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Comps- MSK 2 UE
| Question | Answer |
|---|---|
| Special tests for biceps tendinitis | Speed's (palm up, sh flexed), Yergason's (resist ER + supination) |
| S/S of bicipital tendonitis | ant/lat sh pain, overhead pain, overuse/trauma, painful AROM flexion > abduction, possible pain w/ elbow flexion and sh flexion, pain on palpation of biceps tendon |
| S/S of AC joint sprain | local AC pain, pain at >120 ROM, "step deformity" |
| S/S of ant sh instability | clicking, positive apprehension test, impingement (pain post) |
| S/S of post sh instability | pain ant/post, impingement, loss of IR |
| S/S of multidirectional sh instability | sulcus sign, inferior laxity, sx w/ ant/post |
| S/S of ant dislocation of sh | sh appears "square" (prominent acromion), arm held in abduction, all motions painful |
| Rotator cuff tendinitis (practice pattern) | inpaired joint mobility, ROM, decreased muscle performance |
| S/S of rotator cuff tendinitis | anterior/lateral shoulder pain, pain w/ overhead activity, history of trauma/overuse, pain when sleeping on affected side |
| Painful arc for rotator cuff/glenohumeral pathology | 60-120 degrees |
| Painful arc for AC joint pathology | 170-180 degrees |
| Palpating supraspinatus | ant. and inferior to acromion w/ arm behind back |
| Palpating infraspinatus | posterior to acromion (pt prone on elbows w/ shoulders add + ER) |
| Palpating subscap | under pec minor |
| Common postural observations for pts w/ RC tendinitis | upper cross, shoulder hiking, scap winging |
| Name the dermatome (trapezius) | C4 |
| Name the dermatome (lateral arm) | C5 |
| Name the dermatome (thumb/lateral forearm) | C6 |
| Name the dermatome (middle finger) | C7 |
| Name the dermatome (ring + pinky finger) | C8 |
| Name the dermatome (medial arm) | T1 |
| Organs that can refer pain to sh | gall bladder, spleen, diaphram, aorta, heart |
| Exam findings for AC jt sprain (sub, ob, AROM, PROM, MMT, mobility, palpation) | sub: trauma, ob: deformity, AROM: painful horizontal add, PROM: pain at end range, MMT: painful if delt/trap hurt, palpation: spot tenderness over AC |
| Special tests for AC sprain | horizontal add, AC shear test, resisted extension, active compression (empty/full can w/ pain at AC) |
| Rx for AC sprain | ice for pain, immobilize for initial healing (sling), limit pressure on sh, sleep on other sh, isometrics, THEN general strength + ROM |
| Rx for AC instability | sling OR surgery |
| Instability exam findings (sub, ob, AROM, PROM) | Hx of trauma/loose jts, scap winging, apprehensive w/ ab/ER, increased PROM |
| Exam findings for pt w/ instability (MMT, mobility, palpation) | MMT: normal, mobility: hypomobile (in direction of instability), palpation: tenderness over jt |
| Special tests for instability | apprehension/relocation test, load and shift, sulcus sign |
| Treatment for ant GH instability | reduce, immobilize (3-6 wks), rehab |
| PT for instability | <40 = 3-6 wks sling, >40 = 1-2 wks sling, isometrics (strengthen for stability) |
| Causes of multidirectional instability | recurrent dislocation/sublux, congenital hypermobility, muscle imbalance |
| PT treatment for multidirectional instability | strengthen RC, treat pain, proprioceptive training, pt ed |
| Exam findings for labral tear (sub, ob, AROM, PROM,MMT, mobility, palpation) | sub: Hx of overuse/trauma -> instability/clicking; AROM: "click"; PROM: "click"; MMT: normal; hypermobile, unable to palpate pain |
| PT for labral tear | treat instability (strengthen) - treat pain (RICE, 1-2 jt mobes) |
| S/S of clavicular fracture | pt supports arm (head tilted to injured side, chin turned away), deformity, local pain |
| S/S of neural compression | pain/weakness/paraesthesia (above sh, clavicle, and neck - affects C8-T1 dermatomes) |
| Special tests for thoracic outlet syndrome | Roos, Adson's, hyperabduction, costoclavicular test |
| PT interventions for thoracic outlet syndrome | postural correction, stretch scalenes/pec minor -> "sit w/ abducted + elevated shoulders" "sleep on good side" |
