Upper Extremity Flashcards

1
Q

Shoulder impingement is compression of structures in the…

A

subacromial space

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2
Q

Rotator cuff repair rehab is limited by _____ to _____

A

tendon to bone healing

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3
Q

glenohumeral instability is usually in which direction?

A

anterior and inferior

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4
Q

rupture of _____ tendon is a medical emergency

A

flexor digitorum

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5
Q

shoulder closed pack position

A

full ABD and ER

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6
Q

shoulder open pack position

A

55* ABD, 30* horiz ADD

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7
Q

scapulohumeral rhythm

A

2 GH : 1 scapula

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8
Q

shoulder inferior glide increases

A

flexion and abd

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9
Q

shoulder PA mob increases

A

ER

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10
Q

shoulder AP mob increases

A

IR and ER (can be more effective)

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11
Q

rotator cuff rehab (2)

A
  1. isometric -> concentric -> eccentric

2. planes -> diagonals

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12
Q

alteration in the normal position or motion of the scapula during shoulder movement

A

scapular dyskinesis

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13
Q

contains head of humerus, long head biceps tendon, superior jt capsule

A

subacromial space

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14
Q

shoulder impingement is the greatest between…

A

60-120* of scaption

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15
Q

mechanical compression of RTC tendons btwn acromion and coracoid process

A

primary shoulder impingement

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16
Q

decreased subacromial space b/c of GH instability

A

secondary shoulder impingement

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17
Q

shoulder impingement w/ painful arc, acute trauma or repetitive microtrauma. Reversible. Under 25

A

Stage I

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18
Q

shoulder impingement w/ irreversible long term repeated stress w/ fibrotic changes. Pain w/ overhead. 25-40yrs

A

Stage II

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19
Q

shoulder impingement w/ tendon degeneration and RTC tears/ruptures. History of shoulder pain and mm weakness

A

Stage III

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20
Q

subacromial decompression SAD surgery rehab is largely limited by…

A

pain

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21
Q

rotator cuff max/mod/min protection time after surgery

A

max: 3-8 weeks
mod: lasts 4 weeks
min: up to 6 months

22
Q

abnormal symptomatic motion of the GH jt. Slipping (subluxation) and popping out (dislocation)

A

Glenohumeral instability

23
Q

anterior instability; avulsion of anterior glenoid rim

A

bankart lesion

24
Q

anterior instability; compression fracture of posterior humeral head

A

hill sachs lesion

25
Q

SLAP lesion is a tear in the…

A

Superior Labrum from Ant to Post

26
Q

anterior shoulder dislocation contraindication

A

ext beyond 0

27
Q

anterior shoulder dislocation precaution

A

ABD and ER

28
Q

anterior shoulder dislocation rehab emphasis (2)

A
  1. eccentric post RTC

2. increase dynamic stability

29
Q

GH instability period of max protection

A

1-8 weeks immobilizaion

30
Q

AC joint sprain contraindication/red flag

A

shoulder depression and humeral traction

31
Q

painful, stiff shoulder w/ loss of both AROM and PROM. Primary (spontaneous) and secondary (traumatic)

A

adhesive capsulitis (frozen shoulder)

32
Q

Adhesive capsulitis 3 stages

A
  1. Freezing
  2. Frozen
  3. Thawing 5-24 months
33
Q

adhesive capsulitis rehab emphasis

A

arthrokinematics

34
Q

TSA rehab primary emphasis

A

pain control over function

35
Q

TSA surgeon protocol

A

don’t push ER

36
Q

Reverse TSA surgeon protocol

A

don’t force IR/ADD

37
Q

TSA strengthen…

A

RTC and mid deltoid

38
Q

General shoulder rehab (2)

A
  1. scaption

2. full elevation ASAP

39
Q

humeroulnar open pack position

A

70* flex, 10* sup

40
Q

humeroulnar closed pack position

A

full ext and sup

41
Q

humeroradial open pack position

A

full ext and sup

42
Q

humeroradial closed pack position

A

90* flex, 5* sup

43
Q

PA prox radioulnar glide increases…

A

supination

44
Q

AP prox radioulnar glide increases…

A

pronation

45
Q

entrapment of ulnar n in cubital tunnel. Most common

A

cubital tunnel syndrome

46
Q

Myositis ossificans contraindications (3)

A

massage
passive stretch
resistance

47
Q

PA radiocarpal mob increases

A

ext

48
Q

AP radiocarpal mob increases

A

flex

49
Q

Carpal tunnel tx (3)

A
  1. jt mob
  2. tendon/nerve glide
  3. AROM
50
Q

inflammation of tendon sheaths of abductor pollicus longus and ext pollicus brevis

A

DeQuervain’s Tenosynovitis

51
Q

pathological thickening/shortening of palmar fascia resulting in flex contracture of fingers

A

Dupuytren contracture

52
Q

disorders that occur after injury to a limb due to excessive sympathetic response

A

complex regional pain syndrome