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113 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What is the full ROM for the shoulder joint?
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180 degrees of flexion
45 degrees of extension 180 degrees of abduction 40 degrees of adduction 90 degrees of ext rotation 80 degrees of int rotation |
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What is the innervation and nerve roots for the deltoid muscle?
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Axillary nerve
C5-C6 |
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What is the innervation and nerve roots for the corachobrachialis muscle?
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Musculocutaneous nerve
C6-C7 |
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What is the innervation and nerve roots for the latissimus dorsi muscle?
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Thoracodorsal nerve
(C6), C7-C8 |
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What is the innervation and nerve roots for the teres major muscle?
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Inferior subscapular
C5, (C6), C7 |
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What is the innervation and nerve roots for the supraspinatous muscle?
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Suprascapular nerve
C5-C6 |
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What is the innervation and nerve roots for the pectoralis major muscle?
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med and lat pectoral nerve
C5-T1 |
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What is the innervation and nerve roots for the infraspinatus muscle?
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Suprascapular nerve
C5-C6 |
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What is the innervation and nerve roots for the teres minor muscle?
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Axillary nerve
C5-C6 |
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What is the innervation and nerve roots for the subscapularis muscle?
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Sup and inf subscapular nerve
C5-C6 |
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What is the innervation and nerve roots for the trapezius muscle?
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Spinal accessory nerve
CN XI |
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What is the innervation and nerve roots for the levator scapulae muscle?
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C3, C4 +/- dorsal scapular nerve (C5)
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What is the innervation and nerve roots for the biceps brachii muscle?
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Musculocutaneous nerve
C5, C6 |
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What is the innervation and nerve roots for the brachialis muscle?
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Musculocutaneous nerve
C5, C6 |
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What is the innervation and nerve roots for the brachioradialis muscle?
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Radial nerve
C5, C6 |
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What is the innervation and nerve roots for the triceps brachii muscle?
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Radial nerve
C6, (C7, C8) |
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What is the innervation and nerve roots for the supinator muscle?
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Posterior interosseous division of the radial nerve
C5, (C6), C7 |
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What is the innervation and nerve roots for the pronator teres muscle?
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Median nerve
C6, C7 |
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What is the innervation and nerve roots for the pronator quadratus muscle?
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Anterior interosseous division of the median nerve
C8, T1 |
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What is the innervation and nerve roots for the flexor carpi radialis muscle?
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Median nerve
(C6, C7), C8 |
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What is the innervation and nerve roots for the flexor carpi ulnaris muscle?
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Ulnar nerve
C7, (C8), T1 |
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What is the innervation and nerve roots for the extensor carpi radialis longus muscle?
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Radial nerve
C6, C7 |
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What is the innervation and nerve roots for the extensor carpi radialis brevis muscle?
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Radial nerve
C6, C7 |
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What is the innervation and nerve roots for the extensor carpi ulnaris muscle?
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Posterior interosseous division of the Radial nerve
C7-C8 |
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What is the innervation and nerve roots for the lumbrical muscles?
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-Lumbricals 1&2 (unipennate) by the Median nerve
-Lumbricals 3&4 (bipennate) ny the Ulnar nerve all C8-T1 |
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What is the innervation and nerve roots for the dorsal and palmar intersseous muscles?
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Ulnar nerve
C8-T1 |
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What is the innervation and nerve roots for the flexor digitorum superficialis muscle?
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Median nerve
C7-T1 |
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What is the innervation and nerve roots for the flexor digitorum profundus muscle?
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half Median and half Ulnar nerve
C7, (C8-T1) |
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What is the innervation and nerve roots for the extensor digitorum muscle?
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Posterior interroseous division if the radial nerve
C7-C8 |
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What is the innervation and nerve roots for the extensor indicis muscle?
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Posterior interroseous division if the radial nerve
C7-C8 |
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What is the innervation and nerve roots for the extensor digiti minimi muscle?
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Posterior interroseous division if the radial nerve
C7-C8 |
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What is the FROM for the elbow joint?
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150 degrees of flexion
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What is FROM of the wrist?
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80 degrees of flexion
70 degrees of extension |
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What is FROM of forearm pronation/supination?
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80 degrees of both supination and pronation
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What is FROM of the fingers?
