Shoulder, Elbow, Hand and Wrist Flashcards

1
Q

Glenohumeral joint is a ____ on ____ surface.

A

convex on concave

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2
Q

For glenohumeral there is a ____ roll and ____ glide for elevation.

A

superior

inferior

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3
Q

For glenohumeral joint, there is an ___ roll and ___ glide for internal rotation, flexion under 90 degrees, and horizontal adduction.

A

anterior

posterior

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4
Q

For glenohumeral joint, there is a ___ roll and ___ glide for external rotation, extension and horizontal abduction.

A

posterior

anterior

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5
Q

For sternoclavicular joint, during elevation and depression it is a ___ moving on a ___. So elevation will result in a roll ___ and a glide ____.

A

convex
concave
superiorly
inferiorly

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6
Q

For sternoclavicular joint, during retraction and protraction it is a _____ moving on a _____. So retraction rolls ___ and glides ___. Protraction rolls ___ and glides___.

A

concave
convex
posteriorly (for both)
anteriorly (for both)

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7
Q

Rotation of the sternoclavicular joint occurs with what motion of the shoulder?

A

flexion/abduction

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8
Q

Which joint is a plane joint, so it doesnt have any arthrokinematics?
What is it pertinent for?

A

acromioclavicular

scapular motions: upward/downward rotations

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9
Q

Scapulothoracic joint rests between ribs __ and __.

A

2

7

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10
Q

During 0-60 degrees of shoulder abduction, the humerus will glide ___ while rolling ___.
Clavicle will ___ about 30 degrees at SC joint. (Same roll and glide as humeral head).

A

inferiorly
superiorly
elevate

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11
Q

Scapula is fixed until about ___ degrees of shoulder motion in shoulder abduction.

A

30

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12
Q

At 30 degrees of shoulder abduction, scapula begins to upwardly rotate at __:__ ratio.

A

2:1

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13
Q

At 60-180 shoulder abduction the humeral head will glide ___ (elevation) and ___ (ER) while rolling ___ and ___.

A

inferiorly

anteriorly

superiorly

posteriorly

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14
Q

During 60-180 shoulder abduction, the clavicle rotates ___ at 30 degrees at the SC joint. The clavicle will ___ at 30 degrees at SC joint.

A

posteriorly

retracts

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15
Q

At 60-180 degrees of shoulder abduction, the thoracic spine ___.

A

extends

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16
Q

During shoulder elevation, what muscles of the rotator cuff are involved?

A

supraspinatus

infraspinatus

teres minor

subscapularis

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17
Q

During shoulder elevation, what muscle helps superior roll of humerus, seats the head of the humerus more in the glenoid fossa and prevents superior translation?

A

supraspinatus

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18
Q

What muscles depress the humeral head?

A

infraspinatus

teres minor

subscapularis

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19
Q

What muscles externally rotate the humerus?

A

infraspinatus

teres minor

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20
Q

What two muscles of the rotator cuff are a force couple during shoulder elevation?

A

traps/serratus anterior

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21
Q

The initial shoulder elevation uses predominantly what muscle? At 90? Later phases?

A

upper trap

mid trap

lower trap

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22
Q

In the humeroradial joint, the capitulum of the humerus is ___ and the proximal radius is ___.

A

convex

concave

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23
Q

Humeroradial joint glide and roll is in the ___direction.

A

same

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24
Q

Humeroulnar joint, the trochlea is ___ and proximal ulna is ___. Roll and glide is in the ___ direction.

A

convex

concave

same

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25
Q
Wrist functional range of motion: 
flexion
extension
radial deviation
ulnar deviation
A

40
40
10
30

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26
Q

With the radiocarpal and midcarpal joints, it is a ___ distal radius moving on a __ proximal carpal bones.
So glide and roll will be in ___ direction.

A

concave

convex

opposite

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27
Q

In wrist flexion it is a __ glide. In wrist extension, it is a ___ glide.

A

dorsal

volar

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28
Q

During radial deviation, there is a ___ glide and during ulnar deviation, there is a ___ glide.

