Upper Extremity Normal Flashcards
Name the heads of triceps brachii
- long head
- Lateral head
- Medial head
identify this muscle
coracobrachialis
identify this muscle
brachialis
identify
brachioradialis
Name the biceps brachii muscles: origin and insertion
Long head:
- Origin: supraglenoid tubercle
- Insertion: radial tuberosity
Short head
- Origin: coracoid process of scapula
- insertion: radialy tuberosity
Upper extremity inspection includes:
- symmetry
- size: edema; atrophy
- alignment
- deformity
- color: skin, nail beds
- masses
During palpation of upper extremity, what are you paying attention to?
- muscle tone
- warmth
- edema
- crepitus
- tendernesss
when testing for neurologic muscle strength, when would you give a Grade 0
no contraction
when testing for neurologic muscle strength, when would you give a Grade 1
if I feel slight contraction without movement
when testing for neurologic muscle strength, when would you give a Grade 2
movement possible, but not against gravity
when testing for neurologic muscle strength, when would you give a Grade 3
movement possible against gravity but not against resistance
when testing for neurologic muscle strength, when would you give a Grade 4
movement possible against some resistance
when testing for neurologic muscle strength, when would you give a Grade 5
FROM against full resistance
what bony landmarks of the shoulder are you palpating for
- clavicle
- coracoid process
- acromioclavicular joint
- bicipital groove
- rotator cuff muscles
what landmarks are you palpating for on elbow
- olecranon
- medial and lateral epicondyle
- radial head
- brachial pulse
what landmarks are you palpating for in the wrist
- radial and ulnar styloid
- carpals and metacarpals
what landmarks/signs are you palpating for in the hand
check for swelling and tenderness
- metacarpophalangeal joints
- proximal and distal interphalangeal joints
nails, check for cap refill
how do you test for flexion of shoulder
place arms in front of body and tell the patient to” not let me push them down” as you try to push down on distal upper arm
how would you test for extension of shoulder
place arms in front of body and ask patient to “not let me push them up” as I try to push the arms up
how would you test for abduction of shoulder
raise arms to side of body and tell patient “dont let me push them down” as you try to push down on the distal upper arm
how would you test for adduction of shoulder
place arms to side of body and tell the patient “don’t let me push them up” as you try to push the arms up
how would you test for internal rotation of shoulder
place hands behind hips
how would you test for external rotation of shoulder
place hands behind head
how would you test for flexion of elbow (strenth testing)
- have patient flex arms halfway to shoulders
- grab arm and ask patient to “don’t let me pull your arm down”
how would you test extension of elbow (strength test)
- have patient flex arms halfway to shoulders
- ask patient “ push you arms down against my resistance”
how would you test for pronation and supination of wrist
pronation: turn your palms down
supination: turn you palms up
how would you test for radial and ulnar deviation
- have patient put arms bent at elbows, hands out straight with palms down
- ulnar deviation: keep forearms still and move hands laterally
- radial deviation: keep forearms still and move hands medially (towards eachother)
how do you test for grip strength
ask patient to grasp your two finger and squeeze
how would you test flexion/extension of wrist
- one hand at a time
- use hold hand to hold patients forearm
- use other hand to test for strength of wrist
