UPPER LIMB ASSESSMENT Flashcards

(50 cards)

1
Q

Outline the physical assessment

A

Look
Feel
Move
- Active
- Passive
- Resisted

Joint above
Affected area
Joint below

RED FLAGS
Colour
Perfusion
Sensation

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2
Q

SWEADES

A

S - swelling
W - wounds
E - exudate
A - atrophy
D - deformity
E - eretyma
S - scars

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3
Q

Shoulder joint above

A

neck or spine - reffered pain - rule out

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4
Q

Spine - LOOK

A

Posture - scoliosis/ kyphosis
Deformities

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5
Q

Spine - FEEL

A

atrophy/hypertrophy
muscle/bony tenderness
irregular spinous process - tenderness

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6
Q

Spine - MOVE

A

flexion/extension - nodding
lateral flexion - ear to shoulder
rotation (sitting)

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7
Q

4 joints of the shoulder gurdle

A

sternoclavicular
acromioclavicular
glenohumeral
scapulothoracic

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8
Q

Sternoclavicular Joint

A

where the sternum and clavicle join

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9
Q

Acromioclavicular

A

Acromion process joins onto the clavicle

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10
Q

Glenohumeral joint (shoulder joint)

A

Glenoid meets the humerus - ball and socket

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11
Q

which joint is the most shallow and susceptible to dislocation?

A

Glenohumeral

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12
Q

Anterior (front) landmarks

A

Sternoclavicular joint
Clavicle
AC joint
Coracoid process

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13
Q

Posterior (back) landmarks

A

spine and borders of the scapula

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14
Q

Humeral landmarks

A

Head of humerus
tubercule - greater and lesser
Bicipital groove
Deltoid muscle

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15
Q

extension movement

A

0-60 degrees

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16
Q

external rotation

A

0-90 degrees

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17
Q

internal rotation

A

0-70 degrees - body wont allow anymore movement

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18
Q

Regimental badge sign

A

test for axillary nerve damage
- sensation
light stroke of both sides of shoulder

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19
Q

axillary nerve motor deficit sign

A

motor - abduction of the deltoid is limited

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20
Q

shoulder dislocation

A

Anterior - trauma
Posterior - FOOSH

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21
Q

4 stages of subluxation

A

1 - v shaped widening
2 - moderate subluxation
3 - advanced subluxation
4 - dislocation

22
Q

4 muscles of the rotator cuff

A

supraspinatus
subscapularis
infraspinatus
teres minor

23
Q

tendonitis

A

tendon swells (becomes inflamed) after an injury.

24
Q

partial tear

A

when one or more of the muscles and tendons that make up your rotator cuff tears

25
full thickness tear
Tear in the muscles or tendons surrounding the shoulder joint.
26
rotator cuff impingement
condition where the space between the acromion and rotator cuff narrows
27
other names for rotator cuff impingement
Rotator cuff tendinitis shoulder bursitis biceps tendinitis
28
patient plan for rotator cuff injury
leave at home self care advice/ worsening advise gp referral
29
What can a GP do for a shoulder injury
start non invasive treatment - physiotherapy - corticosteroid injections - surgery referral
30
with sensation, it is also important to ask about what?
Neurovascular compromise
31
Elbow landmarks
Radial head Olecranon Medial and lateral epicondyles- tennis & golfers elbow
32
Elbow movements
flexion - bend up towards face extension - moving down towards feet pronation - palms down supination - palms up
33
what connects the radius to the humerus allowing for pronation and supination?
Annular ligament
34
where should movements come from with the elbow?
Annular ligament in the elbow not the shoulder
35
Tennis elbow
Lateral epicondylitis - repetitive strain injury
36
Golfers elbow
Medial epicondylitis - repetitive strain injury
37
Pulled elbow is aka
Nursemaids elbow - common in children
38
what is pulled elbow
radial head subluxtion due to a slip in the annular ligament causing it to trap
39
Olecranon bursitis is...
inflammation of the Olecranon bursae
40
Job of the bursae
to reduce bone friction
41
Main signs of a septic joint
Signs of infection reduced ability
42
how many carpals are there?
8
43
Pneumonic for Carpal bones
Some Lovers Try Positions That They Cant Handle
44
Bone structure of the hand
Carpal bones Metacarpal bones Proximal phalanges Middle phalanges Distal phalanges
45
movements of the wrist
Palmar/dorsa flexion Radial/ulnar deviation Pronation/supination
46
Smith's fracture
Flexion fracture of the radius
47
Colles' fracture
Extension fracture of the radius FOOSH pathology
48
3 radial fractures
greenstick foosh - colles' smith's
49
anatomical snuffbox test
test for scaphoid fracture - lightly palpate base of the thumb
50