fall 2023 CP final Flashcards
name of the ST for costclavicular syndrome
edens
what are the structures of cubital tunnel
medial epicondyle, radial nerve, flexor carpi ulnas
what bone dislocates the most
lunate
the axillary artery becomes what artery
brachial artery
describe the differences between a spondy and a stenosis
stenosis- narrowing of nerve canal
spondy- defect in pars articularis
what ST of the shoulder should be done in addition with the apprehension/ relocation test to differenciate an unstable GH joint
impingement
what are the structures involved with impingement of the shoulder
subacromial bursa, long head of biceps, supraspinatus ligament, corococlavicular ligament
name one way each to differentiate between a ligamentous, bony or muscular issue to the finger
ligamentous- valgus or varus or anterior or posterior
bony- tap test
muscular- mmt
describe SOAP, SLAP, RICE, ALRI
subjective, objective, assessment, plan
superior labral tear from anterior to posterior
rest, ice compression, elevation
anterolateral rotatory instability
describe the process behind the elvy test or the upper limb tension test
test for nerve involvement (eg. entrapment)
shoulder, forearm, wrist, fingers, elbow, and neck if needed
what carpal bone will be used in a. back eval
pisaform
what is the most common etiology, pathology and involved structures for carpal tunnel
etiology- overused of dexterous movements (eg. typing)
pathology- inflammation of tendons under
retinaculum that compromise the space and pinch median nerve
involved structures- 4 tendons of flexor digitorum superficialis, 4 tendons of flexor digitorum profundus
which elbow carrying angle is more common in women
cubitus valgus
name 3 ST for labral tears
slap series, lui crank, scouring, load and shift
what special tests and muscle groups are lateral epicondylitis
supinators and extensors, cozens, mills, modleys, caplens
what does game keeper’s test determine
integrity of UCL of thumb
what does the anterior longitudinal ligament limit
extension
what network of nerves originate from the spine
all of them: cervical, brachial, lumbar, sacral, cocygeal
what is the most common location for herniated lumbar disc
L4-5
what nerve root levels and terminating branches make up the brachial plexus
roots: C5-8, T1
branches: axillary, musculotaneous, radial, ulnar, median
what test is used for pants on fire (lying)
Hoover
with palm of the hand on the medial epicondyle name each of the muscles that each finger represents and the nerve that innervates it
pronator teres- median nerve
flexor carpi radialis-median nerver
palmaris longus- median nerve
flexor digitorum profundus/superficialis - median and ulnar -
flexor carpi ulnaris- ulnar
what are the terminating branches
musculocutanenous, axillary, ulnar, radial and medial
what are the muscles in the thenar group
flexor pollicis longus and brevis
adductor pollicis longus
describe full vascular integrity evaluation from shoulder, wrist, and hand
shoulder- Allen’s or adson, brachial pulse
wrist- allen’s, or radial pulse
hand- cap refill
what is the purpose of the springing test of the back vs the shoulder
back- hyper or hypo mobility of the discs
shoulder- integrity of ac or sc joint
scapula will move at that ratio of shoulder movement
2:1
the erector spinae is made up of what 3 columns
longissimus, spinalis, iliocostal muscles
name 2 involved structures and 2 ST for thoracic outlet syndrome
subclavian vein and artery
Allen and adson
name 8 ligaments that support or have a function in the shoulder girdle
anterior and posterior sc ligaments, interclavicular, costoclavicular, superior and inferior ac ligaments, superior middle and inferior GH ligaments, coracoclavicular, transverse humeral, coracoacromial, coracohumeral
what is the inflammation of the covering of the bone
periostitis
what are the positive for the fowlers test
a relief of pain
an osteochondral fracture of the glenoid labrum
bankhart lesion
what is considered the wrist miniscus
triangular fibrocartilage complex
what are two causes for scapular winging
weak musculature, neurological involvement
describe the pathology, signs and symptoms, and gold standard ST for a herniated disc,
pathology:nucleus pulposus protrudes beyond the annulus fibrosis
S/S: shooting sharp pain
ST: straight leg raise
what is the muscle that is involved in hard swallowing
omohyoid
what ligamentous structure provides a pivot point for the radius (stabilizes the head of the radius)
annular ligament
name a ST that tests for GH instability and labral tears and name a ST for GH instability and AC joint stability
- shoulder scouring
- traction test
name 4 ST for the low back that are completed in a supine position
pelvic compression, pelvic distraction, straight leg raise and well’s straight leg raise, hoover, bow string, FABER, femoral shear
what does Murphys sign test for
lunate dislocation
what is the official name for javelin thrower elbow
medial epicondylitis
the ulnar collateral ligaments has how many portions and which portion is the main stabilizer
3 portions (anterior, posterior, middle)
main stabilizer= anterior
what is the difference in mechanism of injury between a swan neck deformity vs boutonniere deformity
hyperextension vs trauma to the tip of the finger
what artery supplies to the extensors of the arm
profunda brachii
name 6. ST for possible SI dysfunction
pelvic compression, pelvis distraction, FABER, march, sacral apex, gaenslen’s, approximation, femoral shear, Hibbs, prone gapping
what is the procedure for opennheim test
using a sharp object down the crest of the tibia
what is the treatment for flexor digitorum profundus rupture and how is it tested
surgery and MMT to test integrity
describe fully how you would assess the subscapularis and a ST
assess active internal rotation of shoulder then passively and then resistive
ST includes lift off and bear hug
what ligaments give support to the proximal end of the clavicle
anterior and posterior SC ligaments, costoclavicular and interclavicular ligament
what is the name for the medial epicondyle of the humerus
trochlea
which nerve is tested during phalen’s test
median nerve
what are two congenital issues or problems that can be found in the lower back
cafe au lait maculés, and spina bifida occulta
what is the most prominent spinous process
C7
what is the most common mechanism for a fractured olecranon
falling on a flexed elbow
what is the most common mechanism for a AC sprain
falling on tip of the shoulder
on what bone would we find the coracoid process
scapula
where is key sensory area for c8
medial forearm
describe differences for Roo’s test and Rowe test
Rowe= GH instability
Roos= TOS
what motions are obtained at the radial ulnar joint
pronation and supination
what are 2 ways to differentiate between a positive impingement vs apprehension test
- mechanism injury (overuse vs traumatic event)
- using relocation test (pain relief= instability
- location of pain (CC pain vs pain more inferior for GH ligaments)
what 3 places can step deformity appear
AC, SC, broken clavicle
why is a posterior SC ligament a medical emergency and how can we treat it
because the clavicle can run into any sort of arteries and/or veins behind it
treated by pulling the clavicle out manually or a knee behind the pt. back pushing anteriorly
all the special test(s) for impingement
hawkins kennedy, impingement, speeds, empty can, drop arm, painful arc, neer, yergasons, ludingtons, bicep squeeze test
name all the postural abnormalities from head to toe from a posterior view
head: forward and/or backward head posture, rye neck
springles deformity, kyphosis, lordosis, scoliosis, pelvic obliquity, anterior or posterior tilt, coxa valga, coxa varus, anteversion, retroversion, patella alta, baja, squinting patella, genu varus, genu valgum, genu recurvatum, camel sign, pes planus, pes cavus, pronation, supination, hallux valgus, fiesse line, cubitus valgus, cubitus varus, cubitus recurvatum, trendelenburg
