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NYCC Palpation > Unit 1: Quiz 1 > Flashcards

Unit 1: Quiz 1 Flashcards

1
Q

Patient Position

Scapula

A
  • Prone (except coracoid process)
  • can put pt arm to side or hand behind back
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2
Q

Inferior angle

A

serves as home base for scap palpation

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3
Q

Medial border

A

palpate from inferior angle to superior angle

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4
Q

Superior angle

A

palpate from inferior angle superiorly along medial border

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5
Q

Root of Spine of Scapula

ROSOS

A

where the spine of the scapula meets the medial border

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6
Q

Acromion process

A
  • lateral/distal most aspect of spine of scapula
  • Sits on top of shoulder
  • little shelf/table you can rest your fingers on
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7
Q

Lateral border

A

from inferior angle, move laterally and superiorly toward axilla until lose border under muscles

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8
Q

Infraspinous Fossa

A

bordered by inferior angle, spine of scapula, medial border & lateral border

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9
Q

Supraspinous Fossa

A

bordered by spine of scapula, superior angle, and medial border

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10
Q

subscapular fossa

A

entire ventral/anterior surface of scapula

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11
Q

Patient position

Anterior shoulder girdle & prox. humerous palpation

A

seated

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12
Q

Dr. position

Anterior shoulder girdle & prox. humerous palpation

A

stand behind patient, off to side being palpated

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13
Q

Palpation

clavicle

A

follow spine of scapula to acromion, palpate from distal end at AC jt to proximal end at SC jt.

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14
Q

palpation

jugular notch of sternum

A

follow spine of scapula to acromion, palpate medially along clavicle to pt’s midline to feel notch

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15
Q

palpation

manubrium

A

palpate jugular notch then drop inferiorly onto the flat surface of manubrium

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16
Q

Palpation

AC joint

A
  • follow spine of scapula laterally to acromion
  • as you slide slightly medial you will feel a step or a ledge - this is the distal end of clavicle
  • with one finger on step and one on acromion, middle finger falls on AC jt
  • have pt shrug shoulder
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17
Q

palpation

SC joint

A
  • follow spine of scapula laterally to acromion, then palpate medially along clavicle to manubrium
  • with one finger on manubrium and one on proximal clavicle, middle finger will be on SC jt
  • have pt shrug or circle motion w shoulder
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18
Q

Patient position

Coracoid process

A

seated

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19
Q

Palpation

coracoid process

A
  • drape fingers of outside hand over pt’s acromion with fingers pointing inferiorly amd slightly medial
  • gently press posteriorly just below the clavicle
  • should feel like a pencil eraser underneath muscle
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20
Q

patient position

greater tubercle, lesser tubercle, intertubercular groove

A

seated

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21
Q

Palpation

greater tubercle, lesser tubercle, intertubercular groove

A
  • drape fingers of inside hand over acromion so fingertips fall on anterolateral surface of head of humerus
  • using outside hand to turn humerus into external rotation, the first most lateral bump is greater tubercle
  • followed by the groove
  • followed by smaller more medial bump of lesser tubercle
  • index finger will be on greater tubercle, middle finger in groove, ring finger on lesser tubercle
22
Q

palpation

deltoid tuberosity

A
  • from acromion, slide fingers laterally and drop inferiorly along lateral aspect of humerus and feel for small, low bump about 1/2 way along shaft of humerus
  • pt can resist adbuction of shoulder to contract deltoid muscle
23
Q

Landmark

acromion process

A

T2 SP

24
Q

Landmark

ROSOS

A

interspinous space of T3/4

25
Q

Landmark

inferior angle

A

T7 SP

26
Q

Upper section of T-spine

A

T1-4

27
Q

Middle section of T-spine

A

T5-8

28
Q

Lower section of T-spine

A

T9-12

29
Q

palpation

laminae

A

slide finger slightly lateral and superior from SP in diagonal direction 1 finger away from SP

30
Q

palpation

laminae/laminae junction

facet joints

A

palpate superiorly to interspinous space above the more superior segment listed then directly lateral into lamina groove

31
Q

palpation

transverse process

upper & lower section

A

palpate superiorly one level to SP above then laterally past lamina groove or 2 fingers lateral to SP (up 1 and out)

32
Q

palpation

transverse process

middle section

A
  • palpate superiorly to SP above and continue superiorly to interspinous space above that SP (up 1 1/2 and out)
  • confirm by pressing on it with thumb while keeping finger on SP and feeling for motion of SP under finger
33
Q

palpation

costotransverse joint

A
  • palpate superiorly to SP above and continue superiorly to interspinous space above that SP (up 1 1/2 and out)
  • confirm TP by pressing on it with thumb while keeping finger on SP and feeling for motion of SP under finger
  • slide lateral from TP (finger width) to be on costotransverse joint (3 fingers from SP)
34
Q

Rotator cuff muscles

SITS

A
  • S= Supraspinatus
  • I= Infraspinatus
  • T= Teres minor
  • S= Subscapularis
35
Q

Patient/Dr position

Supraspinatus

A
  • Pt. seated
  • Dr. standing behind palpated shoulder
36
Q

Origin/insertion

supraspinatus

A

O: supraspinatus fossa of scapula
I: greater tubercle of humerus

37
Q

Fiber direction

Supraspinatus

A

medial to lateral, passing beneath acromion process

38
Q

Patient/Dr position

Infraspinatus

A

Pt: seated
Dr: standing behind palpated shoulder

39
Q

Origin/insertion

Infraspinatus

A

O: infraspinatus fossa of scapula
I: greater tubercle of humerus

40
Q

Fiber direction

Infraspinatus

A

Medial to lateral and inferior to superior

41
Q

Patient/Dr position

Teres minor

A

Pt: seated
Dr: standing behind palpated shoulder

42
Q

orgin/insertion

teres minor

A

O: upper 2/3 of lateral border of scapula
I: greater tubercle of humerus

43
Q

fiber direction

teres minor

A

medial to lateral and inferior to superior

44
Q

Patient/Dr position

subscapularis

A

Pt: supine
Dr: seated/kneeling at pt’s side between arm and thorax

45
Q

origin/insertion

subscapularis

A

O: subscapular fossa of scapula
I: lesser tubercle of humerus

46
Q

fiber direction

subscapularis

A

medial to lateral and posterior to anterior, through the axilla

47
Q

Patient/Dr position

deltoid muscle group

A

Pt: seated
Dr: standing behind palpated shoulder

48
Q

orgin/insertion

deltoid group

A

O: lateral 1/3 of clavicle, acromion, spine of scap
I: deltoid tuberosity of humerus

49
Q

fiber direction

deltoid group

A

proximal to distal

50
Q
A

NYCC Palpation (2 decks)

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