UE/LE CST

Question 1

arm extended, internally rotated and slightly abducted. No traction is applied.

Answer 1

subscapularis

Question 2

arm into flexion and adduction with slight internal rotation and traction across the body.

Answer 2

anterior ACC

Question 3

arm into extension and slight horizontal adduction, then applies traction at wrist.

Answer 3

posterior ACC

Question 4

arm posteriorly over the side of the table and toward their feet. Patient arm extended and internally rotated and slightly abducted. Doctor applies traction to the arm.

Answer 4

Latissimus dorsi: it’s just subscapularis + traction, and being a little bit laterally

Question 5

arm is flexed and internally rotated, with dorsum of hand/forearm lying on forehead. Doctor applies downward pressure along the humerus to the monitoring finger.

Answer 5

long head of biceps

Question 6

arm is flexed and internally rotated, with dorsum of hand/forearm lying on forehead. Doctor applies downward pressure along the humerus to the monitoring finger. fine-tuning with adduction is added + arm more across chest.

Answer 6

small head of biceps: Same position as long head + fine-tuning with adduction is added + arm more across chest.

Question 7

patient’s arm is abducted to 45 degrees, flexed to 45 degrees, and externally rotated 45 degrees.

Answer 7

supraspinatus

Question 8

grasps patient’s elbow with caudad hand so that thumb is on TP and hand around forearm. Hyperextends elbow over monitoring hand, with fine-tuning in abduction or adduction

Answer 8

extension elbow

Question 9

flexes patient’s elbow, pronates and abducts arm, then pulls forearm out laterally.

Answer 9

flexion elbow

Question 10

monitors TP with one hand while taking elbow into supination and fully extending elbow over their knee with other hand. (do NOT hyperextend the elbow!)

Answer 10

radial head

Question 11

Doctor monitors TP and flexes wrist (but not fully), pulling thumb across palmar aspect of hand: monitor @ Flexor side of base of 1st or 2nd metacarpal on thenar eminence

Answer 11

Flexion Wrist:Palmar Wrist (Flexor Carpi Radialis) position 1

Question 12

Doctor monitors TP and flexes wrist (but not fully), pulling thumb across palmar aspect of hand: monitor @ Flexor side of base of 1st metacarpal or slightly later

Answer 12

Flexion Thumb AKA: Palmar Wrist (Flexor Carpi Radialis) position 2

Question 13

Doctor monitors TP and wraps patient’s hand around TP by extending wrist and monitoring TP with other hand, fine tune with rotation of wrist.

Answer 13

Extension Wrist AKA: Dorsal Wrist (Extensor Carpi Radialis and Ulnaris)

Question 14

Extensor (dorsal) Carpometacarpal monitoring site

Answer 14

right above the knuckles on the posterior aspect of the hand

Question 15

Superolateral aspect of the posterior surface of the greater trochanter Probably the lateral aspect of the piriformis muscle

Answer 15

Posterior Lateral Trochanter PLT

Question 16

Extension • Marked external rotation • Abduction if needed for fine tuning

Answer 16

PLT- EERAB

Question 17

Tender Point located: Inferior to greater trochanter and in mid-coronal line

Answer 17

Lateral Trochanter

Question 18

Treatment: Prone with lower extremity in abduction of hip only

Answer 18

ABduction- LT “Ab-LT” about to get lit

Question 19

Palpate from about 2- 3 cm caudad to ASIS by pushing toward inferior aspect of ASIS

Answer 19

Sartorius

Question 20

Near attachment @ ASIS

Answer 20

Sartorius

Question 21

Hip flexion to about 135, with slight abduction

Answer 21

first sartorius tx Flexion/Abduction = FLAB

Question 22

Flex hip to about 90 + Abduction about 45 + External rotation.

Answer 22

sartorius, the other position FLABER

Question 23

at a site on the knee push anterior to posterior, then treat with HYPEREXTENSION of knee

Answer 23

patellar tendon

Question 24

Medial Hamstring TP

Answer 24

TP located @ attachment of medial hamstring tendon – Lateral to the medial meniscus TP

Question 25

medial hamstring TP direction of forces

Answer 25

Push medial to lateral, posterior to superior

Question 26

medial hamstring TP tx position

Answer 26

Pt. supine, doc stands on side of dysfunction Place foot on table and pt’s foot under flexed knee Monitor TP with cephalad hand FLEX KNEE EXTERNALLY ROTATE Tibia on Femur Fine tune w ADDUCTION

Question 27

8 Oclock S.E.Ab and L.E.Ab.T

Answer 27

8 oclock for both Subscapularis: Extend, Abduct Latissimus dorsi: extend, abduct, traction

Answer 29

Question 30

Question 31

Question 32

Answer 32

Question 33

Question 34

Question 35

Question 36

Question 37

Question 38

Question 39

Question 40

Question 41

Question 42

Question 43

Question 45

subscapularis

Answer 45

arm extended, internally rotated and slightly abducted. No traction is applied.

