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Kinesiology for DPT

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Do pivot joints have glide?   No.  
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Does the ulna make contact with the carpals?   hell, no  
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Trapezium articulates with the ________.   thumb  
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Starting with proximal, radial carpals and moving towards the ulna, what are the carpals?   S L T P T T C H  
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Which carpal has poor blood supply?   scaphoid and the lunate (Keinboch's disease)  
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What does foosh stand for?   fall on out stretched hand  
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If you fracture the scaphoid, you will feel pain on the ___________.   snuffbox  
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What injury is the lunate prone to?   dislocation  
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What is the only proximal carpal with muscle attachment and what muscle attaches to it?   pisiform and the abductor digiti minimi attaches to it.  
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The trapezium forms a ________ joint with the ___________.   saddle; 1st metacarpal  
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Do not use thumb as a ___________ joint.   rotatory  
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The keystone of the wrist is the ___________.   capitate  
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Flex your wrist and the bone that pokes out is ________.   the capitate  
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The wrist serves to _________ the length tension ratios of muscles.   optimize  
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The wrist consists of __________ and ________________ joints.   radiocarpal and midcarpal  
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No muscles provide movement at ____________ joint in the wrist.   only one (movement is linked to both joints  
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Is the radiocarpal joint concave on convex?   No. Convex on concave  
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The inclination of the radius is _____ degrees and ___ mm   23 degrees and 12 mm  
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The triangular fibrocartilaginous complex consists of ______.   meniscus homologue; dorsal and palmar radioulnar ligaments  
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What are the four functions of the triangular fibrocartilaginous complex?   provides articular surface for ulna/radius and carpals/ulna; binds distal radius and ulna; provides stability; shifts loads from radius to ulna  
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Midcarpal joints are ____________ joints bw carpals   plane synovial  
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The midcarpal joint participates in __________ motions.   wrist  
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Volar ligaments of the wrist do this?   maintain ingegrity of carpals  
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Dorsal ligaments of wrist do what?   support dorsal surface of carpals  
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If I go into radial deviation I am stressing the _________ ligament.   ulnar  
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Intercarpals prevent ____________.   separation of carpals  
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In full wrist extension, ______ is on ________.   scaphoid on radius  
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In full wrist flexion, _________ is on __________.   capate on scaphoid  
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In partial wrist extension, _______ is on _________.   scaphoid on lunate  
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In neutral to 45 degrees the scaphoid moves.....   as part of the distal row  
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Scaphoid and capitate are in close packed position at ________.   neutral  
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In wrist, flexion to extention ______ moves on ________   distal moves on proximal  
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From neutral to 45 degrees of extension, the scaphoid part of the distal row i    
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In full wrist flexion, _________ is on __________.   capitate on scaphoid  
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In partial wrist extension, _______ is on _________.   scaphoid on lunate  
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In neutral to 45 degrees the scaphoid moves.....   as part of the distal row  
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Scaphoid and capitate are in close packed position at ________.   neutral  
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In wrist, flexion to extention ______ moves on ________   distal moves on proximal  
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What are the articulating surfaces of the CMC on the thumb?   trapezium with 1st metacarpal  
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Joints 2-5 CMC are what kind of joints?   plane synovial  
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On CMC where is the articular cartilage?   all sides, multiple small articulations  
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What is the motion of CMC   primarily flex/extend  
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The CMC has strong _________ and _______ longitudinal ligs   strong transverse ligaments and weaker longitudinal ligaments  
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What type of joint is the CMC of the thumb and how many degrees of freedom does it have?   saddle, 2DF  
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MCP's give us that __________ grip   ducky  
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The pisiform serves as a ________ bone to increase the lever arm of flexor carpi ulnaris.   sesamoid  
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What is a sesmoid bone?   a bone embedded within a ligament  
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What muscle inserts on the pisiform, hook of hamate and base of fifth metacarpal?   flexor carpi ulnaris  
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What motions take pace at the radiocarpal joint?   biaxial: flexion/extension and ulnar/radial deviation  
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What is the end feel of the ulnar deviaton?   firm  
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What is the end feel of radial deviation?   hard  
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Is ulnar variance normal?   No.  
