Musculoskeletal System Part 2 Flashcards
Dip
Distal InterPhalangeal
PIP
Proximal InterPhalangeal
MCP
MetaCarpoPhalangeal
Finger ROM
Flexion
* Extension
* Hyperextension
* Abduction
* Adduction
Quadriceps tendon
To thigh
to tibia
Patellar tendon
patella
- Floating
- Quadriceps tendon
- To thigh
- Patellar tendon
- To tibia
Physical Assessment
- Inspection, palpation, percussion
- Tools
- Tape measure
- Goniometer
- Stadiometer
- Scoliometer
Inspection
- Swelling, erythema, symmetry, deformity
- Range of Motion (ROM)
- Posture: head position, alignment
- Spinal curves:
- Cervical, thoracic, lumbar, sacral
- Spinal deformities: kyphosis, scoliosis, lordosis
Spinal curves
Cervical, thoracic, lumbar, sacral
* Spinal deformities: kyphosis, scoliosis, lordosis
Shape of legs
Genu varum‐bowlegs (air between knees)
* Genu valgum‐knock knees (gum sticks together)
Gait: cadence
Stride length
* Arm swing
* Speed
Palpation
Muscle tone: upper and lower extremities
* Muscle strength: upper & lower extremities
* Grade strength 0 to 5
* Joint crepitus
* Swelling—effusion, bogginess
* Warmth—back of hand
* Tenderness
* Stability—check for laxity
Signs of Inflammation
Swelling
* Warmth
* Erythema
* Pain or tenderness
Single transverse palmer crease
Normal finding
* Down syndrome
* Fetal alcohol
syndrome
Tests for carpal tunnel syndrome
Tinel’s (tap)
Phalens
DIP
Heberdens nodes
(prox.
phalanges)
Bouchard’s node
Rheumatoid Arthritis
- Boutonniere deformity
- Contraction of the hand musculature marked by proximal
interphalangeal joint flexion and distal interphalangeal
joint hyperextension - Swan neck deformity
- Hyperextension of the proximal interphalangeal joints
with fixed flexion of the distal interphalangeal joints
Boutonniere deformity
Contraction of the hand musculature marked by proximal
interphalangeal joint flexion and distal interphalangeal
joint hyperextension
Swan neck deformity
Hyperextension of the proximal interphalangeal joints
with fixed flexion of the distal interphalangeal joints
Rheumatoid Arthritis
Boutonniere Deformity
Swan neck deformity
Developmental Dysplasia of Hip (DDH)
Barlow test
ortolani test
Allis Sign (DDH)
Asymmetric thigh folds‐‐DDH
Hallux Valgus—bunion
Lifespan changes
Older adults
* Decreasing height occurs in trunk
* Due to thinning of intervertebral discs
* Check height on older adults
* Muscles lose bulk
* Decreased ROM common due to osteoarthritis
Decreasing height occurs in trunk
* Due to thinning of intervertebral discs
* Check height on older adults