Upper Extremity Flashcards
only bone connecting upper extremity to axial spine
clavicle
rotator cuffs
supraspinatus
infraspinatus
teres minor
subscapularis
internal rotator of shoulder
subscapularis
what runs between ant and post scalenes
subclavian a
what runs with deep brachial a
radial n
ulnar a and radial a turn into
ulnar a- superficial palmar arterial arch
radial a- deep palmar arterial arch
Really Thirsty Drink Cold Beer
Roots Trunks Divisions Cords Branches
for every 3 degrees of abduction how much does glenohumeral joint move and scapulothoracic joint
glenohumeral 2 degrees
scapulothoracic 1 degree
most common SD of shoulder
restriction internal and external rotation
second most common SD shoulder
abduction
places that can cause thoracic outlet syndrome
between anterior and middle scalenes
between clavicle and first rib
between pec minor and upper ribs
special test if pec minor is causing thoracic outlet syndrome
hyper extension
pain in shoulder at nights for months and when instructed to hold arm up laterally drops down
supraspinatus tear
what cause adhesive capsulitis
prolonged immobility of the shoulder
usual direction shoulder dislocation
anterior and inferior
what n can be damaged in shoulder dislocation
axillary nerve
weakness ant serratus
long thoracic n
erb duchene
injury to C5 C6
paralysis of deltoid, ext rotators, biceps, brachioradialis and supinator mm
waiters tip
klumpkes palsy
C8 T1
intrinsic mm of hand
most common nerve injured in upper extremity from direct trauma
radial n
crutch palsy
radial
wrist drop
radial
primary flexors of hand and wrist inn by
median n. attach on medial epicondyle
primary extensors of hand and wrist inn by
radial n. attach on lateral epicondyle
primary supinators of forearm
biceps and supinator
primary pronators
pronator teres and quadratus (median)
what inn supinator
radial
mm of thenar eminence inn by
median (except adductor pollicis brevis)
what inn adductor pollicis brevis
ulnar
lumbrical innervation
1 and 2: median n
3 and 4: ulnar
hypothenar eminence innervation
ulnar nerve
cubitus valgus
> 15 degree carrying angle
“abduction ulna”
cubitus varus
increased carrying angle cause what motion at wrist
adduction at wrist
radial head motion
SAPP
supinate anterior
pronate posterior
cause of posterior radial head
falling forward on pronated arm
cause of anterior radial head
falling backward on supinate forearm
paresthesias of thumb and first 2.5 digits
carpal tunnel
gold standard carpal tunnel
nerve conduction studies and electromyography
OMT carpal tunnel
rib and upper thoracic SD dec sympathetic tone
treating cervical SD and myofascial restrictions to enhance brachial plexus function
direct release in space of carpal tunnel
lateral epicondylitis
tennis elbow, worse with wrist extension
medial epicondylitis
golfers elbow
swan neck
flexure MCP and DIP, extension PIP
RA
boutonnier deformity
extention MCP and DIP, flexion PIP
rupture hood of extensor tendon
RA
claw hand
extension MCP
flexion PIP and DIP
median and ulnar injury
loss intrinsic and overactivity extensors
ape hand
wasting of thenar eminence and the thumb is adducted
median n damage
bishops deformity
contracture last 2 digits with atrophy of hypothenar eminence from ulnar n damage
dupuytrens contracture
flexion MCP and PIP with contracture last 2 digits
contracture of palmar fascia
drop wrist
radial n damage
paralysis of extensor mm
