OMM Flashcards
nerve injured in masectomy
thoracodorsal - latissiumus dorsi
long thoracic innervates
serratus anterior
mimics carpal tunnel syndrome but pain is worse during the day and there is negative phalens test
pronator teres syndrome
insertion of supraspinatous
greater tubercle of the humerus
most common injury to rotator cuff
insertion of supraspinatous muscle
severe, burning pain at site of injury with nail and hair growth, muscle spasm and restricted mobility
complex regional pain syndrome type 1
saddle anesthesia, bowel, bladder incontinence
cauda equina syndrome
brittle nails, diminished hair growth, edema, thick joints, associated nerve injury
complex regional pain syndrome type 2
paresthesia of the lateral calf, foot drop
common fibular n (peroneal) problem or posterior fibular head
sympathetics to LE
T10-L2
major motion of OA
sidebending
major motion of AA
rotation
major motion of C2-7
SB, rotation, F/E
posterior chapman point appendix
TP of T11
anterior chapman point appendix
tip of the 12th rib
what is effected in dequrvains tenosynovitis
abductor pollicis longus and extensor pollicis brevis
quadriceps activation test is + for
PCL tear
most common cause of knee pain in athletes (often long distance runners)
IT band
must rule out this before dx of psoas syndrome in young girl
salphingitis
protrusion of peritoneum through spermatic cord, lateral to inferior epigastric artery
indirect inguinal hernia
hernia through floor of inguinal canal due to weak abdominis aponeurosis, medial to inferior epigastric artery
direct inguinal hernia (MDs LIe)
bulge in thigh next to groin, inferior to inguinal ligament and protruding through inguinal ring
femoral hernia
stomach displaced above the diaphragm, most common cause of gerd
hiatal hernia
axis and motion of ribs 1-5
transverse, pump handle
axis and motion of ribs 6-10
A-P, bucket handle
axis and motion of ribs 11 and 12
vertical, caliper
special test for stenosis of cervical foramina
spurlings test
spurlings test
extend, SB C-spine to side you are testing, and compress
erb-duchenes palsy (waiters tip)
upper trunk C5-6 arm at side, internally rotated, forearm PRONATED
in vault hold fingertips move superior and pinkies move inferior
inferior vertical strain
lateral strain pattern axis
2 vertical axes
axis of torsion cranial
1 A-P axis
Felx/extension axis of cranial
2 transverse axes
most common site of spondylolisthesis
L4-5
chapman point for myocardium
2nd intercostal space on the left
bone conduction greater than air conduction with rinne
conductive hearing loss (middle ear fluid, cerumen)
air conduction greater than bone conduction with rinne
sensorineural (inner ear, cholea, auditory nerve)
L1 dysfuction plus opposite piriformis dysfunction
psoas syndrome
OMM to treat IBS
superior mesenteric ganglion pressure
dec sympathetics associated with post op illeus
paraspinal inhibition to L1
test for TOS
Adsons test
falling forward on outstretched hand results in what radial head dysfunction
posterior radial head
SAPP - supination anterior head, pronation is posterior
Tx for infants with poor suckling
condylar decompression
degenerative changes within and between vertebral bodies (most often degenerative disks), often causes lipping of the verebra
spondylosis
anterior slippage of one vertebra onto another (step-off sign). lateral x-ray needed
spondylolisthesis
fracture of the pars interarticularis, oblique x-ray needed
spondylolysis (often occurs in adolescent athletes)
shoulder pain associated with inflamed gallbladder caused by
phrenic n due to irritated diaphragm
chapmans point for the larynx
second rib
chapmans point for the middle ear
superior aspect of the clavicle
anterior wedging of vertebra
osteoperosis
Cobb angle for scoliosis needed for surgery
greater than 45 degrees
Cobb angle needed for bracing
between 20-45 degrees
gluteus medius action/failure in trendeleburg gait
hip abduction
management of meniscal tear
rest, ice, compression, elevation and NSAIDs (RICE)
joint line tenderness + popping w/ knee flexion
meniscal tear
the affected innominant is rotated which way in short leg syndrome and sidebending which way
anterior rotation with sidebending away from lesion
viscerosomatic area of lungs
T2-7
viscerosomatic of head and neck
T1-5
sympathetics to phrenic nerve
C3-5 on right
cardiac rate/rhythm sympathetic
T1-2
cardiac rate/rhythm parasympathetic
C2 left
descending colon/rectum PS
S2-4
kidney sympathetics
T9-L1
urethra sympathetics
T11-L2
Bladder and ureters
T10-L3
proximal ureter PS
occiput, C1, C2
distal ureter PS
S2-4
bladder PS
S2-4
external genitalia symp
T12
ovaries/testies symp
T10-11
uterus symp
T9-L2
all genital PS
S2-4
pituitary symp
C1, C2
pituitary PS
cranial
thyroid symp
T2
thyroid PS
C2
adrenals symp
T8-10
L1 tender point anterior
medial to ASIS
L2 tender point anterior
medial to AIIS
L3 tender point anterior
superior to AIIS (double check??)
L4 tender point anterior
inferior to AIIS
L5 tender point anterior
1 cm lateral to pubic symphysis
Tx for ankylosis spondylitis
1st line: NSAIDS (indomethacin)
2nd line: sulfasalazine or TNF-alpha (enteracept)
internal rotator of arm in rotator cuff
subscapularis
pes planus with inc Q-angle
genu valgus - women with weak vastus medialis
colles fracture is what wrist bone
radius
external rotator of arm in rotator cuff
teres minor and infraspinatous
set up for adsons test
extend neck, rotate toward side being tested and abduct arm to 90 degrees
sacral torsion and L5
when L5 is neutral the sacrum is in forward torsion, when L5 is a type II the sacrum in backward torsion. The direction of L5 sidebending is same as sacral axis (L5 RrSr sacrum is left on right)
attachments of the dura mater
foramen magnum, C2, C3, S2
unrelenting wrist pain 1 week after soft cast
get MRI - scaphoid fractures can be missed on Xray