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90 degrees of MCP flexion
100 degrees of PIP flexion 90 degrees id DIP fflexion 20 degrees of abduction |
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What is the innervation and nerve roots for the abductor digiti minimi muscle?
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Ulnar nerve
C8,T1 |
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What is the innervation and nerve roots for the flexor pollicis brevis muscle?
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Recurrent branch of the Median nerve
C8-T1 |
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What is the innervation and nerve roots for the flexor pollicis longus muscle?
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Anterior interosseous division of the Median nerve
C7,(C8,T1) |
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What is the innervation and nerve roots for the extensor pollicis brevis muscle?
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Posterior interosseous dividion of the radial nerve
C7,C8 |
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What is the innervation and nerve roots for the extensor pollicis longus muscle?
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Posterior interosseous dividion of the radial nerve
C7,C8 |
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What is the innervation and nerve roots for the abductor pollicis longus muscle?
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Posterior interosseous dividion of the radial nerve
C7,C8 |
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What is the innervation and nerve roots for the abductor pollicis brevis muscle?
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Median nerve
C8,T1 |
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What is the innervation and nerve roots for the adductor pollicis muscle?
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Ulnar nerve
C8,T1 |
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What is the innervation and nerve roots for the iliopsoas muscle?
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Femoral nerve
(L2,L3),L4 |
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What is the innervation and nerve roots for the gluteus maximus muscle?
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Inferior gluteal nerve
(L5,S1),S2 |
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What is the innervation and nerve roots for the gluteus medius muscle?
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Superior gluteal nerve
L4,(L5,S1) |
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What is the innervation and nerve roots for the gluteus minimus muscle?
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Superior gluteal nerve
L4,(L5,S1) |
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What is the innervation and nerve roots for the adductor longus muscle?
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Obturator nerve
(L2,L3),L4 |
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What is the innervation and nerve roots for the adductor magnus muscle?
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Obturator and Sciatic nerve
L2,(L3,L4),L5,S1 |
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What is the innervation and nerve roots for the obturator internus muscle?
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Nerve to the obturator internus
L3-S2 |
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What is the innervation and nerve roots for the obturator externus muscle?
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Obturator nerve
L3-S2 |
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What is the innervation and nerve roots for the quadratus femoris muscle?
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Nerve to the quadratus femoris
L2,L3,L4 |
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What is the innervation and nerve roots for the piriformis muscle?
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Nerve to the piriformis
S1,S2 |
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What is the innervation and nerve roots for the superior and inferior gemelli muscles?
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Sup Gemellus: nerve to the obturator internus (L4-S2)
Inf Gemellus: nerve to the quadratus femoris (L4-S2) |
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What is the innervation and nerve roots for the tensor fasciae latae muscle?
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Superior gluteal nerve
L4,(L5,S1) |
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What is the innervation and nerve roots for the semitendinosus muscle?
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Tibial division of Sciatic nerve
(L5,S1),S2 |
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What is the innervation and nerve roots for the semimembranosus muscle?
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Tibial division if Sciatic nerve
L4,(L5-S2) |
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What is the innervation and nerve roots for the biceps femoris muscle?
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Tibial and peroneal division of sciatic nerve
L5,(S1,S2) |
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What is the innervation and nerve roots for the quadriceps femoris muscle?
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Femoral nerve
L2,L3,L4 |
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What is the innervation and nerve roots for the tibialis anterior muscle?
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Deep peroneal nerve
(L4,L5),S1 |
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What is the innervation and nerve roots for the gastrocnemius muscle?
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Tibial nerve
L5,(S1),S2 |
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What is the innervation and nerve roots for the soleus muscle?
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Tibial nerve
L5,(S1,S2) |
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What is the innervation and nerve roots for the tibialis posterior muscle?
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Tibial nerve
L4,(L5),S1 |
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What is the innervation and nerve roots for the peroneus longus muscle?
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Superficial peroneal nerve
L4,(L5),S1 |
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What is the innervation and nerve roots for the peroneus brevis muscle?
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Superficial peroneal nerve
L4,(L5,S1) |
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What is the innervation and nerve roots for the extensor hallucis longus muscle?
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Deep peroneal nerve
L4,(L5),S1 |
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What is the innervation and nerve roots for the extensor digitorum brevis muscle?
