Ortho Flashcards
Actions of the Temporalis
- Elevation
- Retraction
- Side to side
Actions of the Masseter
- Elevation
- Retraction
- Protrusion
- Side to side
What muscles do depression of jaw
- Lateral ptyergoid
- Suprahyoid
- Infrahyoid
What muscles do elevation of jaw
- Temporalis
- Masseter
- Medial ptyergoid
What muscles do protrusion of jaw
- Masseter
- Lateral ptyergoid
- Medial pterygoid
What muscles to retraction of jaw
- Temporalis
- Masseter
- Digastric
What does digastric muscle do
Retraction of jaw
Which side will the jaw deviate toward when there is a restriction
it will deviate toward the restricted side
How to improve opening of TMJ
anterior glide and distraction
When laterally bending will C1 go in the opposite or same direction
opposite
When laterally bending will C2-T12 go in the opposite or same direction
Same
If IL rot/ IL SB is the issue then what is the problem
Disc
If CL rot/ CL SB is the issue then what is the problem
Brachial plexus
Is traction better for a cervical disc or brachial plexus issue
Disc
Open packed at the GHJ
55 abduction
30 horizontal add
neutral rotation
Closed packed at the GHJ
Max abd and max ER
Open packed at the hip
30 flex
30 abd
slight ER
Open packed at knee
25 flex
Closed backed at knee
full ext
Open packed at vertebrae
halfway between flex/ext
Closed packed at veretbrae
max ext
Capsular pattern at shoulder (think frozen shoulder)
ER most limited
Abd moderately limited
IR little bit limited
Open packed for the talocrural joint
10 PF
Closed packed for talocrual joint
full DF
If trap innervation is lost then what will happen
lateral winging of scapula
If serratus innervation is lost then what will happen
medial winging of scapula
What glide should you perform for frozen shoulder to improve IR/ER
posterior glide
Open packed for elbow
70 flex
10 supination
How much is normal femoral anteversion
8-15 degrees
Pain at 60-120 degrees of painful arc =
subacromial impingement syndrome
Pain at 170-180 degrees of painful arc =
ACJ injury
What 3 muscles are involved in upward rotation of scapula
upper trap
lower trap
serratus anterior
What is a swan neck deformity
Flex of MCP/DIP
Ext of PIP
Flex of MCP/DIP
Ext of PIP
Swan neck deformity
What is a Boutonniere deformity
Ext of MCP/DIP
Flex of PIP
Ext of MCP/DIP
Flex of PIP
Boutonniere deformity
What 2 tendons are involved with DeQuervain’s syndrome
Abductor pollicis longus
Extensor pollicis brevis
Thumb UCL injury
Gamekeeper’s thumb
MCP hyperextneded and PIP/DIP flexed
Claw hand
What can lead to claw hand
Klumpke’s palsy (C8-T1)
Ulnar n pathology
What nerve is the issue if someone has ape hand
median n
Froment’s sign tests for what
Adductor pollicis
Ullnar n
What is the Galeazzi sign and what is it used to assess
Flex both knees until ankles touch butt
Seeing if it is the same on both side
Looks for hip dysplasia in kids
Who is SCFE most common in
adolescents (males more often)
Who is Legg-Calve Perthes most common in
young kids (2-13 years old)
What are sx of legg-calve perthes
limp and toe out
What are sx of SCFE
groin/medial thigh pain that is dull and aching
What position to test medial meniscus for mcmurrays test
ER and valgus
What position to test lateral meniscus for mcmurrays test
IR and varus
What glide to improve pronation at proximal radioulnar
dorsal
What glide to improve supination at proximal radioulanar
volar
What glide to improve supination at distal radioulnar
dorsal
What glide to improve pronation at distal radioulanr
volar
What glide to improve eversion at subtalar
medial
What glide to improve inversion at subtalar
lateral
What glide to improve flex at MCP/IP
volar
What glide to improve ext at MCP/IP
dorsal
What glide to improve wrist flex
dorsal
What glide to improve wrist ext
volar
What glide to improve ulnar dev
radial
What glide to improve radial dev
ulnar
Leg longer in supine
Shorter in sitting
anterior rotated innominate
Leg shorter in supine
Longer in sitting
posterior rotated innominate
What 3 muscles are involved in downward rotation of scapula
Levator scap
Rhomboid
Pec minor
ASIS lower, PSIS higher
Stuck in anterior rotation
ASIS higher, PSIS lower
Stuck in posterior rotation
Capsular pattern at hip
Flex
Abd
IR
Valgus force at the knee could lead to what type of injury
MCL
Sx of patellofemoral syndrom
anterior knee pain pain with prolonged standing pain with stairs creptitus swelling progressive
Sx of Osgood Schlatter
- point tenderness over the patellar tendon and tibial tuberosity
- antalgic gait
- pain with incr activity
- **pain often subsides with rest
What dermatomes are affected with Pancoast tumor
C8, T1, T2
Difference between TOS and pancoast tumor
Pulmonary sx and Horner’s syndrome
Who is osteosarcoma most common in
boys 10-25 years old
What should you be cautious about doin with someone with RA
Stretching across swollen joints
Forcing motion to distended capsule……this can lead to hypermobility and subluxation
Difference between OA and RA
RA is usually bilateral
OA stiffness usually gets better with movement
What should you be cautious about doing with someone who has OA
Max resistance exercises should not be performed thru painful ROM
What should water temp of pool be
26-33 C (78-98F)
CI for aquatic therapy
Infectious dz Open wounds Vital capacity less than 1L Severe peripheral dz Severe kidney dz Bleeding/hemorrhage Cardiac failure Unstable angina Uncontrolled bowel or bladder
How much WB at C7 in water
10%
How much WB at Xiphoid process in water
33%
How much WB at ASIS in water
50%
What will be seen in someone with Psoriatic arthritis
Silvery scales/rash
Systemic distal arthritis
Iritis, mouth ulcer, colitis, urethritis, aortic valve dz
How long does stiffness last with RA
More than 30 min
What will be seen with reactive arthritis
“Can see, pee, or climb a tree” (con
Polyarthritis Change in SIJ Low back/buttock pain Low grade fever ***Brown nodules on the feet, nails, etc
AROM and PROM will be painful with bursitis or tendonitis
Bursitis
Will PROM be painful with tendonitis
No
How is cellulitis treated
Antibiotics
What can Congenital Hip Dysplasia lead to if no treated
Arthritis
Is Duchenne MD dominant or recessive
recessive
What is the cause of Osgood-Schlatter Dz
Repetitive traction on the tibial tuberosity aophysis
Positioning with Talipes Equinovarus
Forefoot adduction
Hindfoot varus
Equinus at ankle
Knee pain with prolonged sitting =
PFPS
MOI for PCL injury
hyper-flexion
What is osteogenesis imperfecta
brittle bone dz
Cylinder/sausage-like limbs will be seen with what
Arthrogryposis Multiplex Congentia
Gowers sign, inability to ambulate by 10, proximal mm weakness, and pseudohypetrophy of calf mm will be seen with what
Duchene MD
Type of SLAP lesion:
Degnerative fraying. Biceps intact
Type 1
Type of SLAP lesion:
Detachment of superior labrum/biceps from glenoid
Type 2
Type of SLAP lesion:
Bucket handle tear of labrum. Biceps still attached
Type 3
Type of SLAP lesion:
Intra substance tear of biceps tendon. Bucket-handle tear of superior aspect of labrum
Type 4
Type of SLAP lesion: Most common
Type 2