Upper Limb Stats - Final Exam Review

Question 1

What are the expected ranges of motion for the shoulder joint?

Answer 1

Flexion/abduction: 180°
Horizontal abduction: 100°
ER: 90°
IR: 70°
Extension: 60°
Adduction/horizontal adduction: 45°

Question 2

What is the capsular pattern of restriction for the GH joint?

Answer 2

ER > ABD > IR

Question 3

What is resting position for the GH joint?

Answer 3

55-70° of abd + 60° of horizontal abd (measured from 90° of flexion)

Question 4

What is closed pack position for the GH joint?

Answer 4

Maximal horizontal abduction & external rotation

Question 5

What are the expected ranges of motion for the scapulothoracic joint?

Answer 5

Protraction/retraction/elevation/depression: 30°

Medial/lateral rotation: 50°

Question 6

What is closed pack position for the scapulothoracic joint?

Answer 6

There is no such thing! It is not a true joint.

Question 7

Explain the shapes of the articulating surfaces (convex vs. concave) for the humeroulnar joint.

Answer 7

humerus (trochlea): convex

ulnar (trochlear notch): concave

Question 8

Explain the shapes of the articulating surfaces (convex vs. concave) for the humeroradial joint.

Answer 8

humerus (capitulum): convex

radius (radial head): concave

Question 9

Explain the shapes of the articulating surfaces (convex vs. concave) for the proximal radioulnar joint.

Answer 9

ulna (radial notch): concave

radius (radial head): convex

Question 10

What are the expected ROM for the elbow joint?

Answer 10

Flexion: 150°
Extension: 0-10°
Supination & pronation: 90° (pronation is 80-90°)

Question 11

What is the capsular pattern of restriction for the elbow joint?

Answer 11

Humeroradial & humeroulnar: flexion > extension

Proximal radioulnar: supination = pronation

Question 12

What is resting position for the humeroulnar joint?

Answer 12

70° of flexion

Question 13

What is resting position for the humeroradial joint?

Answer 13

full extension & supination (as if letting your arm/forearm just go limp)

Question 14

What is resting position for the proximal radioulnar joint?

Answer 14

35° of supination & 70° of flexion

Question 15

What is closed pack position for the humeroulnar joint?

Answer 15

full extension

Question 16

What is closed pack position for the humeroradial joint?

Answer 16

90° of flexion

Question 17

What is closed pack position for the proximal radioulnar joint?

Answer 17

5° of supination

Question 18

What are the expected ranges of motion for the wrist complex?

Answer 18

Flexion: 80°
Extension: 70°
Ulnar deviation: 30°
Radial deviation: 20°

Question 19

What is the capsular pattern of restriction for the wrist complex?

Answer 19

Flexion = extension

Question 20

What is resting position for the wrist complex?

Answer 20

neutral (halfway between flex & ext) with slight adduction (ulnar deviation)

Question 21

What is closed pack position for the wrist?

Answer 21

full extension

Question 22

What are the expected ranges of motion for the distal radioulnar joint?

Answer 22

Supination & pronation 85-90°

Question 23

What is the capsular pattern of restriction for the distal radioulnar joint?

Answer 23

supination = pronation

Question 24

What is resting position for the distal radioulnar joint?

Answer 24

10° of supination

Question 25

What is closed pack position for the distal radioulnar joint?

Answer 25

5° of supination

Question 26

True or false: closed pack position is the exact same for the proximal AND distal radioulnar joints.

Answer 26

True

Question 27

What is the general convex/concave rule for the CMC & intermetacarpal joints?

Answer 27

concave on convex

Question 28

What is the capsular pattern of restriction for the 1st CMC joint?

Answer 28

abduction > extension

Question 29

What is the capsular pattern of restriction for the 2nd-5th CMC joints?

Answer 29

all limited equally!

Question 30

What is closed pack position for the 2nd-5th CMC joints, and then the 1st CMC joint?

Answer 30

``` full extension (2-5) full opposition (1) ```

Question 31

What is resting position for the CMC joints?

Answer 31

semiflexion

Question 32

What are the expected ranges of motion for the 1st CMC joint?

Answer 32

``` Flexion: 15° Extension: 20° Abduction: 70° Adduction (to plane of the hand) Opposition (till thumb tip touches head of 5th metacarpal) ```

Question 33

What are the expected ROM for the 2nd-5th MCP joints?

Answer 33

Flexion: 90° Extension: 45° Abduction: 20° Adduction: 10°

Question 34

What is the expected ROM for the 1st MCP joint?

Answer 34

Flexion: 60°

Question 35

The proximal IP joints are expected to have ___ of flexion

Answer 35

100°

Question 36

The distal (including the thumb) interphalangeal joints are expected to have what ROM?

Answer 36

Flexion: 80° Extension: 10°

Question 37

What is resting position for the IP joints & 1st MCP joint?

Answer 37

semi-flexion

Question 38

What is resting position for the 2nd-5th MCP joints?

Answer 38

semiflexion & adduction

Question 39

What is closed pack position for the 2nd-5th MCP joints?

Answer 39

full flexion

Question 40

What is closed pack position for the 1st MCP & IP joints?

Answer 40

full extension