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Final OPP Exam > Musculoskeletal Cases - Ramey/Ferril > Flashcards

Musculoskeletal Cases - Ramey/Ferril Flashcards

1
Q

rotator cuff

A

supraspinatus
infraaspinatus
teres minor
subscapularis

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2
Q

subscapularis

A

internal rotation

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3
Q

supraspinatus

A

elevationand abduction - upward traction to GH joint

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4
Q

infraspinatus

A

external rotation and downward rotation

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5
Q

impingement

A

supraspinatus

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6
Q

teres minor

A

external rotation and downward traction

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7
Q

impingement interval

A

under surface of acromion and superior aspect of humeral head

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8
Q

primary impingement

A

anatomical restriction of subacromial space

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9
Q

secondary impingement

A

pain - inhibition and weakness of rotator cuff

fail to hold humeral head

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10
Q

MC impingement sx

A

pain, weakness, loss of motion

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11
Q

xray to view rotator cuff

A

scapular Y view

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12
Q

slight winging of scapula

A

impingement syndrome

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13
Q

neers and hawkins sign

A

for impingment

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14
Q

tx of rotator cuff

A

conservative if possible

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15
Q

surgery tx in impingement syndrome

A

if conservative fails

older pt - more primary - acromioplasty
younger pt - more secondary - physical therapy

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16
Q

reverse shoulder replacement surgery

A

with irreparable rotator cuff deficiency

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17
Q

biceps tendonitis

A

inflammation of biceps tendon

secondary to repetitive use or overuse

sudden violent extension of elbow

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18
Q

sx of biceps tendonitis

A

yergasons and speeds test

tender tenon in bicipital groove

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19
Q

corticosteroids in biceps tendonitis

A

no - can cause rupture

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20
Q

lateral epicondilytis

A

tennis elbow

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21
Q

medial epicondilytis

A

golfers elbow

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22
Q

tendinosis

A

chronic change

-angiofibroblastic degeneration

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23
Q

tx of lateral epicondylitis

A

physical therapy

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24
Q

lateral pivot shift test

A

for lateral epicondilytis

25
Q

pain with resisted pronation, flexion, and grip strength

A

medial epicondylitis

26
Q

tx of medial epicondylitis

A

physical therapy

27
Q

tx of SD in thoracic, rib, and cervical when looking at upper extremity

A

reduce sympathetic tone

28
Q

nursemaids elbow

A

subluxation of annular ligament

from pull on arm

29
Q

neurovasc status check with nursemaids

A

brachial a, median and ulnar nn

vulnerable to entrapment during manipulation

30
Q

closed reduction of nursemaids

A

supination and flexion

with thumb on lateral elbow

31
Q

OMT in nursemaids

A

myofascial strains - tend to recur

32
Q

humerus BLT

A

watch for brachial plexus - no tingling

leverage humerus toward chest

reaches hand across chest - opposite clavicle

move uninvolved shoulder posteriorly

draws lower humerus across chest

fulcrum - physician hand

BLT established ext/int rotation

33
Q

posterior radial head still

A

radial head - resist anterior motion and supination
-ease - pronation

forearm in pronation
gentle axial force through distal radius to radial head
maintain compression - forearm to supination

34
Q

still technique

A

position of ease

-take through barrier with compressive/traction force

35
Q

fat pad sign

A

only sign of occult fx in children

indicate joint effusion

36
Q

salter harris

A 
1 - fx at epiphysis
2 - fx metaphysis
3 - fx epiphysis
4 - fx metaphysis and epiphysis
5 - compression
37
Q

jobes test

A

empty can test

38
Q

arm drop test

A

abduct to 90 degrees
-if unable to lower arm smoothly

suprapsinatus tear

39
Q

hawkins sign

A

flex arm to 90 - medial rotation

for supraspinatus impingement

40
Q

neers sign

A

max abduction with internal rotation

pain - supraspinatus tendon

41
Q

speeds test

A

arm flexed 90 - resist extension

positive - tender bicipital groove

biceps tendonitis

42
Q

crossover test

A

abducting shoulder - superior shoulder pain - acromioclavicualr pathology (superior)

43
Q

empty can test

A

abduct arm 90 degrees
thumbs down
downward pressure on arms

positive - rotator cuff tear - supraspinatus

44
Q

chin pivot HVLA

A

sidebending - toward barrier
rotation - toward ease

corrective force - anterior, lateral, caudal from left hand over left transverse process of thoracic

do not thrust on head and scissor of neck

45
Q

scapula

A

attached 19 muscles

46
Q

spencers technique

A 
1 - extension
2 - flexion
3 - compression with circumduction
4 - traction with circumduction
5 - adduction and ext rotation
6 - abduction
7 - internal rotation
8 - traction with inferior glide -pump
47
Q

B/L shoulder balancing

A

palms over AC joints

motion all planes

find equal tension - hold balanced position until release

48
Q

biceps CS point

A

bicip groove

brachialis and biceps brachii

49
Q

supraspinatus CS point

A

above spine scapula

50
Q

subscapularis CS point

A

anterior surface of scapula - lateral border and inferior

51
Q

MET for radial head

A

supinate/pronate with force ant/posterior via thumb on radial head

towards barrier

52
Q

through physiologic motion

A

tension in ligament never changes

53
Q

reciprocal tension

A

ligaments in joints

with BLT

tension remains constant

54
Q

BLT treatment

A

point of balance - point in ROM where ligaments and membranes poised between normal tension present throughout free range of motion and increased tension preceding strain (beyond normal physiology)

55
Q

ligaments for scapulothoracic BLT

A

serratus anterior, rhomboid, teres major

56
Q

still technique

A

exaggerate position of ease

vector of force (comp/tract) through its range of motion and through initial restriction

vector released - tissue passively returned to neutral

57
Q

sensing hand

A

on affected segment, joint, muscle, ligament in stills

58
Q

operating hand

A

sets position and provides force vector in stills

59
Q

force vector

A

in stills

compressive or traction

never more than 5 pounds

Final OPP Exam (9 decks)

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