A

ulnar

radial

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29
Q
Functional position of the hand: 
Wrist extension: \_\_\_-\_\_ degrees.
Slight \_\_\_ deviation. 
MCP flexion: \_\_\_ -\_\_\_ degrees. 
PIP and DIP flexion: \_\_\_-\_\_\_ degrees.
CMC abduction: \_\_\_ to \_\_\_ degrees.
A
20-30
ulnar
35-45
15-30
35-45
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30
Q

Radial nerve comes from the ___ cord.
Isolated sensation is in the ___ ___ space.
Entrapment is from the ___ muscle.
Clinical sign=__

A

posterior

dorsal web

supinator

wrist drop

31
Q

Median nerve is from the ___ and ___ cords.
Isolated sensation is at the distal tip of the ___ finger.
Entrapment is from what? (3)
Clinical sign?

A

medial and lateral

2nd

pronator teres, FDS, carpal tunnel

loss of thumb opposition

32
Q

Ulnar nerve comes from __ cord.
Isolated sensation is at the distal tip of the __ finger.
Entrapment is due to __ and __.
Clinical sign:

A

medial

5th

cubital tunnel and Guyon’s canal

loss of thumb adduction

33
Q

Glide and roll are in the __ direction for finger articulations.
Flexion will be a ___ glide and extension will be a __ glide.

A

same

volar

dorsal

34
Q

During Thumb CMC flexion/extension glide and roll is in the ___ direction. During abduction/adduction, glide and roll is in the __ directin.

A

same

opposite

35
Q

Radiocarpal joint dorsal glide is for

A

wrist flexion

36
Q

Radiocarpal volar glide is for

A

wrist extension

37
Q

MCP joint dorsal glide is for

A

extension

38
Q

MCP joint volar glide is for

A

flexion

39
Q

Wrist flexion uses what muscles?

A

flexor carpi ulnaris

flexor carpi radialis

40
Q

Wrist extension uses what muscles?

A

extensor carpi radialis longus/brevis

extensor carpi ulnaris

41
Q

Finger MP flexion uses what muscles?

A

lumbricals

palmar/dorsal interossei

42
Q

Finger MP extension uses what muscles?

A

extensor digitorum
extensor indicis
extensor digiti minimi

43
Q

Finger PIP flexion uses what muscles?

A

flexor digitorum superficialis

44
Q

Finger DIP flexion uses what muscles?

A

flexor digitorum profundus

45
Q

Finger abduction uses what muscles?

A

dorsal interossei

46
Q

Finger adduction uses what muscles?

A

palmar interossei

47
Q

Thumb MCP flexion uses what muscles?

A

flexor pollicis brevis

48
Q

Thumb IP flexion uses what muscles?

A

flexor pollici longus

49
Q

Thumb MCP extension uses what muscles?

A

extensor pollicis brevis

50
Q

Thumb IP extension uses what muscles?

A

extensor pollicis longus

51
Q

Thumb abduction uses what muscles?

A

abductor pollicis longus

abductor pollicis brevis

52
Q

Thumb adduction uses what muscles?

A

adductor pollicis

53
Q

Thumb opposition uses what muscles?

A

opponens pollicis

opponens digiti minimi

54
Q

Anterior glide of the shoulder is for

A

extension
external rotation
horizontal abduction

55
Q

Posterior glide on shoulder is for

A

flexion less than 90
internal rotation
horizontal adduction

56
Q

Inferior glide at shoulder is for

A

abduction

flexion above 90

57
Q

Scapular abduction and upward rotation tests what muscles?

A

serratus anterior

58
Q

Scapular elevation tests what muscles?

A

upper trap

levator scapula

59
Q

Scapular adduction tests what muscles?

A

middle trap

60
Q

Scapular depression and adduction tests what muscles?

A

lower trap

61
Q

Scapular adduction and downward rotation tests what muscles?

A

rhomboids

62
Q

Scapular depression tests what muscles?

A

lat
teres major
post deltoid

63
Q

Shoulder flexion tests what muscles?

A

anterior delt

64
Q

Shoulder extension tests what muscles?

A

posterior delt

65
Q

Shoulder abduction tests what muscles?

A

middle delt

supraspinatus

66
Q

Shoulder horizontal abduction tests what muscles?

A

posterior delt

67
Q

Shoulder horizontal adduction tests what muscles?

A

pec major

68
Q

Shoulder external rotation tests what muscles?

A

infraspinatus

teres minor

69
Q

Shoulder internal rotation tests what muscles?

A

subscapularis

70
Q

Elbow flexion tests what muscles?

A

biceps brachii
brachialis
brachioradialis

71
Q

Elbow extension tests what muscles?

A

triceps

72
Q

Forearm supination tests what muscles?

A

supinator

biceps

73
Q

Forearm pronation tests what muscles?

A

pronator teres

pronator quadratus