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Learn This > Ortho 3 - Exam 1 > Flashcards

Ortho 3 - Exam 1 Flashcards

1
Q

Post op SLAP

A

Prom and AROM only
Type 2 and 4: no active: shoulder or elbow flexion, GH ER, EXT, AB,
Sling and sleep w/ immobilized 4 weeks

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2
Q

SC Arthro

A

SIX - sup, inf, conVEX

PRAVE - pro, re, concAVE

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3
Q

Ulnohumeral resting

A

70 flex

10 sup

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4
Q

SC closed

A

Full elevation

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5
Q

Radio humeral closed

A

90 flex

5 sup

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6
Q

Superior radioulnar resting

A

70 flex

35 sup

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7
Q

Superior radio ulnar closed

A

5 sup

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8
Q

Radial N

A

Innervates tricep
Travels: ant to lat epi
Splints into superficial (under brachioradialis and over supinator and pronator) deep just prox to elbow
Deep —> PIN—> ext/supinator —> b/n supinator

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9
Q

Ulnar nerve C8T1

A

Arcade of struthers (8cm prox to med epi)
Cubital tunnel (just post to med epi)
Innervates medial capsule
Through 2 heads of FCU + ring and small FDP, intrinsics

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10
Q

Musculocutaneous C5,C6

A

Innervates biceps and brachialis
Lateral to biceps tendon
Ends as lateral antibrachial cutaneous N

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11
Q

Dynamic pulling activities

A

Retract and DR by

Rhomb, lats, T major, RC

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12
Q

Medial N C5-T1

A 
Medically over brachialis
Anteromedial elbow
Under biciptial app
Pronator —> AIN = flex/pro
Entrapment at ligament of struther
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13
Q

TUBS

A

Traumatic unidirectional anterior instability w/

Bankart lesion requiring surgery

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14
Q

Humeral anterior glide associated w/

A

Impingement
Instability
RC patho

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15
Q

Scap resting

A 
30-45 IR
2-3 in Ab from spine
Sup angle @T2
Inf angle at T7
UR netural to 3
Anterior tilt 10-20
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16
Q

Scap elevation

A 
Inf angle to SC increased to 25
Sc rotates post 25
AC UR 35
Scap post tilt 20
GH ER 45
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17
Q

Winging Tx

A

Strengthen scapulothroacic
Stretch scapulohumeral
SA control

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18
Q

Pt unable to maintain core temp if water is

A

< 25 C

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19
Q

May be too hot for intense activities

A

> 37

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20
Q

In waist deep water at 37C

A

HR stimulated to increase and overcomes centralization of peripheral blood flow.
Increased CO even at rest

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21
Q

Aerobic precautions

A 
Fear of water
Neuro disorder
Seizures
Cardiac dysfunction 
Small open wounds and lines
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22
Q

Aquatic contras

A 
Cardiac failure/unstable angina
VC <1L
Severe PAD
Danger of bleed/hemorrhage
Severe kidney disease
Open wounds/colostomy/skin infection
Untroled B/B
Water/airborne infection
Uncontrolled seizure
23
Q

Main upward rotators

A

SA

Traps

24
Q

Scapulohumeral rhythm - setting phase

A

First 30 deg

25
Q

Scapulohumeral rhythm phase 1 -

A

Humerus: 30 ab
Scap: min motion
Clavicle: 0-5 elevate

26
Q

Scapulohumeral rhythm phase 2

A

Humerus: 30 deg ab
Scap: 30 UR, minimal protraction or elevation
Clavicle: 15 deg elevation

27
Q

Scapulohumeral rhythm phase 3

A

Humerus: 60 ab, 90 ER
Scap: 30 UR, 20 post tilt
Clavicle: 25 post rotation, 25 elevation, 15 SC retraction

28
Q

Slap repair immobilization

A

Stop sling at 4 weeks

29
Q

Slap repair restriction

A

No active elbow flexion or supination for 6 weeks (biceps)

30
Q

SLAP AAROM

A

Wand 4-6 weeks

Progress to AROM

31
Q

SLAP AROM

A

6-12 weeks
RC strength
Body blade
Push up

32
Q

SLAP full ROM, strength

A

12+ weeks
Throwing
Push up, pull up, run
Return to sport

33
Q

Bankart repair abd pillow

A

24 hrs
3-4 weeks
DC by MD

34
Q

Bankart restrictions

A

NO AROM 4 weeks,
No overhead motions
avoid active extension, ER beyond neutral
No abd.

35
Q

Bankart repair full AROM

A

10-12 weeks

36
Q

Bankart IR/ER

A

5 wk - stabilization’s in neutral
6 - gentle 90/90
8 - iso in 30/30/30
10 - iso at 90/90

37
Q

Bankart AROM

A

Week 4-6 in scaption

38
Q

Bankart prom

A

ER in scaption by wk 6

39
Q

Ant stabilization sx - immobilize

A

2-4 weeks

Wean off at 2 wks as tolerated

40
Q

Ant stabilization sx - restriction

A

No IR w/ removal,repair subscap - 6 weeks

41
Q

Ant stabilization sx - full ROM

A

Week 8 except ABER in 90

42
Q

Ant stabilization sx - ABER in 90

A

Week 12

43
Q

Ant stabilization sx - phase one AROM

A

Flex to 140

ER w/ arm at side 40

44
Q

Ant instability - sling

A

Ultra single 4-6 weeks

45
Q

Ant instability - restrictions

A

NO active biceps 2 weeks
ER to 30
Passive flex to 90-120
Ab to 40

46
Q

Ant instability - discontinue sling

A

4 weeks

47
Q

Ant instability PROM

A

For 4 weeks

48
Q

Ant instability AROM

A

6-12 weeks

49
Q

Ant instability joint mobes

A

Wk 12-16 grade 3 or 4

50
Q

RC cuff sling

A

Small: 4-6
Medium: 6
Massive: 8

51
Q

RC phase 1 PROM

1-6 for S/M, 1-14 L

A 
Flex >125
Scaption: 
ER - >60,>25
IR >60, >30
Ab >90, >60
52
Q

RC no bike/ UE ergo

A

Til
S 6
M 8
L 10

53
Q

RC full AROM

A

S 10-12
M 12-14
L

54
Q

RC initation precautions

A

NO AROM
No lifting,reaching bending back,
No support of BW by hands

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