Sternum/Clavicle

Question 1

parts of sternum

Answer 1

manubrium
body (gladiolus)
xiphoid (tail)

Question 2

angle of louis

Answer 2

aka sternal angle
synchondrosis btwn manubrium and gladiolus
attachment of rib 2
T4 level

Question 3

pericardium attachments

Answer 3

manubrium and xyphoid

Question 4

acromicoclavicular joint

Answer 4

important for should motion/range
cresent shaped planar joint
ligaments crucial for stability (coracoclavicular lig)

Question 5

manubrium ossification time

Answer 5

6 mo gestation

Question 6

sternal center ossification time

Answer 6

7 mo gestation (1 year postnatal complete)

Question 7

xiphoid ossification time

Answer 7

5 - 18 years

Question 8

sternoclavicular motion

Answer 8

abduction (external rotation)
adduction (internal rotation)
horizontal flexion

Question 9

acromioclavicular motions

Answer 9

rotation

abduction (sup/inf)

Question 10

sternum motions

Answer 10

flex/extend, rotation, sidebending

Question 11

sternum diagnosis

Answer 11

manubrium opp body in R, S

place one hand on body, one on manubrium and test for flex/extension, rotation, sidebending

Question 12

sternum treatment

Answer 12

P: supine; Dr on side one hand on manubrium other on body
A: motion test and exaggerate dirrestly or indirectly
T: hold 30-60 s; reassess

Question 13

clavicle diagnosis

Answer 13

named for ease of motion @ acromioclavicular joint
P: supine
flexion: AC joint moves anteriorly
extension: AC joint moves posteriorly
internal vs external rotation
abduction: AC moves superiorly
adduction: AC moves inferiorly

Question 14

clavicle flexion dysfunction - Tx

Answer 14

P: pt supine, arm toward ceiling
A: extend clavicle to barrier, pt flex
T: hold 3-5 s, repeat 3-5x
F: final stretch, relax, return, reassess

Question 15

clavicle extension dysfunction - Tx

Answer 15

P: pt supine, arm toward ceiling
A: flex clavicle to barrier, pt extend
T: hold 3-5 s, repeat 3-5x
F: final stretch, relax, return, reassess

Question 16

clavicle abduction dysfunction - Tx

Answer 16

P: pt supine
A: adduct clavicle to barrier, pt abduct
T: hold 3-5 s, repeat 3-5x
F: final stretch, relax, return, reassess

Question 17

clavicle adduction dysfunction - Tx

Answer 17

P: pt supine
A: abduct clavicle to barrier, pt adduct
T: hold 3-5 s, repeat 3-5x
F: final stretch, relax, return, reassess

Question 18

clavicle internal rotation dysfunction - Tx

Answer 18

P: pt supine, shoulder /elbow abducted to 90 deg
A: externally rotate to barrier, pt internally rotate
T: hold 3-5 s, repeat 3-5x
F: final stretch, relax, return, reassess

Question 19

clavicle external rotation dysfunction - Tx

Answer 19

P: pt supine, shoulder /elbow abducted to 90 deg
A: internally rotate to barrier, pt externally rotate
T: hold 3-5 s, repeat 3-5x
F: final stretch, relax, return, reassess