UE OMM Flashcards

(53 cards)

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?

24
Q

what is the hawkins test testing?

A

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

25
what is the neers test testing?
impingement of supraspinatus, long head of biceps, or subacromial bursa
26
what is the arm drop test testing?
supraspinatus muscle
27
what is the apprehension test testing?
anterior glenohumeral capsule
28
when to do relocation test?
if apprehension test is positive
29
empty can test?
supraspinatus
30
speeds test?
biceipital tendinitis
31
yergasons test?
biceps tendon subluxation
32
sternoclavicular joint restriction is usually?
aDducted, extended
33
do you move the glenohumeral joint during shoulder mobilization?
NO, used to mobilize SCJ, ACJ, scapulocostal joint
34
joints involved in flexion/extension of elbow (2)
Humeroulnar (uniaxial hinge joint) | Humeroradial
35
joints involved in protonation/supination of elbow (1)
Proximal radioulnar (pivot joint)
36
fxn of collateral ligaments in wrist?
limit varus/valgus stress on joint
37
interosseous membrane fibers slants?
fibers slant upward and lateral from ulnar to radius
38
what is most commonly fractured carpal?
scaphoid
39
what is the most frequently dislocated carpal?
lunate
40
many patients presenting with hand or wrist pain will have initial injury in?
neck, shoulder, elbow region
41
what are you screening for in piano key sign?
instability at distal radioulnar joint
42
what causes instability at distal radioulnar joint
RA, trauma
43
what is nursemaids elbow?
Incomplete dislocation of the head of the radius from the annular ligament
44
lateral epicondylitis
Cozens test or maudsleys test
45
de quervain’s tenosynovitis
Finkelsteins test
46
snuff box tenderness
scaphoid fracture
47
with supination, the radial head glides______
anteriorly
48
with protonation, the radial head glides_______
posteriorly
49
majority of neck pain originates where?
muscular origin
50
strain or sprain: muscle tendon injury
strain
51
most common level of protrusion of cervical disc herniation?
C5-C6
52
most common level for Cervical Radiculopathy
C7
53
Cervical Stenosis is usually associated with an AP diameter under___
10 mm