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mske > chap 5 > Flashcards

chap 5 Flashcards

1
Q

the gh joint is what type of joint

A

multiaxial-ball and socket

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2
Q

the gh joint depends primarily on _____ for supp, stab and integrity

A

muscles and ligaments

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3
Q

RP of GH joint

A

55° abd and 30° hor. add

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4
Q

CPP of GH joint

A

full abd and ER

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5
Q

capsular pattern of GH joint

A

ERAbIR

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6
Q

what are the primary ligaments of the GH joint

A

sup, mid, inf GH ligaments

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7
Q

innervation of the GH joint

A

branches of post cord of BP
suprascapular
axillary
lateral pectoral

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8
Q

it unites the supraspinatus and subscapularis tendons

A

coracohumeral ligament

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8
Q

components of rotator interval

A

coracohumeral lig, sup GH lig, GH capsule, tendons of supraspinatus and subscapularis

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9
Q

type of joint of AC joint

A

plane synovial

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10
Q

RP of AC joint

A

anatomical pos

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11
Q

CPP of AC joint

A

90° abd

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12
Q

capsular pattern of AC joint

A

extreme hor add and full ext

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13
Q

primary support of AC joint

A

coracoclavicular lig

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14
Q

first lig injured when AC joint is stressed

A

coracoclavicular lig - step deformity

since it controls vertical motion

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15
Q

most common type of claviclce

A

type 2 or curved

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16
Q

type of clavicle that causes rot cuff tears

A

type 3 or hooked - 70% of rot cuff tears

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17
Q

innervation of AC joint

A

branches of suprascapular and lateral pectoral nerve

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18
Q

type of joint of SC joint

A

saddle synovial

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19
Q

main lig of SC joint

A

costoclavicular lig

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20
Q

RP of SC joint

A

anatomical pos

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21
Q

CPP of SC joint

A

full elevation and protraction

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22
Q

capsular pattern of SC joint

A

extremes hor add and full elevation

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23
Q

innervation of SC joint

A

ant supraclavicular nerve and nerve to subclavius

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24
Q

_____ consists of the body of scapula and muscles covering the posterior chest wall

A

scapulothoracic jt.

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25
Q

function of scapulothoracic jt.

A

funnels the forces from trunk and legs into the arm

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26
Q

what is scapular dyskinesia

A

SICK

malpositioned Scap
prominent Inferomedial border
Coracoid pain and malposition
scapulat dysKinesia

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27
Q

type 1 scapular dyskinesia

A

inferior medial border prominent at rest, scapular tilt, while acromion tilts anteriorly over the top of thorax

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28
Q

type 2 scapular dyskinesia

A

classic winging - whole medial border prominent and lifting away

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29
Q

type 3 scapular dyskinesia

A

superior border elevated at rest and movement

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30
Q

type 4 scapular dyskinesia

A

scapulae symmetrical, rotary winging - normal scapula

31
Q

phase 1 of scapulohumeral rhythm

A

humerus - 30° abd

scapula - minimal; setting phase

clavicle - 0° to 5° elevation

32
Q

phase 2 of scapulohumeral rhythm

A

humerus - 40° abd

scapula - 20° rotation, minimal protraction or elevation

clavicle - 15° elevation

33
Q

phase 3 of scapulohumeral rhythm

A

humerus - 60° abduction, 90° lateral rotation

scapula - 30° rotation

clavicle - 30° to 50° posterior rotation, up to 15° elevation

34
Q

most common MOI for traumatic shoulder disloc

A

abd, ER, ext

35
Q

most common direction for shoulder disloc

A

anterior inferior

36
Q

SLAP

A

superior labrum - AP

37
Q

bankart/magnison

A

anteroinferior

38
Q

presentation of TOS

A

deep, boring toothache-like pain in neck, shoulder

tender 1st rib

arm weakness

39
Q

TUBS

A

Traumatic onset, Unidirectional anterior with a Bankart lesion responding to Surgery

40
Q

AMBRI

A

Atraumatic cause, Multidirectional with Bilateral shoulder findings with Rehabilitation as appropriate treatment and, rarely, Inferior capsular shift surgery)

41
Q

time frame of acute

A

7-10 days

42
Q

time frame of subacute

A

10 days to 7 wks

43
Q

time frame of chronic

A

> 7 wks

44
Q

_____ leads to osteoporosis and joint laxity

A

steroids

45
Q

used to measure distance from 3 points of medial border of scap c respect to spine

A

lennie test

46
Q

grading tenderness of Grade I

A

Grade I—Patient complains of pain

47
Q

grading tenderness of Grade 2

A

Grade II—Patient complains of pain and winces

48
Q

grading tenderness of Grade 3

A

Grade III—Patient winces and withdraws the joint

49
Q

grading tenderness of Grade 4

A

Grade IV—Patient will not allow palpation of the joint

50
Q

____ first before PROM

A

AROM

51
Q

Movement that is strong and pain free

A

no lesion of the contractile unit

52
Q

Movement that is strong and painful

A

local lesion of the muscle or tendon

53
Q

Movement that is weak and painful

A

severe lesion around that joint, such as a fracture

54
Q

Movement that is weak and pain free

A

rupture of a muscle (third-degree strain) or its tendon or involvement of the peripheral nerve or nerve root supplying that muscle

55
Q

C4 dermatome

A

shoulder area

56
Q

C6 dermatome

A

anterior arm

57
Q

C8 dermatome

A

medial arm

58
Q

DTR of bicep

A

C5-C6

59
Q

DTR of triceps

A

C7-C8

60
Q

DTR of brachioradialis

A

C5-C6

61
Q

DTR 0

A

absent

62
Q

DTR 2+

A

normoreflexive

63
Q

DTR 3+

A

hyperreflexive

64
Q

DTR 4+

A

clonus

65
Q

agonist and antagonists of scapular protraction

A

A - serratus ant and pec major + minor

AT - traps and rhomboids

66
Q

agonist and antagonists of scapular retraction

A

A - traps and rhomboids

AT - serratus ant and pec major + minor

67
Q

agonist and antagonists of scapular elevation

A

A - upper traps and lev scap

AT - serratus ant and lower traps

68
Q

agonist and antagonists of scapular depression

A

A - serratus ant and lower traps

AT - upper traps and lev scap

69
Q

agonist and antagonists of scapular lateral rot (upward rot of inferior angle)

A

A - upper and lower traps, serratus ant

AT - lev scap, rhomboids, pec minor

70
Q

agonist and antagonists of scapular medial rot (downward rot of inferior angle)

A

A - lev scap, rhomboids, pec minor

AT - upper and lower traps, serratus ant

71
Q

agonist and antagonist of scapular stabilization

A

A - upper traps, lower traps, rhomboids

AT - serratus ant

72
Q

agonist and antagonist of humeral abd

A

A - deltoids

AT - supraspinatus

73
Q

agonist and antagonist of humeral medial rot

A

A - subscap, pec major, lats, anterior delt

AT - infraspinatus, teres minor, posterior deltoid

74
Q

agonist and antagonist of humeral lateral rot

A

A - infraspinatus, teres minor, posterior deltoid

AT - subscap, pec major, lats, anterior delt

75
Q

what are the ligs that is intracapsular extrasynovial

A

ICES

ACL, PCL, long head of bicep

mske (6 decks)

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