Upper Limb Stats - Final Exam Review Flashcards
What are the expected ranges of motion for the shoulder joint?
Flexion/abduction: 180° Horizontal abduction: 100° ER: 90° IR: 70° Extension: 60° Adduction/horizontal adduction: 45°
What is the capsular pattern of restriction for the GH joint?
ER > ABD > IR
What is resting position for the GH joint?
55-70° of abd + 60° of horizontal abd (measured from 90° of flexion)
What is closed pack position for the GH joint?
Maximal horizontal abduction & external rotation
What are the expected ranges of motion for the scapulothoracic joint?
Protraction/retraction/elevation/depression: 30°
Medial/lateral rotation: 50°
What is closed pack position for the scapulothoracic joint?
There is no such thing! It is not a true joint.
Explain the shapes of the articulating surfaces (convex vs. concave) for the humeroulnar joint.
humerus (trochlea): convex
ulnar (trochlear notch): concave
Explain the shapes of the articulating surfaces (convex vs. concave) for the humeroradial joint.
humerus (capitulum): convex
radius (radial head): concave
Explain the shapes of the articulating surfaces (convex vs. concave) for the proximal radioulnar joint.
ulna (radial notch): concave
radius (radial head): convex
What are the expected ROM for the elbow joint?
Flexion: 150°
Extension: 0-10°
Supination & pronation: 90° (pronation is 80-90°)
What is the capsular pattern of restriction for the elbow joint?
Humeroradial & humeroulnar: flexion > extension
Proximal radioulnar: supination = pronation
What is resting position for the humeroulnar joint?
70° of flexion
What is resting position for the humeroradial joint?
full extension & supination (as if letting your arm/forearm just go limp)
What is resting position for the proximal radioulnar joint?
35° of supination & 70° of flexion
What is closed pack position for the humeroulnar joint?
full extension
What is closed pack position for the humeroradial joint?
90° of flexion
What is closed pack position for the proximal radioulnar joint?
5° of supination
What are the expected ranges of motion for the wrist complex?
Flexion: 80°
Extension: 70°
Ulnar deviation: 30°
Radial deviation: 20°
What is the capsular pattern of restriction for the wrist complex?
Flexion = extension
What is resting position for the wrist complex?
neutral (halfway between flex & ext) with slight adduction (ulnar deviation)
What is closed pack position for the wrist?
full extension
What are the expected ranges of motion for the distal radioulnar joint?
Supination & pronation 85-90°
What is the capsular pattern of restriction for the distal radioulnar joint?
supination = pronation
What is resting position for the distal radioulnar joint?
10° of supination
What is closed pack position for the distal radioulnar joint?
5° of supination
True or false: closed pack position is the exact same for the proximal AND distal radioulnar joints.
True
What is the general convex/concave rule for the CMC & intermetacarpal joints?
concave on convex
What is the capsular pattern of restriction for the 1st CMC joint?
abduction > extension
What is the capsular pattern of restriction for the 2nd-5th CMC joints?
all limited equally!
What is closed pack position for the 2nd-5th CMC joints, and then the 1st CMC joint?
full extension (2-5) full opposition (1)
What is resting position for the CMC joints?
semiflexion
What are the expected ranges of motion for the 1st CMC joint?
Flexion: 15° Extension: 20° Abduction: 70° Adduction (to plane of the hand) Opposition (till thumb tip touches head of 5th metacarpal)
What are the expected ROM for the 2nd-5th MCP joints?
Flexion: 90°
Extension: 45°
Abduction: 20°
Adduction: 10°
What is the expected ROM for the 1st MCP joint?
Flexion: 60°
The proximal IP joints are expected to have ___ of flexion
100°
The distal (including the thumb) interphalangeal joints are expected to have what ROM?
Flexion: 80°
Extension: 10°
What is resting position for the IP joints & 1st MCP joint?
semi-flexion
What is resting position for the 2nd-5th MCP joints?
semiflexion & adduction
What is closed pack position for the 2nd-5th MCP joints?
full flexion
What is closed pack position for the 1st MCP & IP joints?
full extension