UE OMM Flashcards

1
Q

what is the only bony connection of the UE to axial skeleton?

A

SC joint

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2
Q

what is the most mobile joint in the body?

A

glenohumoral joint

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3
Q

where is the glenoid labrum weakest, and where is the humurus most likely to dislocate?

A

anteriorly and inferiorly

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4
Q

rotator cuff made up of what muscles? (4)

A
SIPS
supraspinatus tendon
infraspinatus tendon
teres minor tendon
subscapularis tendon
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5
Q

scalenus anticus syndrome

A

compression of brachial plexus & vasculature

use adson’s test to dx

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6
Q

what is the major shoulder flexor?

A

deltoid (anterior part)

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7
Q

what is the major shoulder extensor?

A

deltoid (posterior part)

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8
Q

major internal rotator of shoulder?

A

subscapularis

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9
Q

major external rotator of shoulder?

A

infraspinatus

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10
Q

muscles involved in shoulder aBduction?

A

deltoid + supraspinatus (initiates first 30 degrees of aBduction)

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11
Q

muscles involved in shoulder aDduction?

A

pec major, lat dors

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12
Q

muscles involved in scapular elevation (4)

A

trap, lev scap, rhomboids

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13
Q

main muscles involved in scapular depression

A

pect minor, trap

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14
Q

muscles involved in scapular protraction (3)

A

serratus anterior, pec major, pec minor

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15
Q

muscles involved in scapular retraction (4)

A

trap, rhomboids, lat dorsi

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16
Q

muscles of upward rotators of scapular (scapular aBduction)

A

trap, serratus anterior

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17
Q

what is the shoulder mostly innervated by?

A

C5-C6

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18
Q

referred pain to the shoulder is mainly in a ____distribution

A

C5

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19
Q

apley’s scratch test: scratch the opposite shoulder tests which motions in glenohumeral? (3)

A

internal rotation, aDduction, flexion

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20
Q

apley’s scratch test: scratch the middle of upper back tests which motions in glenohumeral (3), and scapular (2)

A

glenohumeral: aBduction, external rotation, flexion
scapular: upward rotation, elevation

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21
Q

apley’s scratch test: place hand in small of back, and scratch back as high as possible, which motions in glenohumeral (3), scapular (2)

A

glenohumeral: internal rotation, aDduction, extension
scapular: downward rotation, retraction

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22
Q

what is the capsular pattern of the shoulder?

A

some limitation of aBduction
more limitation of external rotation
less limitation of internal rotation

23
Q

what is the passive horizontal adduction test testing?

A

AC joint

24
Q

what is the hawkins test testing?

A

impingement of supraspinatus, long head of biceps, or subacromial bursa

25
Q

what is the neers test testing?

A

impingement of supraspinatus, long head of biceps, or subacromial bursa

26
Q

what is the arm drop test testing?

A

supraspinatus muscle

27
Q

what is the apprehension test testing?

A

anterior glenohumeral capsule

28
Q

when to do relocation test?

A

if apprehension test is positive

29
Q

empty can test?

A

supraspinatus

30
Q

speeds test?

A

biceipital tendinitis

31
Q

yergasons test?

A

biceps tendon subluxation

32
Q

sternoclavicular joint restriction is usually?

A

aDducted, extended

33
Q

do you move the glenohumeral joint during shoulder mobilization?

A

NO, used to mobilize SCJ, ACJ, scapulocostal joint

34
Q

joints involved in flexion/extension of elbow (2)

A

Humeroulnar (uniaxial hinge joint)

Humeroradial

35
Q

joints involved in protonation/supination of elbow (1)

A

Proximal radioulnar (pivot joint)

36
Q

fxn of collateral ligaments in wrist?

A

limit varus/valgus stress on joint

37
Q

interosseous membrane fibers slants?

A

fibers slant upward and lateral from ulnar to radius

38
Q

what is most commonly fractured carpal?

A

scaphoid

39
Q

what is the most frequently dislocated carpal?

A

lunate

40
Q

many patients presenting with hand or wrist pain will have initial injury in?

A

neck, shoulder, elbow region

41
Q

what are you screening for in piano key sign?

A

instability at distal radioulnar joint

42
Q

what causes instability at distal radioulnar joint

A

RA, trauma

43
Q

what is nursemaids elbow?

A

Incomplete dislocation of the head of the radius from the annular ligament

44
Q

lateral epicondylitis

A

Cozens test or maudsleys test

45
Q

de quervain’s tenosynovitis

A

Finkelsteins test

46
Q

snuff box tenderness

A

scaphoid fracture

47
Q

with supination, the radial head glides______

A

anteriorly

48
Q

with protonation, the radial head glides_______

A

posteriorly

49
Q

majority of neck pain originates where?

A

muscular origin

50
Q

strain or sprain: muscle tendon injury

A

strain

51
Q

most common level of protrusion of cervical disc herniation?

A

C5-C6

52
Q

most common level for Cervical Radiculopathy

A

C7

53
Q

Cervical Stenosis is usually associated with an AP diameter under___

A

10 mm