Final Exam Flashcards
What are the four muscles in the rotator cuff
Supraspinatus
Infraspinatus
Subscapularis
Terry’s minor
What are the movements of the shoulder complex
Flexion/extension
Abduction/adduction
Horizontal abduction/adduction
Internal/external rotation
Circumduction
What is scapulohumeral rhythm
Once the arm gets above a certain degree of movement, the humerus and scapula move continuously and synchronously at a 2:1 ratio. 1° of scapular rotation for every 2° of humoral movement needed to facilitate full normal shoulder motion
What is the point of reference for rotation in the scapula
Glenoid fossa
What are the movements of the scapula
Protraction: downward rotation, abduction, anterior tilt
Retraction: upward rotation, adduction, posterior tilt 
What is a common acute injury in the shoulder area
Clavicle fracture
What are the three types of sprains and separations in the shoulder complex
Acromioclavicular
Glenohumeral
Sternoclavicular
What is the glenoid labrum
Fibrocartilage rim that lines the glenoid fossa
What is impingement syndrome
Tendons of the rotator cuff are pinched as they pass between the top of the humerus and the acromion
What is thoracic outlet syndrome
Compression of the Neurovascular structures at the thoracic outlet (neurovascular structures pinched under clavicle)
If nerves are compressed in thoracic outlet syndrome what symptoms will you experience
Aching pain
Pins and needles sensation
Numbness into arm (medial side)
Weak grip strength and muscle atrophy
If veins are compressed in thoracic outlet syndrome, what symptoms will you experience
Edema, stiffness into hand
Cyanosis in arm (Blue in colour)
If An artery is compressed in thoracic outlet syndrome, what symptoms will you experience
Rapid onset of coolness
numbness in entire arm
fatigue after over head activity
What are some examples of overhead athletes
Swimmers
Weightlifting
Volleyball
What are the Movements of the elbow
Flexion/extension
Pronation/supination
What are the bones in the elbow
Humerus
Radius
Ulna
What is the carrying angle
Formed by long axiss of humerus and midline of forearm
What is the caring angle norms between males and females
Males - 11-14°
Females - 13 -  16°
Wrapping Vs. Taping
Wrapping: non-adhesive, provides compression but no support
Taping: adhesive, support and compression, later stages of injury
What is the purpose of taping
-Supports ligaments and joint capsules of unstable joints
-Enhance proprioceptive feedback
-Support injuries by compression and limiting movements
When not to tape
-When further diagnosis is required
- immediately after an acutely injury has occurred
-after cold application
- pre-puberty (10-14)
What are 3 common taping mistakes
Shadows
Windows
Wrinkles
How much do you overlap your tape by?
1/2 every strip you apply
Name some tape strips
Anchors
Figure 8’s
Heel locks
Spicas
Spirals
Stirrups
Close off strips
When should you asses an injury
ASAP after occurrence
What is HOPS
H-istory
O-bservation
P-alpation
S-pecial tests
What is the primary survey and the secondary survey for injury assessment
Primary: A, B, Cs
Secondary: HOPS
What are the 3 ROMs
Active
Passive
Resistive
What does active ROM test
-The strength of surrounding muscles, tendons, bones, and ligaments
What does passive ROM test
Insertion of bones, ligaments
The severity of structure injured
What does resistive ROM test
-Contractile structures
-Strength/weakness of joint contraction with or without pain
What are some directional elbow conditions
-cubital valgus
-Cubital Verus
What are the muscles involved with the elbow
Triceps brachii
Anconeus
Wrist extensors/flexors
Name some common acute fractures of the elbow
Humerus
Radial head
Olecranon process
Medial epiphyseal plate
Characteristics of Elbow dislocations
Uncommon, but serious
ALWAYS accompanied by MCL sprain
Immobilize and refer to a physician
List some chronic elbow injuries
Triceps tendinopathy
Lateral epicondylitis (Tennis elbow)
Medial epicondylitis (golfer’s elbow)
What are the movements of the wrist
-flexion/extension
-Radio/ulnar deviation
What are the movements of the fingers
-flexion/extension
-Abduction/adduction
Thumb:
-Opposition/reposition
What are the bones in the wrist and hand
14 phalanges
5 metacarpals
4 distal carpals
3 proximal carpals (scaphoid)
What is the order of joints from the tip of a finger to the base of your finger
Distal interphalangeal
Proximal interphalangeal
Metacarpophalangeal
What are the ligaments that hold your finger joints together
Collateral ligaments
The hand contains a lot of which to soft tissues
Muscles and tendons
What are some common acute fractures in the wrist and fingers
Colles fracture
Scaphoid fracture
Metacarpal fracture
Phalanges fracture
Skiers thumb
Mallet finger