Section 4 Flashcards
What contributes to glenohumeral jx instability
Labral pathology, capsular instability, muscular weakness, lig. pathology
Which rotator cuff muscle in an internal rotator
subscapularis
Special Test best used for SLAP lesion
The O’brien test
Military Brace position assesses which structures
Subclavian artery
Normal ROM for Shoulder Complex Internal Rotation
20 degrees
TRUE- regarding a type III ac jx sprain
Tearing of AC lig.
Term best describes a defect of the posterior humeral head of shoulder articular cartilage
Hill-sachs Lesion
Most accurately determines the severity of GH jx instability
amount of displacement of humeral head in relationship to gleniod fossa
Subluxating long head of the biceps tendon could indicate damage to…
transverse humeral ligament
Drop arm test is performed to assess for what pathology
rotator cuff tear
Unilateral scapular winging-> weakness of which muscle
serratus anterior
Positive piano key sign is indicative of what type of injury
AC jx injury
TRUE regarding rotator cuff tendonitis
does not heal well b/c of relatively poor vascularization of tendons
Which test would decrease symptoms produced by shoulder anterior apprehension test
Jobe relocation test
Test that assesses for inferior glenohumeral instability
Feagin Test
“Arch” lig. of the shoulder
eoracoacromial lig.
Positive sign when performing the Gerver lift off Empty can test assesses for what type of pathologyest
Insupraspinatus muscle weakness ability to lift the hand off the lumbar spine
Empty can test assesses for what type of pathology
supraspinatus muscle weakness
Best describes a type II acromion shape
“Beak” shaped
Tingling/numbness over deltoid region of shoulder= damage to what spinal nerve root
C5
Definition of Sprengel deformity
congenitally undescended scapula
Positive clunk test= what type of shoulder pathology
glenoid labrum tear
Brachial artery is a continuation of what artery
Axillary
Which test can be used to determine ROM deficits in Shoulder IR & ER
Apley scratch test
@ what age does medial epiphysis of the clavicle completly fuse
25 yrs
Most common type of SC dislocation
anterior
Test to determine posterior glenohumeral dislocation
Lippman Test
Structures involved w/ Shoulder impingement syndrome
GH jx capsule, humeral head, supraspinatus, tendon, longhead biceps brachii
Muscle primarily responsible for eccentrically contracting in order to decellerate
INfraspinatus
What is a positive sign during Luddington Test
Decreased tension of the long head of the biceps tendon
Muscle primarily involved w/ “tennis elbow”
Extensor carpi radialis brevis
Normal carrying angle of elbow for females
10-15
Muscles located across the distal interosseus space b/t radius & ulna
pronator quadratus
Pinch grip test assesses for damage of which nerve
Anterior interosseus nerve
Term for growth plate injury to medial humerus in an adolescent
little league elbow
Positive valgus stress test @ 25 of E’ flexion indicates what type of injury
UCL sprain
Best describe Monteggia fx
distal ulna fx & radial epicondylitis of the E’
Test to assess for medial epicondylitis of the elbow
Golfer’s elbow test
Radial artery is a branch of which blood vessel
Brachial artery
Test to assess for cubital tunnel syndrome
Elbow flexion test
Trauma to radial nerve of elbow and forearm can result in
wrist drop
Positive sign of chronic elbow instability during posterolateral rotary instability test
elbow subluxated when extended and relocates when flexed
Pronator teres syndrome test evaluates compression of which nerve
Median Nerve
True regarding cubital fossa
NONE does not border brachioradialis medially, not superior to pronator quadm no axillary
Type of mechanism most oftern causes injuries to elbow region
repetitive, low-load stress
Radiocapitellar chondromalacia will most likely result in symptoms located where in the elbow?
Lateral
Type of pathology mistaken for radial tunnel syndrome
Lateral epicondylitis
Type of nerve pathology potentially accompanies UCL sprain of elbow
Ulnar
Which group does Panner disease develop
children under 10
Positive sign during Cozen test
pain @ lateral epicondyle of elbow
Test performed to rule out carpal tunnel
Phalen Test
Watson test assesses for subluxation of which carpal bone
Scaphoid
Mallet finger is a rupture of the extensor tendon @ what jx
Metacarpophalangeal jx
Abscence of hand’s palmar crease indicates what condition
swelling
which tendons form the anatomical “snuff box”
abductor pollicis longus, extensor pollicis brevis, & extensor pollicis longus
Kienbock disease
Avascular necrosis of the lunate bone
TRUE regarding pathological hand/finger posture-> Benediction deformity
deformity is more pronounced in 4th & 5th digits
Guyon cnal is located b/t what 2 structures
pisiform & hook of hamate
Positive test for muphy sign of hand
3rd metacarpal is @ equal level w/ 2nd & 4th metacarpals
Pathology of which structures result in deformity-> ape hand
median nerve
Rupture of flexor digitorum profundus tendon is termed
Jersey finger
Indicates capsular tightness of PIP jx during Bunnel littler test
Inability to flex DIP jx w/ PIP jx flexed
INdicates median nerve pathology
numbness over volar aspect of index finger
Test can be used to assess for de Quervain tenosynovitis
Finkelstein test
Damage to triangular fibrocartilage complex can avulse what structure
ulnar styloid process
MOI for gamekeeper’s thumb
forcefull thumb abduction
Structures involved in Preiser disease
NON not bolar plate median nerve EPB tendon or lunate
Bennett fx involves which structures
thumb
Positive sign when assessing Froment sign
flexion of IP jx of thumb
Positive sign for trigger finger
finger locked in flexion
MMT-> cannot perform against manual resistance-> but has full ROM against gravity
Grade 3/5
Extension of MTP jx of finger’s= what end feel
Physiological firm end-feel
Which mvmts occur in saggital plane of motion
ankle dorsiflexion
FB->laterally flexed + depression of shoulder= brachial plexus injury-> typer of force?
tensile force
Bones of subtalar joint
calcaneous and talus
Muscle responsible for dorsiflexion & inversion
anterior tibialis
Spring lib. of foot aka
calcaneonavicular lig.
Numbness over dorsum of great toe indicates which spinal nerve root
L4
Test to assess anteriotalofibular lig
Anterior drawer test
Fairbank apprehension test assesses for
patella subluxation
Lachman knee test assesse for
straight anterior instability
Patella tendon length test assesses for
presence of alta or baja patella
Deterioration of articular cartilage of patella
chondromalacia patella
Test for iliopsoas muscle tightness
thomas test
Bones that make up innominate bone
ischium, ilium, and pubis
angle of torsion viewed on which planes of motion
transverse
Muscle internally rotates hip
gluteus minimus