Question 46

anterior ACC

Answer 46

arm into flexion and adduction with slight internal rotation and traction across the body.

Question 47

posterior ACC

Answer 47

arm into extension and slight horizontal adduction, then applies traction at wrist.

Question 48

Latissimus dorsi: it’s just subscapularis + traction, and being a little bit laterally

Answer 48

arm posteriorly over the side of the table and toward their feet. Patient arm extended and internally rotated and slightly abducted. Doctor applies traction to the arm.

Question 49

long head of biceps

Answer 49

arm is flexed and internally rotated, with dorsum of hand/forearm lying on forehead. Doctor applies downward pressure along the humerus to the monitoring finger.

Question 50

small head of biceps: Same position as long head + fine-tuning with adduction is added + arm more across chest.

Answer 50

arm is flexed and internally rotated, with dorsum of hand/forearm lying on forehead. Doctor applies downward pressure along the humerus to the monitoring finger. fine-tuning with adduction is added + arm more across chest.

Question 51

supraspinatus

Answer 51

patient’s arm is abducted to 45 degrees, flexed to 45 degrees, and externally rotated 45 degrees.

Question 52

extension elbow

Answer 52

grasps patient’s elbow with caudad hand so that thumb is on TP and hand around forearm. Hyperextends elbow over monitoring hand, with fine-tuning in abduction or adduction

Question 53

flexion elbow

Answer 53

flexes patient’s elbow, pronates and abducts arm, then pulls forearm out laterally.

Question 54

radial head

Answer 54

monitors TP with one hand while taking elbow into supination and fully extending elbow over their knee with other hand. (do NOT hyperextend the elbow!)

Question 55

Flexion Wrist:Palmar Wrist (Flexor Carpi Radialis) position 1

Answer 55

Doctor monitors TP and flexes wrist (but not fully), pulling thumb across palmar aspect of hand: monitor @ Flexor side of base of 1st or 2nd metacarpal on thenar eminence

Question 56

Flexion Thumb AKA: Palmar Wrist (Flexor Carpi Radialis) position 2

Answer 56

Doctor monitors TP and flexes wrist (but not fully), pulling thumb across palmar aspect of hand: monitor @ Flexor side of base of 1st metacarpal or slightly later

Question 57

Extension Wrist AKA: Dorsal Wrist (Extensor Carpi Radialis and Ulnaris)

Answer 57

Doctor monitors TP and wraps patient’s hand around TP by extending wrist and monitoring TP with other hand, fine tune with rotation of wrist.

Question 58

right above the knuckles on the posterior aspect of the hand

Answer 58

Extensor (dorsal) Carpometacarpal monitoring site

Question 59

Posterior Lateral Trochanter PLT

Answer 59

Superolateral aspect of the posterior surface of the greater trochanter Probably the lateral aspect of the piriformis muscle

Question 60

PLT- EERAB

Answer 60

Extension • Marked external rotation • Abduction if needed for fine tuning

Question 61

Lateral Trochanter

Answer 61

Tender Point located: Inferior to greater trochanter and in mid-coronal line

Question 62

ABduction- LT “Ab-LT” about to get lit

Answer 62

Treatment: Prone with lower extremity in abduction of hip only

Question 63

Sartorius

Answer 63

Palpate from about 2- 3 cm caudad to ASIS by pushing toward inferior aspect of ASIS

Question 64

Sartorius

Answer 64

Near attachment @ ASIS

Question 65

first sartorius tx Flexion/Abduction = FLAB

Answer 65

Hip flexion to about 135, with slight abduction

Question 66

sartorius, the other position FLABER

Answer 66

Flex hip to about 90 + Abduction about 45 + External rotation.

Question 67

patellar tendon

Answer 67

at a site on the knee push anterior to posterior, then treat with HYPEREXTENSION of knee

Question 68

TP located @ attachment of medial hamstring tendon – Lateral to the medial meniscus TP

Answer 68

Medial Hamstring TP

Question 69

Push medial to lateral, posterior to superior

Answer 69

medial hamstring TP direction of forces

Question 70

Pt. supine, doc stands on side of dysfunction Place foot on table and pt’s foot under flexed knee Monitor TP with cephalad hand FLEX KNEE EXTERNALLY ROTATE Tibia on Femur Fine tune w ADDUCTION

Answer 70

medial hamstring TP tx position

Question 71

8 oclock for both Subscapularis: Extend, Abduct Latissimus dorsi: extend, abduct, traction

Answer 71

8 Oclock S.E.Ab and L.E.Ab.T

Question 73

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Answer 75

Question 76

Answer 76

Answer 77

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Answer 80

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Answer 86

Answer 87