Upper Extremity ME

Question 1

How do you diagnosis radial head dysfunction

Answer 1

Patient shoulders relaxed and forearms at 90 degree flexion

• simultaneously pronate and supinate the forearms assessing range of motions
• palpate the radial head

Distal radius moves anteriorly/medially During supination

Question 2

What muscle pulls the SC joint inferiorly and is the muscle being worked on with SC joint ME?

Answer 2

Pectoralis major

Position

• abduction (no more than 45-60 degrees
• extend
• externally rotate the arm

Do this to the feathered barrier and instruct the patient to match force
when positing further, DONT abduct past 60 degrees

Question 3

What is the plane of scaption?

Answer 3

90 degrees abduction

30 degrees horizontal flexion

Question 4

What position is the patients forearms and shoulders placed in when diagnosing radial head somatic dysfunctions?

Answer 4

Shoulders are relaxed

‘Forearms are at 90 degrees of flexion

radial head moves posteriorly w/ pronation and anterior w/ supination

Question 5

How do you position the hands when fixing flexion wrist somatic dysfunction?

Answer 5

Patient shoulders are relaxed and the forearms are at 90 degrees of flexion

Sit or stand in front of the patient and locate the radiocarpal joint
- place the 5th digit of each hand along this joint line and grasp the patients palms with both thumbs

Question 6

How do you position the hands when fixing flexion wrist somatic dysfunction?

Answer 6

Patient shoulders are relaxed and the forearms are at 90 degrees of flexion

Support the patients distal forearm w/ one hand
- grasp the dorsum of the patients hand just distal to the radiocarpal joint w/ the other hand