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Ortho Tx > Final OP > Flashcards

Final OP Flashcards

1
Q

Brachialis

A

O: distal anterior shaft of humerus
I: ulnar tuberosity and coronoid process of ulna

Main elbow flexor

Musculocutaneous nerve
Brachial artery

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2
Q

MMT: Brachialis

A

Seated or supine
Place hand under semi-flexed elbow, or cushion it.
Forearm pronated.

Resist extension.

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3
Q

Teres Major

A

O: Inferior portion of lateral border of the scapula
I: Medial lip of bicipital groove

Medial rotation, adduction and extension

Lower subscapular nerve
Circumflex scapular artery

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4
Q

MMT: Teres Major

A

Prone

Arm extended and adducted, medially rotated, hand palm up on posterior iliac crest. Raise elbow.

Resist downward push against arm, above elbow.

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5
Q

Biceps brachii

A

O: (long head) supraglenoid tubercle
(short head) corocoid process
I: radial tuberosity and bicipital aponeurosis

Elbow flexion
Shoulder flexion, forearm supination

Musculocutaneous nerve
Brachial artery

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6
Q

MMT: Biceps

A

Seated or supine
Place hand under semi-flexed elbow, or cushion it.
Forearm supinated.

Resist extension.

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7
Q

Triceps brachii

A

O: (long head) infraglenoid tubercle
(lateral head) proximal half of humeral shaft
(medial head) distal half of humeral shaft
I: olecranon process

Elbow extension
Long head: shoulder extension

Radial nerve.
Deep brachial artery

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8
Q

MMT: Triceps

A

Prone. Shoulder flexed to 90º.

Support at bicep. Pressure at forearm.

Resist flexion.

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9
Q

MMT: Triceps

A

Prone. Shoulder flexed to 90º.

Support at bicep. Pressure at forearm.

Resist flexion.

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10
Q

Brachioradialis

A

O: lateral supracondylar ridge of the humerus
I: styloid process of the radius

Flexes elbow when neutrally pronated/supinated
Brings forearm to neutral from supination/pronation

Radial nerve
Brachial and radial arteries

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11
Q

MMT: Brachioradialis

A

Supine or seated. Elbow supported and partially flexed.

Neutral pronation.

Resist extension

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12
Q

Flexor Carpi Ulnaris

A

O: medial epicondyle (CFT) and proximal ulna
I: pisiform, hook of hamate, 5th metacarpal (under Tunnel of Guyon?)

Wrist flexion, ulnar deviation
Slight elbow flexion

Ulnar nerve
Ulnar artery

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13
Q

MMT: FCU

A

Sitting or supine. Forearm supinated, wrist flexed.

Resist extension, radial deviation.

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14
Q

Abductor Pollicis Longus

A

Deep compartment of forearm.

O: Middle 1/3 of posterior ulna, and interosseous membrane
I: posterior base of MC1

Abducts thumb at CMC

Radial nerve
Posterior Interosseous artery

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15
Q

MMT: Abductor Pollicis longus

A

Sitting or supine. Semi-supinated (thumb up). Stabilize wrist.

Pressure against MC1

Resist adduction and flexion

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16
Q

Pectoralis Major

A

Origin: (clavicular): anterior surface of sternal half of clavicle
(sternocostal): anterior sternum, cartilages of R1-6/7, aponeurosis of external obliques.

Insertion: crest of greater tubercle of humerus

Clavicular: flexion and medial rotation, horizontal adduction
Sternocostal: scapular depression, oblique adduction of humerus toward opposite hip

Lateral (clavicular) and medial (both) pectoral nerves
Thoraco-acromial artery

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17
Q

MMT: Pec Major (upper)

A

Supine. Shoulder flexed to 90°, slight medial rotation, horizontally adducted toward clavicle.

Fix opposite shoulder.

Resist horizontal abduction.

18
Q

MMT: Pec Major (lower)

A

Supine. Shoulder flexed, slight medial rotation, obliquely adducted toward opposite hip.

Fix opposite hip.

Resist lateral and superior adduction

19
Q

Quadratus lumborum

A

Origin: posterior iliac crest
Insertion: R12 and TVPs of L1-4

Extension and lateral flexion of the trunk. APT. Elevates pelvis at lumbar sacral joint.

Lumbar plexus
Subcostal, lumbar and iliolumbar arteries.

20
Q

MMT: The QL

A

Prone. Leg abducted in line with fibres, slightly extended, hip elevated.

