Upper Quarter 1 Flashcards

(66 cards)

0
Q

What is the classification of the humeroulner and humeroradial joints

A

Diarthrodial uniaxial hinge joint

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1
Q

What are the joints of the elbow and forearm?

A

Humeroulnar
Humeroradial
Proximal radioulnar
Distal radioulnar

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2
Q

What are the osseous structures of the humerus?

A
Supracondylar ridge
Epicondyles
Olecranon fossa
Trochlea
Trochlear groove
Capitulum
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3
Q

What are the osseous structures of the ulna?

A

Olecranon process
Trochlear notch
Trochlear ridge
Coronoid process

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4
Q

What are the ligamentous structures of the elbow joint?

A

Medial (ulnar) collateral ligament

Lateral (radial) collateral ligament

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5
Q

What does the medial collateral ligament of the elbow do?

A

Resists valgus stress

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6
Q

What does the lateral collateral ligament of the elbow do?

A

Resists varus stress

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7
Q

What are the three prime flexors of the elbow?

A

Biceps Brachii
Brachialis
Brachioradialis

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8
Q

What are the two prime extensors of the elbow?

A

Triceps

Anconeus

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9
Q

What are the motions of the humeroradial and humeroulnar joint?

A

Flexion
Extension
In Sagittal plane and coronal or M/L axis

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10
Q

Does active or passive ROM allow for more movement?

A

Passive, due to the bulk of the muscle not contracting.

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11
Q

Which position of the hand allows for greater flexion: supination, pronation, neutral?

A

Supination

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12
Q

For elbow flexion and extension, is it concave on convex or convex on concave?

A

Concave on convex

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13
Q

How do you classify the proximal and distal radioulnar joints?

A

Diarthrodial uniaxial pivot joints

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14
Q

What are the osseous structures of the radius?

A

Radial head

Ulnar notch

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15
Q

What are the osseous structures of the ulna

A

Radial notch

Ulnar head

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16
Q

What are the ligamentous structures of the forearm?

A

Annular ligament
Quadrate ligament
Interosseous membrane
Oblique cord

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17
Q

What does the annular ligament do?

A

Maintains radial head in radial notch

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18
Q

What does the quadrate ligament do?

A

Maintains radial head in radial notch

Limits spin of radial head in supination/pronation

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19
Q

What does the interosseous membrane do?

A

Provides stability for the ulnar joints
Taut in pronation, loose in supination
Transmits forces from distal radius to the ulna and up the chain when compressive forces are applied

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20
Q

What does the oblique cord do?

A

Prevents separation of the radius and ulna when distractive forces are applies

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21
Q

What are the prime supinators of the forearm?

A

Biceps Brachii

Supinator

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22
Q

What are the prime pronators of the forearm?

A

Pronator teres

Pronator quadratus

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23
Q

What are the motions of the forearm?

A

Supination
Pronation
In the transverse plane and vertical axis

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24
How is ROM of the forearm tested?
With the elbow at 90 degrees
25
What is the range of active flexion of the elbow
135-140
26
What is the range of passive flexion of the elbow?
150-160 degrees
27
What is the average total range of motion of the radioulnar joint?
150-180 degrees
28
What is the average ROM of supination?
80-90 degrees
29
What is the average ROM of pronation?
70-80 degrees
30
What limits pronation of the forearm?
Bony approximation of radius on ulna Tension of post. Radioulnar ligament Passive insufficiency of biceps Quadrate ligament limits spin
31
What limits supination of the forearm?
Tension of ant. Radioulnar ligament Oblique cord tension Quadrate ligament tension
32
For supination and pronation, are the distal and proximal joints convex on concave or concave on convex?
Proximal- convex on concave | Distal- concave on convex
33
What are the joints of the wrist?
Radiocarpal joint | Midcarpal joint
34
What are the carpal bones?
``` Scaphoid Lunate Triquetrum Pisiform Trapezium Trapezoid Capitate Hamate ```
35
What are the ligamentous structures of the wrist?
Medial carpal ligament Lateral carpal ligament Transverse carpal ligament
36
What is another name for medial carpal ligament?
Ulnar collateral ligament
37
What is another name for the lateral carpal ligament?
Radial collateral ligament
38
What are the pillars of the transverse carpal ligament?
Pisiform Hook of hamate Scaphoid tubercle Tubercle on trapezium
39
What are the prime flexor a of the wrist?
Palmaris longus Flexor carpi ulnaris Flexor carpi radialis
40
What are the prime extensors of the wrist?
Extensor carpi radialis brevis Extensor carpi radialis longus Extensor carpi ulnaris
41
What are the prime radial deviators?
Extensor carpi radialis longus Flexor carpi radialis Abductor pollicis longus Extensor pollicis brevis
42
What are the prime ulnar deviators?
Flexor carpi ulnaris | Extensor carpi ulnaris
43
What are the proximal components of the radiocarpal joint?
Radius | Triangular fibrocartilage complex (TFCC)
44
What are the distal components of the radiocarpal joint?
Scaphoid Lunate Triquetrum
45
Where are 80% of the compressive forces through the wrist?
The radius articulating with scaphoid and lunate
46
Where are 20% of the compressive forces in the wrist?
TFCC articulating with lunate and triquetrum
47
What is in the medial compartment of the midcarpal joint?
Capitate-hamate articulating with scaphoid-lunate-triquetrum
48
What is in the lateral compartment of the midcarpal joint?
Scaphoid articulating with trapezoid-triquetrum
49
What is the point of the pisiform bone?
Acts as a sesmoid bone to increase the moment arm of the flexor carpi ulnaris muscle
50
How would you classify the radiocarpal joint?
Biaxial compound ellipsoid joint
51
How do you classify the midcarpal joint?
It can't be defined
52
What are the motions of the wrist?
Flexion/extension In Sagittal plane and coronal axis Radial/ulnar deviation In frontal plane and A/P axis
53
What's the normal ROM of the wrist?
Flexion-80-90 degrees Extension-60-80 degrees Ulnar deviation-30-40 degrees Radial deviation-15-20
54
What are the joints of the hand?
``` Carpometacarpal joint 1-5 Metacarpophalangeal joint 1-5 Proximal interphalangeal joint 2-5 Distal interphalangeal joints 2-5 Interphalangeal joint 1 ```
55
What are the osseous structures of the hand?
Metacarpals Proximal phalanges Distal phalanges Middle phalanges
56
What are the prime flexors of the finger MCP and IP joints?
Flexor digitorum profundus Flexor digitorum superficialis Lumbricals Flexor digiti minimi
57
What are the prime extensors of the finger MCP and IP joint?
Extensor digitorum Extensor indices Extensor digiti minimi
58
How do you cause the extensor digitorum to work less?
Close fingers into a fist
59
What are the prime abductors of the fingers?
Dorsal interossei | Abductor digiti minimi
60
What is the prime adductor of the fingers?
Palmar interossei
61
What are the prime flexors of the thumb?
Flexor pollicis longus Flexor pollicis brevis Opponens pollicis
62
What are the prime extensors of the thumb?
Extensor pollicis longus Extensor pollicis brevis Abductor pollicis longus
63
What are the prime abductors of the thumb?
Abductor pollicis brevis | Abductor pollicis longus
64
What is the prime adductor of the thumb?
Adductor pollicis
65
What are the prime oppositioners of the hand?
Opponens pollicis Flexor pollicis brevis Abductor pollicis brevis Opponens digiti minimi