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Learn This > Ortho 3 - Exam 1 > Flashcards

Ortho 3 - Exam 1 Flashcards

(54 cards)

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1
Q

Post op SLAP

A

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

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2
Q

SC Arthro

A

SIX - sup, inf, conVEX

PRAVE - pro, re, concAVE

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3
Q

Ulnohumeral resting

A

70 flex

10 sup

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4
Q

SC closed

A

Full elevation

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5
Q

Radio humeral closed

A

90 flex

5 sup

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6
Q

Superior radioulnar resting

A

70 flex

35 sup

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7
Q

Superior radio ulnar closed

A

5 sup

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8
Q

Radial N

A

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

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9
Q

Ulnar nerve C8T1

A

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

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10
Q

Musculocutaneous C5,C6

A

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

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11
Q

Dynamic pulling activities

A

Retract and DR by

Rhomb, lats, T major, RC

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12
Q

Medial N C5-T1

A 
Medically over brachialis
Anteromedial elbow
Under biciptial app
Pronator —> AIN = flex/pro
Entrapment at ligament of struther
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13
Q

TUBS

A

Traumatic unidirectional anterior instability w/

Bankart lesion requiring surgery

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14
Q

Humeral anterior glide associated w/

A

Impingement
Instability
RC patho

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15
Q

Scap resting

A 
30-45 IR
2-3 in Ab from spine
Sup angle @T2
Inf angle at T7
UR netural to 3
Anterior tilt 10-20
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16
Q

Scap elevation

A 
Inf angle to SC increased to 25
Sc rotates post 25
AC UR 35
Scap post tilt 20
GH ER 45
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17
Q

Winging Tx

A

Strengthen scapulothroacic
Stretch scapulohumeral
SA control

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18
Q

Pt unable to maintain core temp if water is

A

< 25 C

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19
Q

May be too hot for intense activities

A

> 37

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20
Q

In waist deep water at 37C

A

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

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21
Q

Aerobic precautions

A 
Fear of water
Neuro disorder
Seizures
Cardiac dysfunction 
Small open wounds and lines
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22
Q

Aquatic contras

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A 
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
Q

Main upward rotators

24
Q

Scapulohumeral rhythm - setting phase

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

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