Extremities

Question 1

These are the three true joys of the shoulder.

Answer 1

1. Glenohumeral
2. Sternoclavicular – sellar Joint
3. Acromioclavicular – plane joint

Question 2

This is the pseudo-joint of the shoulder.

Answer 2

Scapulothoracic

Question 3

Rotator cuff tendons

Answer 3

SITS:
Supraspinatus
Infraspinatus
Teres minor
Subscapularis

Question 4

These are the stages of the Spencer technique.

Answer 4

Extension
Flexion
Circumduction with compression
Circumduction with distraction
Abduction with internal and external rotation
Another internal rotator
Massage relaxer or limp pump
As always re-test

Question 5

Spencer mnemonic

Answer 5

Elephants
Fly
Constantly
To
Annoy
Intoxicated
People

Question 6

Name the one true joint of the elbow

Answer 6

Ulno humeral

Question 7

Name the two accessory joints of the elbow

Answer 7

Radiohumeral and proximal radioulnar

Question 8

What is The normal range of motion for the elbow?

Answer 8

160° in Flexion and 0° and extension

Question 9

How is an interior Radiohead treated with OMT?

Answer 9

HVLA: Pronate the patient’s wrist while flexing at the elbow, grab the Radial head with a few fingers, and encourage posterior motion while hyper-flexing the elbow.

Question 10

OMT for a posterior Radial head.

Answer 10

Contact the radial head with fingers, encouraging anterior motion while hyper extending the elbow joint.

Question 11

OMT for decreased wrist pronation or supination

Answer 11

Direct muscle energy in a shaking hands with patient position

Question 12

OMT for lateral epicondylitis.

Answer 12

Treat all surrounding dysfunctions then use counterstrain by supinating the forearm. Educate.

Question 13

OMT for medial epicondylitis.

Answer 13

Treat all surrounding dysfunction, then use counterstrain by extending the elbow and pronating the forearm. Educate

Question 14

OMT for metacarpal dysfunction.

Answer 14

Articulatory technique – wiggle it just a little bit therefore translating the metacarpal anteriorly and posteriorly with the neighboring metacarpals.

Question 15

Fingers

Answer 15

Gap and gently rotate stiff or dysfunctional phalanges.

Question 16

What is the primary joint of the Hip?

Answer 16

Femoroacetabular

Question 17

What is the primary flexor of the hip, and the primary extensor of the hip?

Answer 17

Flexor – iliopsoas

Extensor – gluteus maximus

Question 18

What is the functional hip stacking technique?

Answer 18

With the patient supine, palpate the anterior capsule and take the leg indirectly away from all barriers including flexion, extension, abduction, adduction, internal or external rotation, compression, or distraction.
Hold until releases felt then slowly return.

Question 19

Lateral trochanteric counterstrain

Answer 19

patient lying either prone or supine
Palpate the tender point and then abduct the leg and it just with mild flexion, extension, and or rotation to decrease the tenderness of the point.
Hold for 90 seconds and slowly return.

Question 20

Piriformis counterstrain

Answer 20

Flex hip and knee to 90 degrees, abduct and externally rotate.
Hold 90 s

Question 21

3 knee joints

Answer 21

Tibiofemoral
Patellofemoral
Tibiofibular

Question 22

Tibia on femur dysfunction

Answer 22

For: abduction, abduction, and torsion dysfunctions of the tibia on the femur.
Patient supine, physician contact above and below knee and directly apply pressure to soft tissue barriers in rotation and Varus/Valois.

Question 23

Patellar counterstrain

Answer 23

Patient supine
Foot/tibia internally rotated
Grasp quad above knee and provide inferior force while Palpating tender point with other hand

Question 24

HVLA for Anterior fibular head

Answer 24

Supine with pillow under knee

Internally rotate foot and ankle then thrust fibular head posteriorly while internally rotating ankle

Question 25

HVLA for posterior fibular head

Answer 25

Supine with hip and knee flexed
Externally rotate ankle and foot with other hand in popliteal fossa
Flexed knee while applying and to your pressure on fibular head

Question 26

Name the major ankle joint

Answer 26

Talocrural

Question 27

Which angle ligament is most commonly torn and always tears first

Answer 27

Anterior talofibular ligament

Question 28

HVLA for anterior tibia on Talus

Answer 28

Supine with position at foot of table
Grasp heel And apply traction
Corrective force with other hand posteriorly through distal tibia

Question 29

HVLA for posterior tibia on Talus

Answer 29

Supine with physician at end of table

Grasp foot with both hands, apply traction, dorsiflexion, and mild eversion. Give a gentle tug.

Question 30

What is the area covered by the plantar fascia

Answer 30

It extends from the medial calcaneus to the phalanges

Question 31

How is the hiss whip performed?

Answer 31

Grasp of the foot with the thumbs crossed over the dysfunctional bone, apply downward thrust while inducing a whip like motion of the foot and ankle

Question 32

Technique for metatarsal articulation

Answer 32

Patient supine, grass foot and stabilize one metatarsal while gently moving adjacent metatarsal.