Final Exam Prep Flashcards
motions of the wrist
flexion/extension
radial and ulnar deviation
motions and goniometry of the fingers
MCP- flex/ ext, abd/add
PIP- flex/ext
DIP flex/ext
motions of the thumb
CMCP- flex/ext, abd/add, opposition
MP- flex/ext
IP-flex/ext
what are the wrist extensors
extensor carpi radialis longus and brev
extensor carpi ulnaris
what are the wrist flexors
flexor carpi radialis and flexor carpi ulnaris
what are the extrinsic muscles (long finger flexors)
flexor dig superficialis and profundus
what are the intrinsic muscles
lumbricals, interossei, 3 hypothenar
what are MP extensors
extensor carpi communis
extensor indicis
extensor digiti minimi
what are common hand injuries
fractures, carpal tunnel release, trigger finger, dequarvains tenosynovitis, nerve entrapment
what are the motions of the elbow
flexion, extension, supination, pronation
what are the flexors of the elbow
biceps
brachialis
brachioradialis
what are the extensors of the elbow
triceps
what are the supinators of the elbow
biceps brachii and supinator
what are the pronators
pronator teres and pronator quadratus
ROM of elbow flexion
140-150
Landmarks of elbow goni for flexion and extension
stationary arm: lateral midline of humerus
axis: lateral epicondyle of humerus
moving arm: lateral midline of the radius to radial head
what is the normal end feel of elbow flexion
soft tissue approx
position for ROM of elbow flexion/ext
supine with towel under distal humerus, forearm in supination
ROM elbow extension
0 degrees but can have more
what is the normal end feel of elbow ext
hard due to the contact of the olecranon process of the ulna and olecranon fossa.
ROM of pronation
75-80
testing position of forearm ROM
Sitting with arm next to body so shoulder is at 0 degrees in all directions. Elbow flexed to 90 with forearm supported. Thumb pointed toward ceiling.
GONI landmarks of forearm supination and pronation
SA: parallel to anterior midline of humerus
AXIS:
supination: medially to ulnar styloid process
pronation: laterally to ulnar styloid process
MA: across dorsal (pronation) ventral (supintion) surface proximal to radial and styloid process
ROM of supination
80
end feel of supination
firm due to tension in the palmar radioulnar ligament, interosseous membrane, pronators
end feel of pronation
hard due to contact of ulna and radius
ROM wrist extension
60-70
wrist extension ROM position
sitting, should abd 90, elbow flex 90, palm facing ground, KEEP FINGERS RELAXED
ROM landmarks for wrist ext/flex
SA: lateral midline of ulna
AXIS: lateral aspect of wrist (triquetrum)
MA: lateral midline of 5th metacarpal
ROM wrist flex
60-80
ROM redial deviation
20
ROM ulnar deviation
30
testing position of wrist ulnar/radial deviation
sitting, should abd 90, elbow flex 90, palm facing ground, KEEP FINGERS RELAXED
ROM landmarks ulnar/ radial deviation
SA: dorsal midline forearm
AXIS: dorsal aspect of wrist over capitate
MA: dorsal midline of 3rd metacarpal
what 10 steps do you follow for general examination
- review of systems
- assessing arousal
- patient interview
- vital signs
- inspection
- sensation
- joint ROM
- MMT
- assessment of function
- assessment of gait
shoulder propellor muscles
pec major and latissimus dorsi
shoulder power muscles
deltoid
scap positioner muscles
traps, serratus anterior, rhomboids
shoulder protectors
rotator cuff
order of rehab for shoulder
- GH protectors
- scap positioners
- GH power muscles
- shoulder propellors
3 levels of palpation
skin (temp, moisture, skin play)
subcutaneous (edema, muscle play, tenderness, tone)
bone (alignment)
shoulder flex ROM
0-180
Shoulder abd ROM
0-180
shoulder ext ROM
0-60
shoulder IR rom
0-70
shoulder ER ROM
0-90
hip flex ROM
120-140
hip ext ROM
18-30
hip abd ROM
40-55
hip add rom
20-25
hip IR rom
30-45
hip ER rom
30-55
knee flex ROM
120-140
knee ext ROM
0-15
dorsiflexion
20 (10 for gait)
plantarflexion
30-50
inversion
35-60
eversion
15-30
hindfoot inversion/eversion
5-10
