Ortho 3 - Exam 1 Flashcards Preview

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Flashcards in Ortho 3 - Exam 1 Deck (54):
1

Post op SLAP

Prom and AROM only
Type 2 and 4: no active: shoulder or elbow flexion, GH ER, EXT, AB,
Sling and sleep w/ immobilized 4 weeks

2

SC Arthro

SIX - sup, inf, conVEX
PRAVE - pro, re, concAVE

3

Ulnohumeral resting

70 flex
10 sup

4

SC closed

Full elevation

5

Radio humeral closed

90 flex
5 sup

6

Superior radioulnar resting

70 flex
35 sup

7

Superior radio ulnar closed

5 sup

8

Radial N

Innervates tricep
Travels: ant to lat epi
Splints into superficial (under brachioradialis and over supinator and pronator) deep just prox to elbow
Deep —> PIN—> ext/supinator —> b/n supinator

9

Ulnar nerve C8T1

Arcade of struthers (8cm prox to med epi)
Cubital tunnel (just post to med epi)
Innervates medial capsule
Through 2 heads of FCU + ring and small FDP, intrinsics

10

Musculocutaneous C5,C6

Innervates biceps and brachialis
Lateral to biceps tendon
Ends as lateral antibrachial cutaneous N

11

Dynamic pulling activities

Retract and DR by
Rhomb, lats, T major, RC

12

Medial N C5-T1

Medically over brachialis
Anteromedial elbow
Under biciptial app
Pronator —> AIN = flex/pro
Entrapment at ligament of struther

13

TUBS

Traumatic unidirectional anterior instability w/
Bankart lesion requiring surgery

14

Humeral anterior glide associated w/

Impingement
Instability
RC patho

15

Scap resting

30-45 IR
2-3 in Ab from spine
Sup angle @T2
Inf angle at T7
UR netural to 3
Anterior tilt 10-20

16

Scap elevation

Inf angle to SC increased to 25
Sc rotates post 25
AC UR 35
Scap post tilt 20
GH ER 45

17

Winging Tx

Strengthen scapulothroacic
Stretch scapulohumeral
SA control

18

Pt unable to maintain core temp if water is

< 25 C

19

May be too hot for intense activities

>37

20

In waist deep water at 37C

HR stimulated to increase and overcomes centralization of peripheral blood flow.
Increased CO even at rest

21

Aerobic precautions

Fear of water
Neuro disorder
Seizures
Cardiac dysfunction
Small open wounds and lines

22

Aquatic contras

Cardiac failure/unstable angina
VC <1L
Severe PAD
Danger of bleed/hemorrhage
Severe kidney disease
Open wounds/colostomy/skin infection
Untroled B/B
Water/airborne infection
Uncontrolled seizure

23

Main upward rotators

SA
Traps

24

Scapulohumeral rhythm - setting phase

First 30 deg

25

Scapulohumeral rhythm phase 1 -

Humerus: 30 ab
Scap: min motion
Clavicle: 0-5 elevate

26

Scapulohumeral rhythm phase 2

Humerus: 30 deg ab
Scap: 30 UR, minimal protraction or elevation
Clavicle: 15 deg elevation

27

Scapulohumeral rhythm phase 3

Humerus: 60 ab, 90 ER
Scap: 30 UR, 20 post tilt
Clavicle: 25 post rotation, 25 elevation, 15 SC retraction

28

Slap repair immobilization

Stop sling at 4 weeks

29

Slap repair restriction

No active elbow flexion or supination for 6 weeks (biceps)

30

SLAP AAROM

Wand 4-6 weeks
Progress to AROM

31

SLAP AROM

6-12 weeks
RC strength
Body blade
Push up

32

SLAP full ROM, strength

12+ weeks
Throwing
Push up, pull up, run
Return to sport

33

Bankart repair abd pillow

24 hrs
3-4 weeks
DC by MD

34

Bankart restrictions

NO AROM 4 weeks,
No overhead motions
avoid active extension, ER beyond neutral
No abd.

35

Bankart repair full AROM

10-12 weeks

36

Bankart IR/ER

5 wk - stabilization’s in neutral
6 - gentle 90/90
8 - iso in 30/30/30
10 - iso at 90/90

37

Bankart AROM

Week 4-6 in scaption

38

Bankart prom

ER in scaption by wk 6

39

Ant stabilization sx - immobilize

2-4 weeks
Wean off at 2 wks as tolerated

40

Ant stabilization sx - restriction

No IR w/ removal,repair subscap - 6 weeks

41

Ant stabilization sx - full ROM

Week 8 except ABER in 90

42

Ant stabilization sx - ABER in 90

Week 12

43

Ant stabilization sx - phase one AROM

Flex to 140
ER w/ arm at side 40

44

Ant instability - sling

Ultra single 4-6 weeks

45

Ant instability - restrictions

NO active biceps 2 weeks
ER to 30
Passive flex to 90-120
Ab to 40

46

Ant instability - discontinue sling

4 weeks

47

Ant instability PROM

For 4 weeks

48

Ant instability AROM

6-12 weeks

49

Ant instability joint mobes

Wk 12-16 grade 3 or 4

50

RC cuff sling

Small: 4-6
Medium: 6
Massive: 8

51

RC phase 1 PROM
(1-6 for S/M, 1-14 L)

Flex >125
Scaption:
ER - >60,>25
IR >60, >30
Ab >90, >60

52

RC no bike/ UE ergo

Til
S 6
M 8
L 10

53

RC full AROM

S 10-12
M 12-14
L

54

RC initation precautions

NO AROM
No lifting,reaching bending back,
No support of BW by hands