Shoulder, Elbow, Hand and Wrist Flashcards
Glenohumeral joint is a ____ on ____ surface.
convex on concave
For glenohumeral there is a ____ roll and ____ glide for elevation.
superior
inferior
For glenohumeral joint, there is an ___ roll and ___ glide for internal rotation, flexion under 90 degrees, and horizontal adduction.
anterior
posterior
For glenohumeral joint, there is a ___ roll and ___ glide for external rotation, extension and horizontal abduction.
posterior
anterior
For sternoclavicular joint, during elevation and depression it is a ___ moving on a ___. So elevation will result in a roll ___ and a glide ____.
convex
concave
superiorly
inferiorly
For sternoclavicular joint, during retraction and protraction it is a _____ moving on a _____. So retraction rolls ___ and glides ___. Protraction rolls ___ and glides___.
concave
convex
posteriorly (for both)
anteriorly (for both)
Rotation of the sternoclavicular joint occurs with what motion of the shoulder?
flexion/abduction
Which joint is a plane joint, so it doesnt have any arthrokinematics?
What is it pertinent for?
acromioclavicular
scapular motions: upward/downward rotations
Scapulothoracic joint rests between ribs __ and __.
2
7
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).
inferiorly
superiorly
elevate
Scapula is fixed until about ___ degrees of shoulder motion in shoulder abduction.
30
At 30 degrees of shoulder abduction, scapula begins to upwardly rotate at __:__ ratio.
2:1
At 60-180 shoulder abduction the humeral head will glide ___ (elevation) and ___ (ER) while rolling ___ and ___.
inferiorly
anteriorly
superiorly
posteriorly
During 60-180 shoulder abduction, the clavicle rotates ___ at 30 degrees at the SC joint. The clavicle will ___ at 30 degrees at SC joint.
posteriorly
retracts
At 60-180 degrees of shoulder abduction, the thoracic spine ___.
extends
During shoulder elevation, what muscles of the rotator cuff are involved?
supraspinatus
infraspinatus
teres minor
subscapularis
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?
supraspinatus
What muscles depress the humeral head?
infraspinatus
teres minor
subscapularis
What muscles externally rotate the humerus?
infraspinatus
teres minor
What two muscles of the rotator cuff are a force couple during shoulder elevation?
traps/serratus anterior
The initial shoulder elevation uses predominantly what muscle? At 90? Later phases?
upper trap
mid trap
lower trap
In the humeroradial joint, the capitulum of the humerus is ___ and the proximal radius is ___.
convex
concave
Humeroradial joint glide and roll is in the ___direction.
same
Humeroulnar joint, the trochlea is ___ and proximal ulna is ___. Roll and glide is in the ___ direction.
convex
concave
same
Wrist functional range of motion: flexion extension radial deviation ulnar deviation
40
40
10
30
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.
concave
convex
opposite
In wrist flexion it is a __ glide. In wrist extension, it is a ___ glide.
dorsal
volar
During radial deviation, there is a ___ glide and during ulnar deviation, there is a ___ glide.
ulnar
radial
Functional position of the hand: Wrist extension: \_\_\_-\_\_ degrees. Slight \_\_\_ deviation. MCP flexion: \_\_\_ -\_\_\_ degrees. PIP and DIP flexion: \_\_\_-\_\_\_ degrees. CMC abduction: \_\_\_ to \_\_\_ degrees.
20-30 ulnar 35-45 15-30 35-45
Radial nerve comes from the ___ cord.
Isolated sensation is in the ___ ___ space.
Entrapment is from the ___ muscle.
Clinical sign=__
posterior
dorsal web
supinator
wrist drop
Median nerve is from the ___ and ___ cords.
Isolated sensation is at the distal tip of the ___ finger.
Entrapment is from what? (3)
Clinical sign?
medial and lateral
2nd
pronator teres, FDS, carpal tunnel
loss of thumb opposition
Ulnar nerve comes from __ cord.
Isolated sensation is at the distal tip of the __ finger.
Entrapment is due to __ and __.
Clinical sign:
medial
5th
cubital tunnel and Guyon’s canal
loss of thumb adduction
Glide and roll are in the __ direction for finger articulations.
Flexion will be a ___ glide and extension will be a __ glide.
same
volar
dorsal
During Thumb CMC flexion/extension glide and roll is in the ___ direction. During abduction/adduction, glide and roll is in the __ directin.
same
opposite
Radiocarpal joint dorsal glide is for
wrist flexion
Radiocarpal volar glide is for
wrist extension
MCP joint dorsal glide is for
extension
MCP joint volar glide is for
flexion
Wrist flexion uses what muscles?
flexor carpi ulnaris
flexor carpi radialis
Wrist extension uses what muscles?
extensor carpi radialis longus/brevis
extensor carpi ulnaris
Finger MP flexion uses what muscles?
lumbricals
palmar/dorsal interossei
Finger MP extension uses what muscles?
extensor digitorum
extensor indicis
extensor digiti minimi
Finger PIP flexion uses what muscles?
flexor digitorum superficialis
Finger DIP flexion uses what muscles?
flexor digitorum profundus
Finger abduction uses what muscles?
dorsal interossei
Finger adduction uses what muscles?
palmar interossei
Thumb MCP flexion uses what muscles?
flexor pollicis brevis
Thumb IP flexion uses what muscles?
flexor pollici longus
Thumb MCP extension uses what muscles?
extensor pollicis brevis
Thumb IP extension uses what muscles?
extensor pollicis longus
Thumb abduction uses what muscles?
abductor pollicis longus
abductor pollicis brevis
Thumb adduction uses what muscles?
adductor pollicis
Thumb opposition uses what muscles?
opponens pollicis
opponens digiti minimi
Anterior glide of the shoulder is for
extension
external rotation
horizontal abduction
Posterior glide on shoulder is for
flexion less than 90
internal rotation
horizontal adduction
Inferior glide at shoulder is for
abduction
flexion above 90
Scapular abduction and upward rotation tests what muscles?
serratus anterior
Scapular elevation tests what muscles?
upper trap
levator scapula
Scapular adduction tests what muscles?
middle trap
Scapular depression and adduction tests what muscles?
lower trap
Scapular adduction and downward rotation tests what muscles?
rhomboids
Scapular depression tests what muscles?
lat
teres major
post deltoid
Shoulder flexion tests what muscles?
anterior delt
Shoulder extension tests what muscles?
posterior delt
Shoulder abduction tests what muscles?
middle delt
supraspinatus
Shoulder horizontal abduction tests what muscles?
posterior delt
Shoulder horizontal adduction tests what muscles?
pec major
Shoulder external rotation tests what muscles?
infraspinatus
teres minor
Shoulder internal rotation tests what muscles?
subscapularis
Elbow flexion tests what muscles?
biceps brachii
brachialis
brachioradialis
Elbow extension tests what muscles?
triceps
Forearm supination tests what muscles?
supinator
biceps
Forearm pronation tests what muscles?
pronator teres
pronator quadratus
