Opp Exam 2 Upper Ext Somatic Dys

Front 1

Where is somatic dysfunction usually invovles what?

Back 1

Somatic dysfunction typically involves restriction at the end of a range of motion

Front 2

Somatic dysfunctions usually is found where?

Back 2

Somatic dysfunction is likely to be found in the minor motions of the joint (joint glide)

Front 3

What are orthopaedic problems usually associated with?

Back 3

Orthopedic problems are often associated with disruption of joint stabilization evident by laxity and instability at the end of a range of motion

Front 4

What makes up the shoulder joint?

Back 4

Scapulothoracic joint
Acromioclavicular joint
Sternoclavicluar joint
Sternocostal joint
Costovertebral joint
Glenohumeral joint

Front 5

What is osteopathic diagnosis usually made up off?

Back 5

Osteopathic diagnosis largely depends on palpation during which both the quality and quantity of the range of motion are examined.

Front 6

There is a ratio of motion during abduction of the arm between the glenohumeral joint and the scapulothoracic joint

Back 6

There is a ratio of motion of 2:1 during abduction of the arm between the glenohumeral joint and the scapulothoracic joint

Front 7

A restriction in humeral abduction =?

Back 7

A restriction in humeral abduction = glenohumeral problem

Front 8

A restriction in scapular rotation = ?

Back 8

A restriction in scapular rotation = shoulder girdle problem

Front 9

For every 3degrees of abduction - ? degrees occurs in the glenohumeral joint and ? degree occurs at the scapulothoracic articulation?

Back 9

For every 3degrees of abduction - 2degrees occurs in the glenohumeral joint and 1degree occurs at the scapulothoracic articulation

Front 10

Shoulder problems usually involves what?

Back 10

Dysfunctions of muscles

Front 11

What is a stoic?

Back 11

patient may be encountered that does not perceive tenderness when a tender point is pressed

Front 12

What is the true elbow joint?

Back 12

Unla humeral

Major Voluntary Motions
Flexion: 150-160o(135+)
Extension: 0o
10o of hyperextension is normal in some individuals

Front 13

What are the passive motions of the elbow?

Back 13

The ulnohumeral joint passively adducts with flexion and passively abducts with extension

Front 14

Ulnar Abd is what kind of add?

Back 14

Restricted adduction this is lateral glide

Patient may present with pain or restriction at endpoint of flexion
Increases the carrying angle

Front 15

Ulnar Adduction results in what osteopathic mechanics of the elbow?

Back 15

Restricted abduction
Patient may present with pain or restriction at endpoint of extension
Decreases the carrying angle

Front 16

A posterior radial head somatic dysfunction is often caused by?

Back 16

a fall forward onto an outstretched hand

Front 17

A posterior radial head somatic dysfunction presents with what?

Back 17

This restricts supination
Radial head does not glide anteriorally
Patient may present with wrist pain or elbow pain especially with supination

Front 18

Near the end of full pronation, the radial head glides?

Back 18

Posteriorly

Front 19

What is the most important tender point of the elbow? And what can it be confused with?

Back 19

Radial head counterstrain tender point

Tennis elbow

Front 20

For posterior radial head dysfunction
pronation=?

Back 20

Palpation

Front 21

Somatic dysfunction of the wrist may not be related to the gross motions of the wrist but to ???

Back 21

dysfunction of the slight gliding motion of the carpal bones on the radius

Front 22

The carpal bones glide during wrist extension

Back 22

The carpal bones glide anteriorally during wrist extension

Front 23

What is the most common somatic dysfunction of the wrist?

Back 23

Extension

Front 24

If a wrist extends but is restricted in its full flexion tthen it is ?

Back 24

an extension somatic dysfunction of the wrist

Front 25

When will somatic dysfunction present in carpal bones?

Back 25

Somatic dysfunction often occurs from a compressive injury

Front 26

Describe Lateral epicondylistis

Back 26

A condition that produces pain over the common extensor origin about 1 cm distal to the lateral epicondyle
Although the term epicondylitis is commonly used, the pathology and point of maximal pain are in the tendon substance
The histology shows tissue degeneration and not inflammation
Term lateral tendonosis of the elbow is more accurate but rarely used
Pain is easily reproduced with resisted extension at the wrist

Front 27

Most tendon injuries are not tendinitis T/F

Back 27

False if over six weeks most are tendinosis or tendopathy

Front 28

Dequervins is???

Back 28

Swelling of the sheath that surrounds the abductor pollicis longus and extensor pollicis brevis tendons at the wrist
The inflammation thickens the tendon sheath and constrict the tendon as it glides in the sheath
This causes pain and/or sticking of the tendon causing a triggering phenomenon as the patient moves the thumb
Examination may reveal crepitus over the tendon sheath as the patient flexes and extends the thumb

Front 29

Treatment of Dequervins?

Back 29

Rest
Ice
Splint
Nonsteroidal anti-inflammatory drugs
Steroid injection
OMT

Front 30

List the nerve compression syndromes of the forearm?

Back 30

Compression of the ulnar nerve (cubital tunnel syndrome)
Median nerve compression at the elbow
Posterior interosseous nerve compression
Pronator syndrome (muscular compression of the median nerve in the proximal forearm)
Radial tunnel syndrome

Front 31

Treatment for nerve compression syndromes

Back 31

Steroid injections are not recommended
OMT
Surgical decompression if not improved after 3 to 6 months of conservative care

Front 32

If the same somatic dysfunction reoccurs despite successful treatment, you must consider the possibility???

Back 32

that it is secondary to a viscerosomatic reflex

Front 33

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Back 33

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Back 35

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