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Deep peroneal nerve
L5,S1 |
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What is the full ROM for the hip joint?
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120 degrees of flexion
30 degrees of extension 40 degrees of abduction 20 degrees of adduction 45 degrees of int & ext rotation |
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What is the full ROM for the knee joint?
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135 degrees of flexion
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What is the full ROM for the ankle joint?
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20 degrees of dorsiflexion
45 degrees of plantarflexion 35 degrees of inversion 25 degrees of eversion |
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What is the mechanism of injury typical with AC sprains/tears?
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falls on an adducted shoulder
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Descrie the difference between type 1 and type 2 AC joint injuries, per the Rockwood classification system.
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Type 1: sprain of AC ligament, no deformity
Type 2: AC tear, CC sprain |
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Describe the tx for Type 1 and Type 2 AC injuries.
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Arm sling, ice, analgesics, and progressive ROM exercises.
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Descrie the difference between type 3 and type 4 AC joint injuries, per the Rockwood classification system.
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Type 3 & 4: Rupture of AC and CC, however type 3 has superior displacement of clavicle, whereas type 4 has posterior displacement giving a buttonhole appearance
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Describe the tx for Type 1 and Type 2 AC injuries.
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Ortho consult for possible ORIF or several weeks of arm sling followed by long-term therapy.
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Where will the "painful arc" be present in a patient with RTC tendinitis or shoulder impigment?
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Pain will occur with PROM between 70-110 degrees of shoulder abduction.
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Describe how to perform Neer's impingement test.
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-Stabilize the scapula
-passively flex arm above 90 degrees -pain indicates supraspinatus tendon is compressed between acromain and greater tuberosity |
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Describe how to perform Hawkin's impingement test.
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-stabilize the scapula
-passively flex internally rotated arm above 90 degrees -pain indicates supraspinatus tendon is compressed against coracoacromial ligament |
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Describe how to perform the drop arm test.
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-passively abduct internally rotated arm to 90 degrees
-inability to maintain arm in abduction after brief assist from deltoid indicates complete RTC tear |
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What are three complications of anterior shoulder dislocation?
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axillary nerve injury, recurrent dislocations, and RTC tears
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This is an avulsion of the anterioinferior glenoid labrum and is the primary etiology for reccurent anterior shoulder dislocation
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Bankart Lesion
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This is a compression fracture of the humeral head when it compresses against the anterior glenoid rim during anterior shoulder dislocation.
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Hill-Sachs Lesion
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This test is performed by elevating the patient's arm to 90 degrees with an extended elbow and upward facing palm, then having them attempt forward flexion against resistance
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Speed's test: pain in anterior shoulder indicates bicipital tendinitis
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Medial scapular winging is due to weakness of what muscle or injury to what nerve?
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Serratus anterior muscle
Long thoracic nerve |
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Lateral scapular winging is due to weakness of what muscle or injury to what nerve?
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Trapezius muscle
CN XI |
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Overuse syndrome of the tendinous orgin of the flexor-pronator mass and MCL of the elbow
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Golfer's elbow
(Medial epicondylitis) |
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An extensor tendinopathy especially of the extensor carpi radialis brevis muscle
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Tennis elbow
(lateral epicondylitis) |
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A tenosynovitis of the 1st dorsal compartment of the hand, especially the abductor pollicis longus and extensor pollicis brevis
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DeQuervain's disease
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Describe Finkelstein's test which is diagnostic for DeQuervain's Tensosynovitis
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-Thumb is flexed into palm
-Make a fist with fingers over the thumb -Ulnar deviate the patients wrist |
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This is the most comon carpal bone fracture; associated with fall on an outstretched hand and snuffbox tenderness.
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-Scaphoid
-Long arm thumb spica -Continued sx's should be evaluated by MRI |
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What two conditions place patients at higher risk for developing trigger finger (digital stenosing tenosynovitis)
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-Diabetes Mellitus
-Rheumatoid Arthritis |
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This device immobilizes the MCP, but allows IP flexion to help reduce the cycle of catching/inflammation of a trigger finger
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-Volar Static Hand Splint
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A patient has been training for a marathon presents with lateral knee pain, especially between 20-30 degrees of flexion. There is tenderness to palpation over Gerdy's tubercle. What is the most likely dx?
