition
65
IP Close Packed Position
Full extension
66
Tarsometatarsal Close Packed Position
Supination
67
Tarsometatarsal Loose Packed Position
Midway between extremes of ROM
68
MTP Close Packed Position
Full extension
69
MTP Loose Packed Position
Neutral
70
Distal Radioulnar Close Packed Position
5 Supination
71
Distal Radioulnar Loose Packed Position
10 Supination
72
Distal Radioulnar Capsular Pattern
Pain at extremes of ROM (full ROM)
73
TMJ Capsular Pattern
Limitation of mouth opening
74
SI, Pubic Symphysis, Sacrococcygeal Capsular Pattern
Pain when joints are stressed
75
Tibiofibular Capsular Pattern
Pain when joint stressed
76
Trapeziometacarpal Capsular Pattern
Abduction, extension
77
MCP and IP Capsular Pattern
Flexion, extension
78
First MTP Capsular Pattern
Extension, flexion
79
Empty Abnormal End Feel
Inflammation Fracture Bursitis
80
Firm Abnormal End Feel
Increased Tone Tightened Capsule Shortened Ligament(s)
81
Hard Abnormal End Feel
Fracture OA Osteophyte Formation
82
Soft Abnormal End Feel
Edema Synovitis Ligament Instability/Tear
83
Goniometer Protocol
1. Testing position 2. Stabilize proximal 3. Move distal (slow, end range, end feel) 4. Clinical estimate 5. Starting position 6. Palpate bony 7. Goniometer 8. Record 9. Stabilize proximal 10. Move distal 11. Goniometer 12. Record