OMM 6 Upper Extremity CS

Question 1

Describe the tp location and treatment position for subscapularis

Answer 1

Anterolateral border of scapula (on subscapularis m.) Press in anterolateral to posteromedial direction. (Locate by raising arm above head)

Supine. Shoulder extension and internal rotation.

Question 2

Describe the tp location and treatment position for supraspinatus

Answer 2

Belly of supraspinatus muscle, approximately midline.

Supine. Flexion of shoulder, abduction, marked external rotation.

Question 3

Describe the tp location and treatment position for levator scapula

Answer 3

Tenderness at the superior medial border of the scapula at the attachment of the Levator Scapula.

Patient prone. Marked internal rotation of the shoulder with traction and slight abduction.

Question 4

Describe the tp location and treatment position for long head of biceps

Answer 4

Over bicep tendon in the bicipital groove (more lateral than short head)

Supine (or seated)Elbow flexion, Shoulder flexion, Abduction, Internal rotation.

Question 5

Describe the tp location and treatment position for short head of biceps

Answer 5

Infero-lateral aspect of the coracoid process.

Supine (or seated) Elbow flexion, Shoulder flexion, Adduction, internal rotation.

Question 6

Describe the tp location and treatment position for Pec minor

Answer 6

Inferior and medial to the coracoid process at the myotendinous junction of in the muscle belly.

Supine. Arm adducted diagonally across chest, tractioned inferomedially. (can also pick up from opposite shoulder)

Question 7

Describe the tp location and treatment position for radial head, lateral

Answer 7

Anterolateral aspect of the radial head at the attachment of the supinator.

Supine (or seated) Elbow in full extension, Forearm in marked supination, Slight vagus force

Question 8

Describe the tp location and treatment position for medial epicondyle

Answer 8

Medial epicondyle of humerus at the comon flexor tendon (attachment of pronator teres)

Supine (or seated) Elbow flexed, Marked pronation of forearm, Slight adduction of the forearm with slight flexion of the wrist

Question 9

Describe the tp location and treatment position for dorsal wrist

Answer 9

Proximal 2nd-5th metacarpals in muscles of extensor carpi radialais and ulnaris.

Supine or Seated. Wrist extension with slight Radial/Ulnar deviation

Question 10

Describe the tp location and treatment position for palmar wrist

Answer 10

Base of proximal 2nd-5th metacarpals in muscles of flexor carpi radialis and ulnaris.

Supine or Seated. Wrist flexion with slight Radial/Ulnar deviation.

Question 11

Describe the tp location and treatment position for abductor pollicis brevis

Answer 11

Anterolateral (radial) aspect of base of 1st metacarpal (in the thumbpad)

Supine or Seated. Wrist flexion with abduction of thumb (push thumb across the hand and down).