Summer Semester Final Flashcards
(86 cards)
3 types of joints
- Cartilaginous (min movment - syphysis pubis)
- Fibrous ( immovable - skull sutures)
- Synovial (freely movable - hip/shoulder)
Busiest joint in the body?
Temporomandibular joint
An exaggerated thoracic kyphosis is…
hunchback –> gibbous
Exaggerated thoracic kyphosis in post menopausal women
Dowager’s hump…caused from osteoporotic wedge fx
If a patient comes in complaining of shoulder pain and during the physical exam you take them through ROM and provacative maneurvers w/o any pain then what is the most likely etiology of pain?
Neck pain
A patient bends forward to touch their toes and their lordosis does not flatten. What may this mean?
Paravertebral muscle spasm
A pt w/ suspected cervical radiculopathy may have neurologic deficits in _____
A pt w/ suspected cervical myelopathy may have….
Cervical radiculopathy –> neurologic defects in UE
Cervical myelopathy –> upper and lower extremity deficits
If a patient comes in with neck pain and when asked to swallow they report difficulty swallowing then they likely have…
Anterior cervical disk herniation
Bony osteophytes
Distinguish Adson’s test with Wright’s Test
Adson’s: pt turns head TOWARD arm being tested
Wright’s: pt turns head AWAY from arm being tested
Both test for Thoracic Outlet Syndrome (subclavian artery)
The iliac crests sit at which spinal level?
L4-L5
Describe the straight leg test
We lift pt’s leg and note pain. If pt has pain then we lower until they feel no more pain. Then we dorsiflex foot. If pain still occurs this is a positive sign and most likely herniated nucleus pulposus of a disc that is stretching the sciatic nerve
If no pain with dorsiflexion –> hamstring tightness
Describe the crossed straight leg raise test
Straight leg test on unaffected side and if pain occurs (on involved side) then it is even more suggestive that pt has a herniated disc
–> Add on test to straight leg test
What does the Hoover Test look for?
Malingers that say they are weak in a leg/can’t move it at all.
What is the normal “carrying angle” of elbow in females and males?
An inc. angle of ____ may indicate a hx of ____.
A dec. angle of ___ may indicate a hx of ____.
Females: 10 degrees
Males: 5 degrees
Angle > 15 –> hx of lateral epicondylar fx and epiphyseal damage as a child
Angle < 5 –> called a gunstock deformity and may indicate supracondylar fx as a child w epiphyseal injury
Where will a patient feel numbness/tingling with ulnar nerve compression?
Pinky finger and ring finger (maybe half of ring finger…most can’t distinguish)
Which is more common? Tennis elbow or golfer’s elbow?
Tennis elbow (latera epicondylitis)
Where do you palpate the brachioradialis muscle/how do you make it more prominant? (remember to use anatomical position)
Have pt place hand under table and pull up
Brachioradialis is anterolateral
Going from medial to lateral: median nerve, brachial artery, biceps tendon
Median nerve –> Brachial artery –> Biceps tendon
4 movements at the elbow and the degrees of movement associated
- Flexion - 135
- Extension - 0
- Pronation - 90
- Supination - 90
Tinel’s Sign (elbow) tests for _________.
Ulnar Nerve Compression
–> Tap on ulnar groove –> (+) is tingling in pinky/ring finger
Thickened palmar fascia over the palmar aspect of the hand causes flexion in 3-5th fingers is called….
Dupuytren’s contractures
Joints involved in RA vs. OA
RA: PIP, MCP, wrist joints (ulnar deviation)
OA: DIP, PIP
What is a Mallet finger?
WHAT YOU HAVE
After avulsion fx of distal phalanx - result of bony build up –> can’t flex finger
Swan neck and boutonniere deformities are associated with ____.
RA
