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35 Cards in this Set
- Front
- Back
Where is somatic dysfunction usually invovles what?
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Somatic dysfunction typically involves restriction at the end of a range of motion
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Somatic dysfunctions usually is found where?
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Somatic dysfunction is likely to be found in the minor motions of the joint (joint glide)
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What are orthopaedic problems usually associated with?
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Orthopedic problems are often associated with disruption of joint stabilization evident by laxity and instability at the end of a range of motion
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What makes up the shoulder joint?
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Scapulothoracic joint
Acromioclavicular joint Sternoclavicluar joint Sternocostal joint Costovertebral joint Glenohumeral joint |
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What is osteopathic diagnosis usually made up off?
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Osteopathic diagnosis largely depends on palpation during which both the quality and quantity of the range of motion are examined.
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There is a ratio of motion during abduction of the arm between the glenohumeral joint and the scapulothoracic joint
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There is a ratio of motion of 2:1 during abduction of the arm between the glenohumeral joint and the scapulothoracic joint
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A restriction in humeral abduction =?
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A restriction in humeral abduction = glenohumeral problem
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A restriction in scapular rotation = ?
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A restriction in scapular rotation = shoulder girdle problem
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For every 3degrees of abduction - ? degrees occurs in the glenohumeral joint and ? degree occurs at the scapulothoracic articulation?
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For every 3degrees of abduction - 2degrees occurs in the glenohumeral joint and 1degree occurs at the scapulothoracic articulation
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Shoulder problems usually involves what?
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Dysfunctions of muscles
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What is a stoic?
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patient may be encountered that does not perceive tenderness when a tender point is pressed
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What is the true elbow joint?
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Unla humeral
Major Voluntary Motions Flexion: 150-160o(135+) Extension: 0o 10o of hyperextension is normal in some individuals |
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What are the passive motions of the elbow?
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The ulnohumeral joint passively adducts with flexion and passively abducts with extension
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Ulnar Abd is what kind of add?
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Restricted adduction this is lateral glide
Patient may present with pain or restriction at endpoint of flexion Increases the carrying angle |
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Ulnar Adduction results in what osteopathic mechanics of the elbow?
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Restricted abduction
Patient may present with pain or restriction at endpoint of extension Decreases the carrying angle |
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A posterior radial head somatic dysfunction is often caused by?
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a fall forward onto an outstretched hand
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A posterior radial head somatic dysfunction presents with what?
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This restricts supination
Radial head does not glide anteriorally Patient may present with wrist pain or elbow pain especially with supination |
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Near the end of full pronation, the radial head glides?
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Posteriorly
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What is the most important tender point of the elbow? And what can it be confused with?
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Radial head counterstrain tender point
Tennis elbow |
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For posterior radial head dysfunction
pronation=? |
Palpation
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Somatic dysfunction of the wrist may not be related to the gross motions of the wrist but to ???
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dysfunction of the slight gliding motion of the carpal bones on the radius
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The carpal bones glide during wrist extension
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The carpal bones glide anteriorally during wrist extension
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What is the most common somatic dysfunction of the wrist?
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Extension
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If a wrist extends but is restricted in its full flexion tthen it is ?
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an extension somatic dysfunction of the wrist
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When will somatic dysfunction present in carpal bones?
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Somatic dysfunction often occurs from a compressive injury
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Describe Lateral epicondylistis
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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 |
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Most tendon injuries are not tendinitis T/F
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False if over six weeks most are tendinosis or tendopathy
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Dequervins is???
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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 |
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Treatment of Dequervins?
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Rest
Ice Splint Nonsteroidal anti-inflammatory drugs Steroid injection OMT |
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List the nerve compression syndromes of the forearm?
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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 |
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Treatment for nerve compression syndromes
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Steroid injections are not recommended
OMT Surgical decompression if not improved after 3 to 6 months of conservative care |
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If the same somatic dysfunction reoccurs despite successful treatment, you must consider the possibility???
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that it is secondary to a viscerosomatic reflex
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