Resist downward oblique pull on leg

no need to time. Pass/Fail

21
Q

Rectus Femoris

A

Origin: AIIS, groove just above acetabular rim
Insertion: tibial tuberosity

Knee extension
Hip flexion

Femoral nerve
Femoral and deep femoral artery

22
Q

MMT: Rectus Femoris

A

Seated. Support under thigh. Knee fully extended, no rotation.

Resist flexion.

23
Q

Tensor fascia latae

A

Origin: ASIS
Insertion: prox 1/3 ITB

Flexion, abduction, medial rotation

Superior gluteal nerve
Deep femoral and superior gluteal arteries

24
Q

MMT; TFL

A

Supine. Hip flexed knee extended.

Resist extension and adduction.

25
Q

Biceps femoris

A

Origin: (long head). Ischial tuberosity
(short head). Linea aspera
Insertion: head of fibula and lateral tibial condyle.

Knee flexion.
Long head: hip extension, PPT

Sciatic (tibial) nerve
Inferior gluteal, obturator and deep femoral arteries.

26
Q

MMT: biceps femoris

A

Prone. Knee flexed to 50-70°, slight lateral flexion.

Fix thigh on table.

Resist extension. Do not apply rotation.

27
Q

Soleus

A

Origin: soleal line of tibia. Head and proximal 1/3 tibia
Insertion: calcaneus via Achilles’ tendon

Plantar flexion

Tibial nerve
Popliteal artery.

28
Q

MMT: soleus

A

Prone. Knee flexed. Plantarflexion.

Grip at posterior calcaneus, support medial-distal tibia.

Resist dorsiflexion (pushing calcaneus up, not plantar surface down).

29
Q

Tibialis posterior

A

O: posterior 2/3 tibia, fibula, interosseous membrane.
Insertion: plantar MT 2-4 and all tarsals except talus.

Inversion and plantarflexion

Tibial nerve
Posterior tibial artery

30
Q

MMT: Tibialis posterior

A

Supine. Leg laterally rotated. Plantarflexed and inverted.

Support leg above ankle.

Resist dorsiflexion and eversion, against medial foot.

31
Q

Tibialis anterior

A

O: proximal anterior tibia. (Lateral tibial condyle and prox 2/3 interosseous membrane)
I: dorsal 1st cuneiform and 1st metatarsal.

Dorsiflexion. Inversion.

Deep fibular nerve
Anterior tibial artery

32
Q

MMT: Tibialis anterior

A

Supine or seated. Knee flexed if gastroc tight.

Support leg, just above ankle.

Resist plantarflexion and eversion

33
Q

Fibularis longus

A

O: head of fibula, prox 1/2 lateral fibula
I: plantar surface of 1st cuneiform and 1st metatarsal (hooks around cuboid)

Eversion and plantarflexion

Superficial fibular nerve
Fibular artery

34
Q

MMT: fib long

A

Supine. Medially rotated.

Support leg above ankle.

Resist inversion and dorsiflexion against lateral border of foot.

35
Q

Extensor hallucis longus.

A

O: mid anterior fibula (mid 1/3 fib, interosseous membrane)
I: dorsal big toe (distal phalanx)

Extends big toe at MTP and IP.
Dorsiflexion and inversion

Deep fibular nerve
Anterior tibial artery

36
Q

MMT: EHL

A

Sitting or supine.

Stabilize foot in slight plantarflexion, big toe extended.

Resist flexion.

37
Q

Pectoralis minor

A

O: R3-5
I: coracoid process of scapula

Protraction and depression of scapula.
Elevation of R3-5

Medial and lateral pectoral nerves
Thoraco-acromial artery

38
Q

MMT: Pec Minor

A

Supine.

Elevate shoulder. Resist depression.

39
Q

Infraspinatus

A

O: infraspinatus
I: middle facet of greater tubercle

Lateral rotation

Suprascapular nerve
Suprascapular artery

40
Q

MMT: infraspinatus

A

Prone. Shoulder and elbow flexed (half W). Bicep supported/cushioned.

Resist medial rotation against forearm.

41
Q

Psoas major

A

O: vertebral bodies, TVPs and discs T12-L5
I: lesser trochanter of femur (merges with iliacus)

Flexion and lateral rotation of thigh.
Flexion and lateral rotation of trunk
APT

42
Q

MMT: iliopsoas (emphasis on Psoas)

A

Prone. Leg flexed, slightly abducted and externally rotated.

Fix opposite hip.

Resist extension and slight abduction.

Ortho Tx (14 decks)

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