BE - Lecture 1 Flashcards
class notes ended at S: 49 cards to S:42
active ROM
- ____
- ___ is moving parts
- ____ than passive ROM
voluntary
patient
smaller
passive ROM
- ___ barrier
- ____
- ___ is not moving parts
- ___ than active ROM
physiologic
involuntary
patient
larger
joint play
- ____ barrier
- ____ barrier
- _____ and ____
- after ____ and ___ range
- ___ are made here
paraphysiologic structural involuntary and passive active and inactive adjustment
3 true joints of the shoulder complex
GHJ
SCJ
ACJ
1 false joint
STJ
3 bones of the shoulder complex
humerous
clavicle
scapula
GHJ has the ___ mobility
greatest
SCJ is the only real link to ____ skeleton
axial
shoulder complex involves “____ stabilization”
dynamic
if the SCJ moves, so does the ___ and ___
ACJ
STJ
SCJ has a ___ capsule
synovial
the SCJ has a SC ___
disk
the SC disk has inferior part to the ____ and superior part to the ____
clavicle
manubrium
SC disk maintains ___ and ___
strength
stability
SC disk will sublux ___ and ____
ant and sup
dislocation happens __% to the SCJ
1
ACJ has a ___ capsule
synovial
the AC disk with upper extremity usage will go from fibrocartilage —> ____
meniscoid
shoulder separation happens at the ___ J
AC
shoulder separation involves the ____ cap, ___ lig and ___ lig
anterior
AC
CC
with shoulder separation there will be ___ of the ACJ
gapping
T2 landmark seated
seated
superior/medial angle of the scap
T3 landmark seated
spine of the scap
T7 seated
inferior angle of the scap
2” should be the average distance between what?
SPs
vertebral border
primary movements of the STJ
elevation
depression
secondary movements of the STJ
protract retract upward rotation downward rotaion (rotation in reference to the inf angle)
STJ is a ___-joint
pseudo
adhesive capsulitis leads to a loss of the __;___ ratio
2:1
becomes 1:1
adhesive capsulitis you have pain on ___
abd
adhesive capsulitis can be caused by ___ (____/____) or ____ ____
trauma (direct or indirect)
over use
Codman’s exercise
stretch capsule w/o load
hang down in front and make little circles –> big circles
scapular winging
serr ant. subscap, rhomboids keep the scapula gliding and sliding over rib cage and it isn’t
scaps wing out
GHJ has a ___ articular surface of humerus and ____ articular surface of scapula
large
small
angle of inclination for the GHJ
130-150
angle of inclination of the GHJ made by what 2 bones
Btw the midline shaft of the humerus and midline shaft of the scapula
angle of torsion of the GHJ
30
how it hangs in resting position
humerus should hang and should face a little ___ and ___
medial
post
glenoid labrum is an extension from the glenoid ___
fossa
glenoidal labrum ___ and gives ___ articulation to the humerus
deepens
more
glenoid labrum allows ______to attach
long head of the biceps
glenoid labrum is ___ on top and ___ on bottom
loose
tight
(opp of the glenohumeral capsule)
glenohumeral capsule is ___ on top and ___ on bottom
tight
loose
(opp of the glenoid labrum)
glenohumeral capsule is supported by the ___
subscapularis
glenohumeral capsule forms the ___ with the SITS muscles
cuff
coracoacromial arch involves 3 things
coracoid process
acromion
coracoacromial lig
coracoacromial arch protects 3 things
subacromial bursa
rotator cuff tendons
long head of BB
coracoacromial arch keeps the GHJ from dislocating ___
superiorly
2 bursa in the shoulder
subacromial
subdeltoid
bursa decreases ___
friction
dislocation of the GHJ is usually in ___ and ___ ___ position
hyperextention
external rotation
during dislocation of the GHJ the humerus will move ___ and ___
ant
inf
during dislocation of the GHJT there is __ or ___ use
little
no
4 tests for GHJT diagnoses
ant drawer
apprehension
dugas
Feagin
dislocation of the GHJT usually caused by ___
trauma
during dislocation you have to ___ to rule out ___
x ray
fracture
___ maneuver is used to fix a dislocation of the GHJ
Kocher
Reason why the glenoidal labrum is loose on the top?
for mobility
Reason why the glenoid labrum is tight on the bottom
for stability
SX of bursitis
Cardinal signs: swelling pain reddness heat
positions that a pt will feel pain when they have bursitis
Flex, abd, ER
during c.c. _______ will cause pain during PROM and AROM
bursitis
2 causes of bursitis
trauma , overuse
two special test for bursitis
push-button, dawbarns
flexion of GHJ is ____ degrees
160
____ degrees: extension of GHJ
60
____ degrees: adduction of GHJ
75
____ degrees: abduction of GJH
180
____ degrees: protraction of GHJ
20
____ degrees: retraction of GHJ
30
____ degrees: : ER of the GHJ
100
____ degrees: IR of the GHJ
70
M. that preform Flexion of the GHJ
ant. delt
long bicep brachii
pec. Major
M that preform Extension of GHJ
Post. delt teres maj teres minor lat. dorsi triceps
M that preform adduction of GHJ
pect maj
lat dorsi
teres major
M that preform abduction of GHJ
supraspinatus
mid delt
During abduction of the GHJ there is ____ sliding of the humeral head
inferior
the humerus has to _____ for abduction to finish
ER
The first 15 degrees of abduction of the GHJ is preformed by the ______M.
Supraspinatus
M that preform IR of the GHJ
subscapularis
pec major
