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OPP Lect 13

Osteopathic versus orthopedic probelm Somatic dysfunction is likely to be found in the minor motions (joint glide) that involves restriction at the end ROM. Orthopedic problems are due to joint instability evident by laxity/instability at end ROM
Ulnohumeral Joint Major motions: Flexion and Extension **Minor Involuntary motions: Abd (with extension) and Add (with flexion)
Pain or Restriction with elbow flexion SD is ulnar abduction Restriction is ulnar adduction **May see and Increased carrying angle
Pain or Restriction with elbow extension SD is ulnar adduction Restriction is unlar abduction **may see decreased carrying angle
Radial head motion Glides posteriorly with pronation, anteriorly with supination
Posterior Radial Head SD often seen with falling forward onto outstretched hands. **Restriction will be supination/anterior radial head glide (pain with supination)
Anterior Radial Head SD Often results from a fall backward with hands supinated. **Restriction will be pronation/posterior radial head glide (pain with pronation)
Radial Head tenderpoints are often confused with? Lateral Epicondylitis (degeneration of the tendon of an extensor)
True wrist joint Radiocarpal joint: Radius, scaphoid, lunate, triquetrum
Radiocarpal major axes of motion Transverse axis: Flex(80-90deg)/ext(70deg) Anterioposterior axis: add(30-50deg)/abd (20deg) **More flexion and adduction
Minor involuntary motions of the wrist that cause most SD Anterior carpal bone glide (extension) are the most common. Posterior carpal bone glide (flexion). **SD can be named for the major motions even though they are caused by the minor motion
Counterstrain tenderpoints from wrist SD found in tendons or muscle bellys. If found in flexor compartment (anterior/palmar) treat with wrist flexed. Opposite for posterior/dorsal points
Anatomical snuff box tenderness suspect scaphoid fracture and necrosis
Main SD in Carpometacarpal joints Dorsal glide **Restriction in ventral glide
What type of joint is the thumb Saddle joint. Allows movement in almost any plane making it more susceptable for sprains than SD
MP and IP Joint glides SD can be in: AP glide, ML glide, Int/Ext glide
Viscerosomatic reflexes related to arm pain 1. Diaphragm referred pain in trapezius 2. MI referred pain to left axilla and arm 3. Gall Bladder pain to right AC and Scapula
Created by: WeeG