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NPTE > Musculoskeletal system > Flashcards

Musculoskeletal system Flashcards

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1
Q

What are the ROM norms for the shoulder

A 
F = 180
E - 60
Abd - 180
IR - 70
ER- 90
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2
Q

What are the ROM norms for the Elbow

A

F - 150
E - 0
Pro/sup: 80

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3
Q

What are the ROM norms for the Foreamr

A

Pro/Sup 80

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4
Q

What are the ROM norms for the wrist

A

Ext; 70
F; 80
RD; 20
UD; 30

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5
Q

What are the ROM norms for the Hip

A 
F - 120
E- 30
Abd: 45
Add 30
IR 45
ER 45
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6
Q

What are the ROM norms for the Knee

A

F 125

E 0

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7
Q

What are the ROM norms for the ankle

A

DF 20
PF 50
Inv 35
Ev 15

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8
Q

What are the ROM norms for the STJ

A

Inv 5

Ev 5

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9
Q

What are the ROM norms for the Csp

A

F/E/LF 45

Rot 60

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10
Q

What are the ROM norms for the Tsp and Lsp

A

F 80
E 25
LF 35
Rot 45

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11
Q

Adson maneuver

A

TOS secondary to cervical rib. Radial pulse. Rot to face test shoulder extend head while ER and ext shoulder. Hold breath

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12
Q

Allens test

A

TOS second to pec syndrome. Elbow 90 degrees - shoulder horizontal ext and ER. Rot head away. Palpate pulse.

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13
Q

Wright test

A

TOS second to compression in costoclav. hyperabd arm over head palpate radial pulse

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14
Q

Costoclav syndrome test

A

TOS scond to costoclav syndrome. Radial pulse then shoulder back and down - pulse decreases/disappears

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15
Q

Halstead maneuver

A

TOS second to ant scalene syndrome. Radial pulse and apply a downward traction on extremity while head hyperextended and rotated to opposite side.

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16
Q

Lateral pivot shift test of the elbow

A

Elbow extended and forearm supinated - flex and valgus stress plus axial compression. maintain supination. 40-70 degrees sudden clunk can be palpated and seen.

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17
Q

Pinch test

A

Pathology to anterior interosseous nerve. Pinch tips of index finger and thumb together.

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18
Q

Bunnel-littler test

A

Ax of tightness in structures around MCP. Capsule tight = limited PIP and MCP flexion. More PIP F with MCP flex - tight intrinsic mm.

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19
Q

Tight retinacular test

A

PIP neutral - flex DIP. Then Flex PIP and flex DIP. If DIP doesnt flex - retinacular ligg tight. if PIP flexed and DIP flex capsule normal.

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20
Q

Piano keys test

A

Instability of distal RUJ- stabilise and push down on distal ulna.

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21
Q

Phalens test - and reverse Phalens

A

CTS - max flexion

Max extension - median n pathology

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22
Q

Murphys sign

A

lunate dislocation - make a fist - head of thrid MC level with second and 4th MC

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23
Q

Ely’s test

A

Tight Rec Fem - prone passive flexion of knee

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24
Q

Craigs test

A

Femoral anteversion - prone then IR and ER hip until GT parallel with table.