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-Iliotibial Band Syndrome
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Describe a treatment plan for trochanteric bursitis.
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-Begin with NSAIDs and ITB stretching program
-Steroid injection into the bursa may be cinsidered. |
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Describe a treatment plan for a patient with ITB syndrome.
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-Stretching: ITB, hip flexors, and gluteus maximus
-Strengthening: Hip adductors -Modalities: ice, US, and phonophoresis -Considerations: correct foot over-pronation, consider steroid injection into lateral femoral condyle |
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What special test may be used to help diagnose Iliotibial Band Syndrome?
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-Ober Test
How is this test performed? |
-Lie patient on side with affected limb uppermost
-flex the hip and abduct as much as possible -then extend the hip and release the leg -will remain in abduction if tightness of ITB or TFL |
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What three musles contribute tendons to the Pes Anserine?
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-Sartorius, Gracilis, and semiTendinosus
"Say Grace before Tea" Describe Tx of Pes Anserine Bursitis. |
-Mainly stretching of medial hamstrings
-Steroid injections are very effective |
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The primary function of the ACL is to maintain joint stability during ___________.
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-Deceleration
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This special test is more sensitive than the anterior drawer, 99% to 54% for an ACL tear.
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-The Lachman Test
-20-30 deg of knee flexion -stabilize the femur with one hand while applying an anterior force to the tibia with the other hand |
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You patient has an ACL tear and is declining surgical intervention at this time. What will you rehab tx plan include?
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-Strengthening: hamstrings to prevent anterior subluxation, quads to prevent patellofemoral pain
-Proprioceptive training -Knee bracing: limit terminal extension and rotation |
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What ois the difference between the Posterior drawer test and the Sag test when assessing for a PCL injury?
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-Both involve the patient lying supine and the knee flexed to 90 degrees
-Sag test involves lateral viewing of the flexed knee to see if there is posterior sag of the tibia or loss of the normal anterior tibial plateau outline. |
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This test is used to diagnose meniscal tears and is especially usefull for diagnosing posterior meniscal tears?
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-McMurray's test.
-How is this performed? |
-patient is supine with hip and knee fully flexed.
-externally rotate the tibia while gently extending the knee -pop or snap indicates meniscal tear |
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Syndrome associated with anterior knee pain occuring with activity, prolonged sitting, or descending stairs.
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-Patellofemoral Syndrome
-Tx Plan? |
-rest, Ice, NSAIDS
-avoid prolonged sitting -strengthening of quads -stretching of quads, hamstrings, ITB, and gastrocs |
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Tx plan for achillies tendinitis?
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-PRICE: protection, rest, ice, compression, elevation
-US helpful -Downhill exercises |
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Describe the 3 phases of rehab from ankle sprain.
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-Phase 1: RICE until able to bear weight (1-3 days)
-Phase 2: restore ROM, strengthen ankle stabilizers, stretch/strengthen achilles tendon (days to weeks) -Phase 3: when ROM and pain are near normal; proprioceptive exercises end endurance training (balance board, zig-zag or figure of 8 running) |
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This is the primary ligament effected by by ankle sprain. What are the other two ligaments which also may be effected with more severe sprain?
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-anterior talofibular ligament (ATFL)
-calcaneofibular and posterior talofibular ligaments (CFL and PTFL) |
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Tx plan for plantar fasciitis?
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-HEP: stretching of plantar fascia and achilles
-relative rest -proper footwear with soft arch supports -occasionaly night splinting of foot -6-12 weeks usually successfull -persistent cases may require steroid injection or surgical release |
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The American College of Sports Medicine reccomends stress testing at what ages for men and women prior to starting a vigorous (>60% VO2max) exercise program?
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Men - 45
Women - 55 |
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Lifetime risk of hip fx in men and women?
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Men 6%
Women 18% |
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Mortality following hip fx at one and two years is?
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1 yr - 20%
2 yr - 33% |
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What is the difference in the anterior and posterior approach of a THA?
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The gluteus medius is split ope in an antero lateral approach.
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List the hip precautions followinig THA.
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-no flexion >90deg
-no adduction past midline -no external rotation -no internal rotation while flexed |
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What two additional hip precautions are unique to the anterolateral approach in THA?
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-no active abduction
-no hyperextension |
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