Ortho 3

Front 1

what is the only bony attachment of the upper extremity

Back 1

sternoclavicular joint

Front 2

what is the resting position of the SC joint

Back 2

arm by the side in the normal resting position

Front 3

what position do you use for SC joint mobs

Back 3

resting position

Front 4

what is the close packed position for the SC joint

Back 4

full elevation of the arm

Front 5

what indicates capsular pattern of the sc joint

Back 5

indications are pain at the extreme range of motion

Front 6

what is the kinesiological events during elevation/ depresion at the SC joint

Back 6

convex clavicle on concave sternum in frontal plane-- so the glide is in a different direction as the movement: elevation: inferior glide ; depression: superior glide

Front 7

what are the kinesiological events during protraction/retraction at the SC joint

Back 7

concave clavicle on convex sternum in transvers plane; glide is in the same direction as the movement; retraction: posteroir glide; protraction: anterior glide

Front 8

what are the two main mechanisms of injury to the SC joint

Back 8

1) force along long axis of clavicle
2) force applied to the anterior aspect of the clavicle

Front 9

what is meant by an indirect injury to the SC joint

Back 9

force along long axis causing a subluxation/dislocation in the anterior/superior/medial direction ---> falling on the lateral aspect of the shoulder

Front 10

what is meant by a direct injury to the SC joint

Back 10

force applied to the anterior aspect of clavicle direct force causing a posterior subluxation/dislolcation --> kick to the front of the clavicle, supine with other player falling on clavicle

Front 11

the sternoclavicular joint is considered very stable, what often occurs before dislocating or subluxing

Back 11

a break

Front 12

what are the S and S of a first degree sprain to the SC joint

Back 12

1) little pain and disability
2) point tenderness to palpation
3) pain at end-range horizontal adduction (bringing arm across the chest)
4) no instability or laxity

Front 13

what is hte treatment for a first degree sprain

Back 13

trate as an acute sprain, decreasing inflammation and pain with:
1) ice
2) rest
3) appropriate modalities
4) protection against further trauma
5) typically no immobilization but may be restricted in activities for a few days

Front 14

what degree of sprain is a subluxation of the SCJ

Back 14

second degree sprain

Front 15

what are the S and S of a second degree sprain

Back 15

1) visible deformity
2) pain
3) swelling
4) point tenderness
5) pain at end-range horizontal adduction (bringining arm across chest)
6) pain at end-range shoulder abduction

Front 16

what is the treatment for a second degree sprain (subluxation of SCJ)

Back 16

treat as an acute sprain. Decreasing pain and inflammation with
1) ice
2) rest
3) appropriate modalities
4) protection against further trauma
5) immobilization in a figure 8 sling may be necessary for 1-2 weeks
6) followd by progressive return to full function
7) 4-6 weeks to return to play

Front 17

what is the goal of treatment for SCJ subluxation

Back 17

(note subluxation = 2nd degree sprain)
to decrease inflammation, pain and to minimize residual deformity and instability

Front 18

why is the figure 8 sling useful for a second degree sprain of the SC joint

Back 18

brings the joint back into a little retraction

Front 19

what degree is a complete dislocation of the SC joint

Back 19

third degree sprain

Front 20

what are the S and S of a third degree SCJ sprain (complete dislocation)

Back 20

1) visible deformity**
2) pain
3) swelling
4) tenderness
5) disability

Front 21

what is the treatment for a third degree sprain/complete dislocation

Back 21

1) return of the clavicle to its original position by physician
2) followed by immobilization for healing to occur (3-5 weeks)
3) gradual rehabilitation program aimed at hte recovery of full ROM and strength
4) also: ice, rest, appropriate modalities, protection against further trauma

Front 22

how likely is it for someone to have a recurrent sprain to the SC

Back 22

high indicence of recurrence after second and third degree sprains - if the individual is involved in contact sports

Front 23

what is the proper immobilization (and time) for a 3rd degree SC joint dislocatrion

Back 23

immobilize 3-5 weeks in a figure 8 sling and taping as needed for protection

Front 24

besides a sprain or dislocation of the articular disk of the SCJ what other pathologies could be seen

Back 24

1) hypomobility post immobilization or injury

2) impingement of intra-articular meniscus

Front 25

how would you treat hypomobility of the SCJ

Back 25

joint mobilization - at end of pt. expiration

Front 26

how would you treate impingement of the intra-articular meniscus in the SCJ

Back 26

with joint movs to free meniscus..... control inflammation with ice and grades 1 and 2 joint mob techniques

Front 27

what is the screen test for the SCJ

Back 27

horizontal adduction- if pain free the joint is likely okay

Front 28

and are the tests you would use during an SCJ evaluation

Back 28

screen test, palpaition for pain, palpate for symmetry of movement during shoulder girdle movement, joint play assessment (assess for pain and mobility)

Front 29

when should you do an SCJ evaluation

Back 29

as part of any shoulder assessment - even though injuries to this area are rare and typically easy to determine