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25
Buttock sign
SLR - if limited, flex knee - if no more hip flexion can be obtained then buttock or hip lesion
26
Piriformis test
Supine - flex hip to 60 with knee flexed - stabilised and downward pressure on the knee. Pinching or pain.
27
True leg length
ASIS to let malleolus. Difference 1-1.5 or more
28
Hughstons plica test
Flex knee and IR tibia - medial patella glide. Passively flex and extend the knee feeling for 'popping' of the plica.
29
Talar tilt test
CFL instability - tilt into add/abd
30
Lhermitte's sign
Dural irritation in the spine possible cervical myelopathy - long sitting - passively flex head and hip simultaneously- sharp pain spine and upper or lower limbs.
31
VBI testing
Head and neck into ext and LF, rotate to same side and hold 30 sec.
32
mm responsible for scapular elevation | Scapular depression, protraction, retraction, down and up rotation
elevation: Upper trap, lev scap depression: lat dorsi, pec major/minor, Lower trap Protraction: pec minor, serratus ant Retraction; trap, rhomboids Down rotation: rhomboids, lev scap, pec minor Upward rotation: trap, serratus ant
33
Actions of the TMJ include: depression, elevation, lateral deviation, protraction and retraction. Which muscles are responsible
Depression: digastric, lateral pterygoid, supra/infrahyoid Elevation: temporalis, masseter, medial pterygoid bilat Lat dev: lateral pterygoid on ipsilat, med pterygoid CL Protrusion; ant temporalis, bilateral pterygoids Retrusion: post temporalis, masster, digastric
34
Colles fracture
Wrist fracture of forearm of distal radius FOOSH | 'dinner fork'. Dorsal displacement of distal radius
35
Smiths fracture
Distal radius fracture flexed wrist. 'Garden spade deformity' . Volar displacment of distal radius
36
Scaphoid
Foosh
37
Boxers fracture
MC fracture
38
keinbocks disease
Necrosis of the lunate
39
Arthrogryposis multiplex congenita
congenital deformity of skeletal and soft tissue - restricted movement inutero
40
DMD
Mutation of dystrophin gene - progressive disease with life expectancy in 30s
41
Ehler Danlos
inherited connective disorder which affects skin, joints and blood vessel walls - mutations in COL5ACOL3A genes involve with collagen. Abnormal scar and wound healing, fragile thin blood vessels, soft, stretchy skin, hypermobile.
42
Marfans syndrome
Genetic connective tissue disorder. Abnormal fibrillin-1 gene. Tall thin, loose jointed, flat feet, scoliosis. Leaky valves.
43
Osteogenesis imperfecta
Abnormal collagen synthesis during bone development = abnormal bone formation. Pathological fractures, brittle bones, hypermobility, bowing of long bones, weakness, scoliosis
44
Charcot-marie tooth
Weakness and paresthesia in lower extremity progressing to upper extremity
45
Scleroderma
Calcium deposits in skin, raynauds, red sponds on hand/face
46
Systemic lupus
Red butterfly rash on face, fatigue, worse with stress, arthralgia, malaise
47
Dermatomyositis
Proximal symmetrical muscle weakness, face rash, gottrol papules (red rash over MCP, PIP and DIP
48
SLAP Lesions I-IV
Type 1: Degen fraying, bicep still attached Type II: Detachment of sup labrum from glenoid rim Type III: Bucket handle labral tear, bicep tendon remains attached type IV - intrasubstance tear of biceps tendon plus bucket handle tear of superior labrum.
49
Traction should use how much body weight for soft tissue effects?
25%
50
Torticollis is named after which side?
LF side
51
Normal anteversion is 15 degrees. What is considered exessive anteversion and retrovsrsion. What is the normal angle of inclination of the hip? what is coxa vara and coxa valga?
``` Excessive anteversion > 15 degrees - toe in Retroversion <15 degrees toe out Normal angle of inclination 125 degrees Coxa valga > 125 degrees - adduction Coxa Vara <125 abduction ```
52
What is the normal fick angle - how does it present clinically
normal 13-18 degrees Greater than 13-18 = toe out further Less than 13 degrees = toe in further.
53
Loose and closed packed positions for the vertebral joints
``` Loose = mid F/e Closed = max ext ```
54
Loose and closed packed positions for the TMJ
``` Loose = slightly open Closed = mouth closed with teeth clenched or fully open ```
55
Loose and closed packed positions for the sternoclav
Arm by side - open | Full elevation - closed
56
Loose and closed packed positions for the ACJ
Arm by side - open | Abd to 90 degrees - closed
57
