2 - Clavicle

Question 1

Which bone is the first to form?

Answer 1

clavicle

Question 2

Clavicle serves as the attachment for the…….

Answer 2

Trap, Deltoid, Pec Major, Sternohyoid, Subclavius, SCM

Question 3

Clavicle provides protection for……

Answer 3

Subclavian artery, subclavian vein, Brachial plexus

Question 4

What are the 3 true synovial shoulder joints?

Answer 4

AC, SC, Glenohumeral

Question 5

Major motions of the SC Joint? TQ

Answer 5

AB/ADDUCTION (Frontal/Coronal Plane), Horizontal Flex/Extension (Horizontal/Transeverse/Axial Plane)

Question 6

What are the COUPLED motions of the SC/AC joint?

Answer 6

Abduction-Posterior/External Rotation; ADduction- anterior/internal rotation; Horizontal flexion-Posterior glide; Horizontal extension-Anterior glide

Question 7

Major motions of the AC joint?

Answer 7

Internal/External rotation

Question 8

In an ADDUCTION SOMATIC DYSFUNCTION

Answer 8

The medial portion of clavicle will not move as inferior. Lateral portion will NOT abduct as far as normal.

Question 9

Pt shrugs their shoulders and a clavicle stays SUPERIOR at the SC joint. Dsfxn?

Answer 9

An ADDucted Clavicle

Question 10

In an INTERNAL rotation somatic dysfxn of the AC, the affected side does NOT….

Answer 10

Externally rotate as easy as the contralateral side.

Question 11

In an EXTERNAL rotation somatic dysfxn of the AC, the affected side does NOT….

Answer 11

Internally rotate as easy as the contralateral side.

Question 12

How can you get an SC Joint Sprain?

Answer 12

Fall on shoulder on outsrtetched arm, Fall ……..

Question 13

How do you treat a mild SC joint sprain?

Answer 13

Ice 24-48 hrs, Analgesics, Sling 3-4 days, Return to activity 2-4 weeks.

Question 14

How do you treat a moderate SC joint sprain?

Answer 14

Ice 24-48hrs, analgesics, FIgure 8 brace w/sling 3 weeks, Return to activity 2-4 weeks.

Question 15

How do you treat a SC joint dislocation?

Answer 15

Reduction under anesthesia, FIgure 8 brace w/sling, Physical therapy, Return 6-8 weeks for anterior dislocation, up to 12 weeks for posterior.

Question 16

In an ADDuction Somatic Dysfxn, the medial portion of the dysfunctional clavicle will not move ………, the lateral portion will not…….

Answer 16

Medial portion will not move INFERIOR, the lateral portion will not ABduct.

Question 17

As a patient lies supine and reaches towards the sky, one clavicle does not move posterior. This clavicle is……

Answer 17

Stuck in HORIZONTAL EXTENSION.

Question 18

In a Horizontal Extension dysfxn, the medial aspect does not……., the distal aspect does not……

Answer 18

Medial does not move posterior, distal aspect does not move as anterior.

Question 19

What is the gold standard to radiologically dx a SC joint dislocation?

Answer 19

CT

Question 20

A posterior clavicle dislocation could be……

Answer 20

Life Threatening!

Question 21

Most commonly fractured portion of clavicle?

Answer 21

Middle third

Question 22

What kind of X-ray do you get?

Answer 22

Weighted X-ray!