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At 45 degrees of extension ______ ligament becomes tight and _______ and _______ are in closed packed position.   scapholunate; scaphoid and lunate  
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When you are in 45 degrees to full extension of the wrist, ______ carpals act as a unit on radius and ________.   all; triangularfibro cartilaginous complex  
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When you are completing radial and ulnar deviation, the proximal and distal rows of carpals move _________________.   in opposite directions  
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What are the motions of the CMC of the thumb and these motions occur in which planes?   flex and extend in frontal plane; ab/adduction in the sagital plane; opposition occurs cross planarly  
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On the CMC of the thumb, abduction and adduction are _________________. (convex on concave or concave on convex)   convex on concave  
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On the CMC of the thumb, flexion and extension are ____________________. (convex on concave or concave on convex)   concave on convex  
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The articulating surfaces of the metacarpalphalangeal joints are __________. (convex on concave or concave on convex)   concave phalanx on convex metacarpal  
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What type of joints are the MCP's and how many degrees of freedom do they have?   condyloid 2 DF  
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What are the motions of the MCP's?   flexion/extension; ab/adduction  
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When are the MCP's in close packed position?   When they are in full flexion.  
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The MCP capsule is lax in _________.   extension  
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The volar plates palmarly _________ capsule, _________ joint stability, keeps tendon __________ joint and __________ hyperextension   reinforces capsule, enhances joint stability, keeps tendon away from joint, restricts hyperextension  
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The MCP collateral ligaments are ________ in extension and ________ in flexion.   loose in extension; tight in flexion  
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The interphalangeal joints are _________ joints, have ____ degree of freedom, are _________ on __________ and facilitate these actions:   hinge; 1 DF; convex on concave; flexion and extension  
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Interphalangeal joints are close packed when in __________.   extension  
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Each IP joint has a joint ________ and __________ ligament.   joint capsule and collateral ligament  
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On the flexar surface there is are _____ and _______ bursa.   radial and ulnar  
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The radial bursa is (continuous/non-continuous??) and encases _________.   continuous and encases the flexor pollicis longus  
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The ulnar bursa is (continuous/non-continuous??) and encases _______________.   all flexor digitorum profundus and flexor digitorum superficialis tendons  
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There are _______ synovial sheaths for extensor tendons.   individual  
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There are ___ separate synovial sheaths for extensor tendons (______ tunnels). They are the following:   6; dorsal; 1. APL, EPB 2. ECRL, ECRB 3. EPL 4. EI, EDC 5. EDM 6. ECU  
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What does the extensor retinaculum prevent?   bowstringing of extensor tendons  
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What 2 things do the flexor retinaculum do?   maintain carpal arch, prevent bowstringing of finger flexors  
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What nerves run through the flexor retinaculum?   median nerve runs deep to retinaculum through carpal tunnel, ulnar runs deep to retinaculum in tunnel of guyon  
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Name the power grips   cylindrical, spherical, hook, lateral prehension  
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Name the precision grips   pad to pad tip to tip pad to side  
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_________________ is a flexor compartment syndrome that affects the ulnar nerve and results in a claw hand.   Volkmann's ischemic contracture  
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If someone has an ape hand the ________ nerve is being affected.   median nerve  
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The __________ nerve results in a limp wrist.   radial nerve  
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In carpal tunnel syndrome the ___________ is being compressed.   median nerve  
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What are the symptoms of carpal tunnel syndrome?   hand parasthesia, pain atrophy of thenar muscles  
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What are the treatments for carpal tunnel?   splinting, work station evaluation, anti-inflammatory modalities, patient education  
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___________ nerve compression at the wrist causes Guyon's canal syndrome.   Ulnar  
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_______ syndrome is when there is inflammation of the 1st extensor sheath, pain in the anatomical snuff box, and results in a positive Finklestein's test.   DeQuervain's  
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What is the symptom and cause of trigger finger?   tendon sticks when trying to extend finger; thickening of tendon sheath, nodules on tendon  
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What causes "Pope's hand" and what is the disorder caused?   contraction of palmar fascia resulting in fixed flexion deformity of MCP and PIP; Dupuytren's Contracture  
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__________ causes swan neck deformity where the lateral bands sublux dorsally. The PIP hyperextends and DIP flexes. This may be caused by spasms of ______.   Extensor mechanism dysfunction; intrinsics  
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What is Boutonniere's deformity?   rupture of central slip resulting in lateral bands slipping volarly; flexion of PIP and extension of DIP  
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Mallet finger is a rupture or avulsion of central tendon where it _____ into ____________ resulting in the inability to extend ____________ actively.   inserts; distal phalanx; distal phalanx  
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