Thumb goniometry Flashcards
CMC flexion:
plane =
axis =
range =
CMC flexion:
plane = frontal
axis = ant/post
range = 0-15
CMC flexion:
position =
CMC flexion:
position = sitting, forearm in full supination with wrist neutral and fingers relaxed, thumb against lateral side of 2nd digit(arbitrary zero)
CMC flexion:
stabilize =
CMC flexion:
stabilize = carpal bones to prevent wrist motion
CMC flexion:
end-feel =
CMC flexion:
end-feel = soft(muscle bulk) or firm(EPB and APB)
CMC flexion:
fulcrum =
CMC flexion:
fulcrum = palmar aspect of 1st CMC joint
CMC flexion: Gon. position:
stationary =
moving =
CMC flexion: Gon. position:
stationary = palmar midline of radius
moving = palmar midline of 1st metacarpal
CMC extension:
plane =
axis =
range =
CMC extension:
plane = frontal
axis = ant/post
range = 0-20
CMC extension:
position =
CMC extension:
position = sitting, forearm in full supination with wrist neutral and fingers relaxed, thumb at arbitrary zero
CMC extension:
end-feel =
CMC extension:
end-feel = firm(FPB, AP, OP)
CMC extension:
stabilize =
CMC extension:
stabilize = carpal bones to prevent wrist motion
CMC extension:
fulcrum =
CMC extension:
fulcrum = palmar aspect of 1st CMC joint
CMC extension: Gon. position:
stationary =
moving =
CMC extension: Gon. position:
stationary = palmar midline of radius
moving = palmar midline of 1st metacarpal
Palmar Abd/adduction:
plane =
axis =
range =
Palmar Abd/adduction:
plane = sagittal
axis = coronal
range =0-70
Palmar abd/adduction:
position =
Palmar abd/adduction:
position = sitting, forearm and wrist neutral supported on table
Palmar abd/adduction:
stabilize =
Palmar abd/adduction:
stabilize = carpal bones to prevent wrist motion
Palmar abd/adduction:
end-feel =
Palmar abd/adduction:
end-feel = firm(web space skin and fascia, AddP)
Palmar abd/adduction:
fulcrum =
Palmar abd/adduction:
fulcrum = between dorsal aspects of 1st and 2nd metacarpal
Palmar abd/adduction: Gon. position:
stationary =
moving =
Palmar abd/adduction: Gon. position:
stationary = lateral midline of 2nd metacarpal
moving = lateral midline of 1st metacarpal
opposition:
plane =
axis =
range =
opposition:
plane = multiplanar
axis =
range =
opposition:
position =
opposition:
position = sitting, forearm in full supination with wrist neutral and fingers relaxed
opposition:
stabilize =
opposition:
stabilize = 5th metacarpal to prevent wrist motion
opposition:
end-feel =
opposition:
end-feel = soft(muscle bulk) or firm(EPB)
opposition:
measurement =
opposition:
measurement = with ruler, measure distance between thumb tip to base or tip of 5th digit
MCP Flex/extension:
plane =
axis =
range =
MCP Flex/extension:
plane = frontal
axis = ant/post
range = 0-50
MCP flex/extension:
position =
MCP flex/extension:
position = sitting, forearm in full supination with wrist neutral and fingers relaxed
MCP flex/extension:
stabilize =
MCP flex/extension:
stabilize = 1st MC to prevent thumb CMC flexion and opposition or wrist motion
MCP flex/extension:
end-feel:
flex =
ext =
MCP flex/extension:
end-feel:
flex = hard or firm
ext = firm(palmar jt capsule, FPB, intersesamoid lig)
MCP flex/extension:
fulcrum =
MCP flex/extension:
fulcrum = dorsal aspect of MCP joint
MCP flex/extension: Gon. position:
stationary =
moving =
MCP flex/extension: Gon. position:
stationary = dorsal midline of metacarpal
moving = dorsal midline of proximal phalanx
IP flex/ext:
plane =
axis =
range =
IP flex/ext:
plane = frontal
axis = ant/post
range = 0-80
IP flex/ext:
position =
IP flex/ext:
position = sitting, forearm in full supination with wrist neutral and fingers relaxed
IP flex/ext:
stabilize =
IP flex/ext:
stabilize = proximal phalanx to prevent MCP motion
IP flex/ext:
end-feel:
flex =
ext =
IP flex/ext:
end-feel:
flex = firm(dorsal jt capsule and lig)
ext = firm(palmar jt capsule, lig)
IP flex/ext:
fulcrum =
IP flex/ext:
fulcrum = dorsal aspect of IP joint
IP flex/ext: Gon. Position:
stationary =
moving =
IP flex/ext: Gon. Position:
stationary = dorsal midline of proximal phalanx
moving = dorsal midline of distal phalanx
