cervical to philanges ortho exam (includes wrist/hand special tests and clnical signficiance things) Flashcards
Cervical Soft Tissue Palpations (7)
- SCM
- Upper Traps
- Middle Traps
- Levator Scap
- Rhomboids (on neck)
- Paraspinals & Extensors (occiput to T3)
- Suboccipitals
Clinical Significance: Upper traps
Common to have dysfunction here for neck pain pts
Associated with forward head posture
Can get trigger points easily
Clinical Significance: suboccipitals
can become really tight with a forward head posture
When tight they trigger head aches
They can be tender so it is good to palpate
Movements of SCM (2)
Contralateral rotation
Ipsilateral flexion
Most muscles, what to palpate for
defects and tenderness
Pain, tenderness, trigger points
Rhomboid major attachments
- Spinous processes of T2-T5
- Lateral scapular spine to inferior angle
Rhomboid Major/Minor (Attachments)
Medial border of scapula to cervical and
upper thoracic spinous processes (C7-T5)
Normative ROM for C-spine
Flex: 50
Ext: 60
Lat Flex: 45
Rotation: 80
C-Spine goiniometry: Saggital plane
Flexion 50 degrees
Extension 60 degrees
C-Spine goiniometry: Frontal plane
Lateral flexion: 45 degrees
C-Spine goiniometry: Transverse
Rotation 80 degrees each way
Three Cervical Manual Muscle Tests
Combined Flexion
Combined Extension
Rotation (primarily tests SCM)
VEOS
Valgus Extension Overload Syndrome.
compression stress on radial side of elbow, distraction stress on medial side. Overhead extension movements - overhead athletes
OCD
Osteocondritis Dessicans
Valgus extension overload syndrome (elbow)
a circular effect with tensile stress along the medial restraint, shear stress in the posterior compartment and compression stress laterally
Can result in UCL tear OCDs etc
cyriax muscle-tendon unit tests
- AROM: painful
- Resisted at midrange: more painful
- PROM: extension painful (but doesn’t have to be as much)
Elbow Special non-neuro Test types (4 types)
- Cyriax Tests
- Valgus & Varus (0, 30)
- Milking Tests (test for VEOS)
- Radiocapitular Compression Test (check for crepitus, clunking, grating, pain —– indicates OCDs at joint).