Omt - Upper Ex

Front 1

Rotator cutt muscles.

Back 1

Suprespinatus (abduction of arm)
Infraspinatus (arm exter rota)
Teres minor (arm exter rota)
Subscapularis (arm intern rota)

Front 2

Most commonly injured rotator cuff muscle.

Back 2

Supraspinatus.

Front 3

Arm abduction.

Back 3

Supraspinatus, deltoid.

Front 4

Arm adduction.

Back 4

Pectoralis major, latissimus dorsi.

Front 5

Arm flexion

Back 5

Coracobrachialis, anterior portion of deltoid.

Front 6

Arm extension.

Back 6

Latissimus dorsi, teres major, posterior deltoid.

Front 7

Arm external rotation.

Back 7

Infraspinatus, teres minor.

Front 8

Arm internal rotation.

Back 8

Subscapularis, pectoralis major, teres major, latissimus dorsi.

Front 9

Subclavian artery.

Back 9

-subclavian artery pass btw anterior and middle scalenes.
-subclavian vein passes anterior to anterior scalene.

Front 10

Radial artery.

Back 10

-course lateral aspect of forearm
-supply to elbow, wrist, dorsal aspect of hand, most deep palmar arterial arch.

Front 11

Ulnar artery.

Back 11

-cours emedial aspect of forearm
-supply elbow, wrist, dorsal aspect of hand, most of superficial palmar arterial arch.

Front 12

C5

Back 12

-Lateral arm and lateral aspect of elbow.
-Deltoid and biceps.
-Biceps reflex.

Front 13

C6

Back 13

-Lateral forearm and thumb.
-biceps and wrist extensors.
-brachioradialis reflex.

Front 14

C7

Back 14

-Sensation to Middle finger.
-triceps and wrist flexor.
-triceps reflex.

Front 15

C8

Back 15

-Sensation of little finger and middle forearm.
-Wrist flexors and interossi.
-no reflex involvement.

Front 16

T1

Back 16

-Medial albow and medial arm sensation.
-interossi
-no reflex involvement.

Front 17

Motion test of shoulder.

Back 17

Apley's scratch test.
Spencer technique.

Front 18

Deep tendon reflex.

Back 18

4/4 = brisk w/ sustained clonus.
3/4 = brisk w/ unsustained clonus.
2/4 = Normal
1/4 = decreased but present
0/4 = absent

Front 19

Thoracic outlet syndrome.

Back 19

-Pathogenesis: compression of neurovascular bundle (subclavian vessels and brachial plexus) in 1. btw anterior and middle scalenes. 2. btw clavicle and 1st rib, 3. btw pectoralis minor and upper ribs.
-Pain at neck or radiating to arm.
-Often positive Adson's, Roo's, or hyperabduction test.

Front 20

Supraspinatus tendonitis.

Back 20

-Pathogenesis: con't impingement of greater tuberosity against acromion as arm is flexed and internally rotated.
-Pain/tenderness at tip of acromion.
-Signs/Symptoms: pain exacerbated by abduction ("painful arc"), positive drop arm test.

Front 21

Rotator cuff tear

Back 21

-Tear at the insertion, usually supraspinatus.
-tenderness below tip of acromion.
-Weakness in active abduction, along w/ positive drop arm test. Atrophy is common.

Front 22

Wining of scapula.

Back 22

-weakness of anterior serratus m.
-long thoracic n. injury.

Front 23

Brachail plexus injury.

Back 23

-most common = Erb-Duchenne's palsy = upper arm paralysis caused by injury to C5 and C6 nerve roots during childbirth.

Front 24

Nerve innervation: primary flexors of wrist and hand.

Back 24

Median nerve.

(except for flexor carpi unlarnis [ulnar n.])

Front 25

Nerve innervation: Extensors of wrist and hand.

Back 25

Radial nerve.

Front 26

Nerve innervation: Primary supinators of forearm.

Back 26

Biceps--Musculocutaneous nerve
and supinator--radial n.

Front 27

Nerve innervation: Primary pronators of forearm.

Back 27

Pronator teres and pronator quadratus--Radial n.

Front 28

Innervation of thenar eminence.

Back 28

Median nerve
(except for adductor pollicis brevis [ulnar.])

Front 29

Innervation of hypothenar eminence and interossi.

Back 29

Ulnar nerve.

Front 30

Ulnar nerve innervation.

Back 30

-Hypothenar eminence
-interossi.
-medial 1.5 finger doral and ventral aspect.

Front 31

Median nerve innervation.

Back 31

-thenar eminence except adductor pollicis brevis (ulnar .)
-Medial 3.5 fingers ventral and doral aspect.
-Lateral half of palm.

Front 32

Radial nerve innervation.

Back 32

-Medial half of dorsum of hand.
-Lateral aspect of thumb.

Front 33

Carpal tunnel syndrome.

Back 33

-Patho: Median nerve entrapment btw longitudinal tendon of hand and flexor retinaculum.
-Location: Parasthesia on palmer surface of thumb and first 2.5 digits.
-Signs/symptoms: weakness, atrophy. Symptoms reproduced w/ Tinel's phalen, and prayer tests.

Front 34

Lateral epicondylitis (tennis elbow).

Back 34

-Patho: strin of extensor muscle of forearm near lateral epicondyle.
-Location: pain over lateral epicondyle that worsen w/ supination against resistance.

Front 35

Medial epicondylitis (golfer's elbow).

Back 35

-Patho: strain of flexor muscle of forear near medial epicondyle.