| Ex for thoracic outlet syndrome | sh shrugs, roll sh, stretch scalenes, stretch pec minor |
| Sh adhesive capsulitis | impaired joint mobility from CT dysfunction + poor muscle performance |
| S/S of adhesive capsulitis | gradual onset, pain near deltoid insertion, unable to sleep on bad side, restricted ROM |
| PT treatment for adhesive cap | pain relief (mobes/RICE), ROM, strengthen |
| Exercises for adhesive cap | pendulums, pulleys, wands, towel stretch |
| Primary muscle involved in lateral epicondylalgia | extensor carpi radialis brevis (ECRB) |
| Special tests for lateral epicondylalgia | cozen's, mill's |
| Signs/symptoms of cubital tunnel syndrome | Atrophy of ulnar distribution muscles, clawing of ring/pinky, weakness, sensory loss |
| Special tests for cubital tunnel syndrome | Tinel's sign at elbow |
| PT treatment for cubital tunnel syndrome | modalities for pain, splints (for clawing), elbow pads, ulnar nerve glides, strengthening |
| Signs and symptoms of pronator syndrome | pain along median nerve distribution, muscle weakness, tenderness over pronator teres |
| Special tests for pronator syndrome | Phalen's test |
| PT treatments for pronator syndrome | Splint in neutral, modalities, massage, stretching, median nerve glides |
| Nerve associated with pronator syndrome | median nerve |
| Location of anterior interosseous nerve syndrome (impingement) | B/w heads of pronator teres |
| Signs/symptoms of AIN syndrome | pain/weakness in FPL, FDP, pronator quadratus |
| Special tests for AIN syndrome | AIN pinch grip |
| Signs/symptoms of high radial nerve compression | loss of wrist, finger, and thumb extension (WRIST DROP), sensory deficits |
| Site of radial tunnel syndrome | B/w heads of supinator |
| Signs/symptoms of radial tunnel syndrome | tight supinator, neuro signs (sometimes), tender over supinator |
| PT treatment for radial tunnel syndrome | splint, radial nerve glides, stretch supinator (?) |
| Signs and symptoms of olecranon bursitis | inflammation, palpation -> pain |
| PT treatment for olecranon bursitis | splint/pad, ROM, strengthen |
| Dupuytren's contracture is a flexion conracture of ____ | MCP joint of ring and/or pinky (4th/5th) |
| Describe Boutonniere deformity (flex/ext of what joints?) | Extension of MCP and DIP, flexion of PIP |
| Describe swan neck deformity (flex/ext of what joints?) | Flexion of MCP and DIP, extension of PIP |
| Describe mallet finger deformity (flex/ext of what joints?) | flexion of DIP |
| Trigger finger/thumb | flexor tendon sheath + tendon THICKEN -> pain in thumb MCP or finger PIP + tendon "STICKS" during movement |
| Signs and symptoms of De Quervain's tenosynovitis | overuse, pain in radial aspect of wrist |
| De Quervain's tenosynovitis affects the tendon sheaths of ___ | EPB (extensor pollicis brevis), APL (abductor pollicis longus) |
| PT interventions for DeQuervain's | splint, modalities, ROM, tendon glides, strengthening, manual therapy |
| PT treatment for skier's thumb | immobilize/splint |
| Carpal tunnel syndrome | ischemic compression of median nerve |
| Findings of joint play assessment for elbow sprain | Laxity + pain |
| Pediatric dislocations commonly affect the __ ligament | annular |
| Sign/symptoms of pediatric dislocation | arm hangs limply (elbow ext, wrist pronated) |
| Night splint pts with cubital tunnel syndrome in _ degrees of ___ (flexion/extension) | 40-60 degrees flexion |
| Pronator syndrome -> pain with what motions?(passive and active) | pronation + wrist flexion (active), supination, wrist ext (passive) |
| Most commonly injured nerve w/ forearm fractures | radial nerve (fractured radius) |
| Volkman's ischemic contracture results from... | irritation/damage to brachial artery |
| Volkman's ischemic contracture signs/symptoms | severe pain, loss of radial pulse, discoloration, cold hands, flexion contracture |
Created by:
cbaweiss
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