Loose and closed packed positions for the GHJ
50-70 degrees abd, 30 Hadd, N - open | Max abd and ER - closed
58
Loose and closed packed positions for the Humeroulnar
70 F 10 sup open | full e and sup - closed
59
Loose and closed packed positions for the Humeroradial
Full E and Sup - open | 90 F and 5 sup - closed
60
Loose and closed packed positions for the Prox RUJ
70 degrees F 35 degrees Sup - open | FUll ext 5 sup - closed
61
Loose and closed packed positions for the Distal RUJ
10 sup - open | 5 sup - closed
62
Loose and closed packed positions for the Radio/ulnocarpal
Neutral - slight UD - open | Full E and RD - closed
63
Loose and closed packed positions for the Mid Carpal
N, Slight F, Slight UD - open | Full E - closed
64
Loose and closed packed positions for the Carpometacarpal
Mid F/E open | full opposition - closed
65
Loose and closed packed positions for the 1st MCP
Slight F open | Full E closed
66
Loose and closed packed positions for the 2nd to 5th MCP
Slight f/UD open | Full flexion - closed
67
Loose and closed packed positions for the PIP
10 F open | Full E closed
68
Loose and closed packed positions for the DIP
30 F open | Full E closed
69
Loose and closed packed positions for the Hip
30 F, 30 abd, slight ER - open | Full E, Abd, IR - closed
70
Loose and closed packed positions for the knee
25 flex open | Full E closed
71
Loose and closed packed positions for the TCJ
10 degrees PF - open | Full DF closed
72
Loose and closed packed positions for the STJ
10 degrees PF - open | Full inversion - closed
73
Loose and closed packed positions for the Mid tarsal joints
10 degrees PF - open | FUll supination - closed
74
Loose and closed packed positions for the TMT
Neutral - open | Full Supination - closed
75
Loose and closed packed positions for the MTP
Neutral -open | Full Extension - closed
76
Loose and closed packed positions for the IP
Slight F open | Full E - closed
77
Forward head posture leads to which position of the TMJ
Posterior displacement of the mandible due to passive tension in suprahyoid and infrahyoid mm.
78
Bennetts fracture
intraarticular fracture +/- sub;uxation. Axial load of MC while in slight F
79
Post innominate rotation - leads to what movement of the sacrum
Nutation
80
Ant inominate rotation leads to what movement of the sacrum
Counternutation
81
The supine to sit test gives which result for anterior rotation/
Long to short
82
The supine to sit test gives which result for post rotation
Short to long
83
Boutonnieres deformity
Extended MCP, Flexed PIP, extended DIP
84
What is a Symes amputation
Removal of ankle joint proximal to malleoli
85
What is the capsular pattern for the thoracic spine?
LF/Rot/E
86
What is nobles compression test
Test for ITB syndrome - positive at 30 degrees flex
87
Progressive limitations for Adhesive capsulitis show limitation in which ROM first, second, third?
ER > Abd > IR
88
What is the difference between Ortolani test and Barlows test?
Both hip tests for under 3/12 old. Barlows is looking to dislocate the hip, Ortolani test is relocating the hips. T
89
Pes anserine bursitis will present with what in the hamstrings and quads?
Tight hamstrings, weak quads.
90
An inferior GH Glide will aid which physiological movements of the shoulder
F and Abd
91
TMJ Hypermobility causes jaw deviation towards which side?
Deviation towards the contralateral side - stronger side
92
TMJ disc displacement without reduction is what?
Displacement of the disc without click/pop. Limited opening. Deflection of the jaw to the ipsilateral side. Limited lateral excursion to the contralateral side.
93
TMJ opening has two phases, what are they?
Mandibular depression: 1. Rotation 20-25mm 2. Translation 15-20mm
94
Which muscles are responsible for opening of the TMJ
Bilateral lateral pterygoids, digastric
95
Which muscles are responsible for closing of the TMJ
Bilateral temporalis, masseter, medial pterygoids
96
Which muscles are responsible for Lateral deviation of the TMJ
Ipsilateral lateral pterygoid, and masseter | Contralateral medial pterygoid
97
Which muscles are responsible for protrusion of the TMJ
Bilateral lat and med pterygoid, anterior temporalis
98
Which muscles are responsible for retrusion
Bilatral post temporalis, digastric, hyoids
99
What is the pattern of restriction in frozen shoulder from greatest to least amount of range lost
ER > Abd > IR

NPTE (19 decks)

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