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Ortho Tx > OP > Flashcards

OP Flashcards

0
Q

MMT: Deltoids

A

Sitting.

Arm abducted to 90°, flexed at elbow (lat raise position).

For middle fibres push straight down.

Anterior fibres: position arm forward and slightly external rotated. Force applied against anteromedial surface, to adduction and slight extension

Posterior fibres: position arm in slight extension, and medial rotation. Force applied against posteriolateral arm; to adduction and slight flexion.

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1
Q

Deltoid

A

Anterior fibres originate at clavicle
Middle fibres originate at acromion process
Posterior fibres originate at spine of scapula.

All insert at deltoid tuberosity.

Actions: all abduct
Anterior fibres: flex, IR (when supine)
Posterior fibres: extend, ER (when prone)

Nerve: axillary
Artery:

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2
Q

Supraspinatus

A

Origin: supraspinous fossa of Scap
Insertion: greater tubercle.

Action: abduction and lateral rotation

Nerve: suprascapular

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3
Q

MMT: supraspinatus

A

Arm abducted to 90°, elbow flexed (lag raise position). Neck extended and laterally flexed, face turned to opposite side. Arm a little forward with slight ER.

Push down.

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4
Q

Biceps brachii

A

Origin of short head: coracoid process
Origin of long head: supraglenoid tubercle
Insertion: radial tuberosity and lacertus fibrosis

Action: elbow flexion, shoulder flexion

Nerve: musculocutaneous.

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5
Q

MMT: biceps brachii

A

Cushion elbow.

Place elbow in flexion, slightly less than right angle. Resist extension.

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6
Q

Triceps brachii

A

Origin of long head: infraglenoid tubercle
Origin of lateral head: lateral and posterior surface of prox humerus.
Origin of medial head: distal 2/3 of humerus.
Insertion: Olecranon process

Action: elbow extension

Nerve: radial

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7
Q

MMT: triceps

A

Supine

Arm flexed right above shoulder.
Resist flexion.

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8
Q

Brachioradialis

A

Origin: lateral supracondylar ridge
Insertion: lateral side of styloid process of radius

Action: elbow flexion when arm in neutral pronation.

Nerve: radial

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9
Q

MMT: brachioradialis

A

Supine or seated

Semi-supinated, elbow flexed, elbow cushioned.

Resist extension.

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10
Q

Flexor carpi ulnaris

A

Origin of humeral head: CFT from medial epicondyle
Origin of ulnar head: medial Olecranon
Insertion: pisiform, hamate and MC5

Actions: flexion and ulnar deviation of wrist

Nerve: ulnar

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11
Q

MMT: FCU

A

Sitting or supine.

Forearm supinated, supported. Wrist flexed toward ulnar side. Resist extension and radial devation.

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12
Q

Abductor Pollicis Longus

A

Origin: posterior ulna distal to supinator; interosseous membrane; posterior middle 1/3 radius.
Insertion: base of MC1, radial side.

Action: abducts and extends CMC of thumb

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13
Q

MMT: APL

A

Sitting or supine

Wrist stabilized. Semi-supinated. Thumb abducted and extended.

Resist addiction and flexion against MC1 and wrist.

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14
Q

Pectoral Major

A

Origin (upper fibres): clavicle
Origin (lower fibres): sternum
Insertion: Greater tubercle

Action: adduction, IR, flexion

Nerve: medial and lateral pectoral

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15
Q

MMT: Pec Major

A

Supine.

Upper fibres: arm up, resist horizontal abduction

Lower fibres: arm diagonal toward opposite hip. Hold opposite hip down. Resist pull.

16
Q

Quadratus Lumborum

A

Origin: iliac crest, Iliolumbar ligament
Insertion: inferior border of last run and TVP of L1-4.

Action: extension, hip hike/lateral flexion, depressing R12.

17
Q

MMT: QL

A

Prone.

Leg slightly adducted. Pull against QL line of pull. Resist

  • no numerical score *.
18
Q

Rectus femoris

A

Origin: AIIS, superior to brim of acetabulum.
Insertion: tibial tuberosity

Action: knee extension, hip flexion.

Nerve: femoral

19
Q

MMT: Quads

A

Seated. Resisted knee flexion.

20
Q

Vastus lateralis

A

Origin: Linea aspera
Insertion: tibial tuberosity

Action: knee extension

Nerve: femoral

21
Q

Biceps femoris

A

Origin of long head: Ischial tuberosity
Origin of short head: Linea aspera
Insertion: head of fibula, lateral tibial condyle

Action: knee flexion

Nerve: sciatic

22
Q

MMT: biceps femoris

A

Prone. Knee flexed, leg in slight ER (foot in). Resist extension.

23
Q

Gastrocnemeus

A

Origin: medial and lateral femoral condyles
Insertion: Achilles’ tendon

Action: plantar flexion, some knee flexion

Nerve: tibial

24
Q

MMT: gastrocnemius

A

Single leg triple extension. Push down on shoulder.

25
Q

Soleus

A

Origin: soleal line of the tibia and head and proximal third of fibula.
Insertion: Achilles’ tendon.

Action: plantarflexion

Nerve: tibial

26
Q

MMT: soleus

A

Prone

Knee flexed, foot flexed. Resist plantarflexion.

27
Q

Tibialis anterior

A

Origin: lateral tibial condyle, prox 2/3 anterior tibia, prox 2/3 interosseus membrane.

Insertion: First cuneiform and first Metatarsal

Action: dorsiflexion, inversion

Nerve: deep fibular

28
Q

MMT: Tibialis anterior

A

Dorsiflex and invert, without extending big toe. Resist plantarflexion and eversion.

29
Q

Fibularis Tertius

A

Origin: distal 1/3 ant fibula and interosseus membrane
Insertion: fifth metatarsal

Action: dorsiflexion, eversion

Nerve: deep Fibular

30
Q

MMT: Fibularis Tertius

A

Seated. Support ankle.

Dorsiflex and evert. Resist plantarflexion and inversion.

31
Q

Extensor hallucis longus

A

Origin: middle anterior fibula
Insertion: dorsal surface of big toe (distal phalanx)

Action: extend big toe at MTP and PIP; dorsiflexion.

Nerve: deep fibular.

32
Q

MMT: EHL

A

Stabilize foot in slight plantar flexion.
Extend big toe.

Resist flexion at distal and proximal phalanges.

33
Q

Rectus abdominus

A

Origin: crest and symphysis of pubis
Insertion: xiphoid process and cartilage of r5-7

Action: trunk flexion, lateral flexion

Nerve: intercostal

34
Q

MMT: Rectus abdominus

A

Upper: sit up. May stabilize legs. Normal: hands behind head. Good: arms crossed. Fair: zombie arms.

Lower: supine double leg drop. Fair 60-90°. Good 60-30°. Normal: 30-0°

35
Q

Infraspinatus

A

Origin: infraspinous fossa
Insertion: greater tubercle (middle facet)

Action: lateral rotation

Nerve: suprascapular

36
Q

MMT: infrascapular

A

Prone.

Stick ‘em up cactus arm. Place hand between humerus and table. Resist medial rotation.

37
Q

Psoas

A

Origin: anterolateral surface of (and IVDs between) T12-L5. TVPs of L1-5.

Insertion: lesser trochanter.

Action: hip flexion; PPT; lateral rotation of thing

Nerve: lumbar plexus

38
Q

MMT: Psoas

A

Supine

Leg lifted, slight abduction and ER. Opposite iliac crest stabilized.

Resist extension and slight abduction.

Ortho Tx (14 decks)

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