Upper Extremity

Question 1

Clavicle

Answer 1

Strut for upper limb for max freedom of motion
Only bone connecting arm to axial spine
Most commonly fractured bone

Question 2

SC joint

Answer 2

Retract, protract, elevate, depress

Question 3

AC joint diagnosis

Answer 3

Side with less motion or restricted with springing is dysfunctional side
Check heights of scapular spine on dysfunctional side

Question 4

SC joint diagnosis

Answer 4

Behind patient with index fingers inferior, patient shrugs shoulders
Joint that moves more cephalad (or does not move caudad as it should) is dysfunctional
Compare heights anteriorly

Question 5

MET for AC joint

Answer 5

Pronated for inferior AC

Supinated for superior

Question 6

MET for SC joint

Answer 6

Superior clavicle:
Physician behind
Patients seated and arm on side of dysfunction into extension and forearm flexion
Utilizes subclavius
Inferior clavicle:
Patient supine, physician behind head
Rotate head away from side of dysfunction 
Utilizes SCM

Question 7

Adhesive capsulitis

Answer 7

Frozen shoulder
Pain and restrictive movement of shoulder
Prolonged arm immobility contributes to development
Generally ABduction, internal and external rotation affected most
Extension preserved

Question 8

7 stages of spencer

Answer 8

Extension
Flexion
Compression with circumduction 
Traction with circumduction
ABduction and ADduction/external rotation 
Internal rotation
Lymphatic pump