Level II Upper Quadrant-:- Flashcards by cueFlash

C-Spine Osteokinematics SF/Rot: ipsilateral SF and rotation

AA arthokinematics flexion / extension

flexion: posterior glide

extension: anterior glide

AA Arthrokin lateral translation: opposite to side of rotation

AA Arthrokin rotation contralateral: anterior / inferior glide

AA Arthrokin rotation ipsilateral: posterior / inferior glide

AA Joint Classification

Sellar

Biconvex

AA muscles producing ext (4)

rectus capitus post. min

inferior oblique

splenius

semispinalis capitus all working together

AA muscles producing flex (2): longus capitus, rectus capitus ant maj

AA Osteokinematics flexion / extension axis: odontoid C2

AA Osteokinematics flexion / extension total ROM: 10-30 degrees

AA Osteokinematics flexion / extension: rocking

AA Osteokinematics rotation

coupled sideflexion

contralateral?

ipsilateral?

AA Osteokinematics rotation axis: vertical axis through dens

AA Osteokinematics rotation ROM: 40-45 degrees

AA rotation muscles: obliqus capitus inferior

AC joint capsular pattern: pain at extremes or range

AC joint close pack position: 30 or 90 degrees abd or full elevation

AC joint resting position: arm at side supported

AC joint Osteokin abd / add: abd / add

AC Osteokin flex / ext: elevation depression

AC Osteokin med / lat rotation: protraction / retraction

Accessory Movements abduction: initial superior, small amount of inf translation

Accessory Movements ext rotation: posterior translation

Accessory Movements extension >35: posterior translation

Accessory Movements flexion >55: anterior translation

Accessory Movements int rotation: anterior translation

Accessory Movements Mid range flex / ext: No translation

Acromioclavicular joint classification

synovial

complex

simple if disc is not there

unmodified ovoid

Action Latissimus Dorsi (4): IR, Add, ext, depression

Action Lev Scapulae (2): elevation, downward rotation

Action lower trapezius (3): depression, upward rotation, retraction

Action Pec Major (5): add, IR, flex, horizontal flex, depression

Action Rhomboid min / maj (3): Retraction, elevation, downward rot.

Action Serratus anterior (4): protraction, upward rotation, depression, elevation

Action upper trapezius (3): elevation, upward rotation, retraction

Atlanto-Occipital Joint Osteokin Side-flexion: Swing with contralateral conjunct rotation
Axis through the nose

Atlanto-Occipital Joint Osteokin flexion/extension: 10 degrees flex
20 degrees ext
Axis through earlobe

Axillary nerve (2): Teres minor
Deltoid

C-spine Capsular pattern: SF>Rot>ext>flex

C-Spine flexion muscles(3): Longus colli, scaleni, SCM Bilat.

C-spine joint

z-joint: synovial

uncovertebral joint: fibrous

C-Spine muscles extension (3): trapezius, splenius capitis, semispinalis capitis

C-Spine muscles side flexion (4) / rotation: splenius, levator scapulae, longissimus capitis, ipsilateral scalenes

Cardinal Signs (6): Diplopia
Drop attacks
dysarthria
dysphagia
cord signs and symptoms
cranial nerve signs and symptoms

CV locking: sidebend, rotate away

Dorsal Scapular nerve (2): Rhomboid min and maj

Eliminating the middle ear: hold head still, rotate the spine beneath it.

glenohumeral capsular pattern: external rotation>abd>med rotation

glenohumeral close pack

90 abd

lat rotation

Glenohumeral jt classification: simple, unmodified ovoid, triaxial

Glenohumeral neurology peripheral anterior and inferior capsule: axillary nerve C5, C6

Glenohumeral neurology peripheral inferior capsule: Posterior cord of the brachial plexus: C5,C6,C7,(C8)

Glenohumeral neurology peripheral post and superior capsule: suprascapular nerve branches:(C4), C5, C6

Glenohumeral neurology peripheral anterior and superior capsule: lat pectoral nerve C5,C6,C7

Glenohumeral neurology segmental: (C4), C5, C6, (C7,C8)

glenohumeral resting position

30 flex

30 abd

30 medial rotation

Hautard's test: sit with both arms at 90 degrees flex. Eyes open and closed. check arms. add rotation and or ext.

Humeroradial close pack position

90 flex forearm sup 5

90 flex mid pronation

Humeroradial joint classification

synovial

compoind

modified ovoid

Humeroradial resting position

70 flex

ext with supination

Humerordial capsular pattern: flex>ext

Key muscles: C1/2-short neck flexors
C3/4-shoulder elevation
C5-shoulder abduction
C6-elbow flex/wrist ext
C7-elbow ext./wrist flex
C8-thumb ext
T1-5th digit abd

Lateral pectoral nerve (1): pec major upper

Long Thoracic nerve (1): Serratus anterior

Lower subscapular nerve (2): subscapularis
Teres major

medial pectoral nerve (2): pec major lower
pec minor

Musclucutaneous nerve (3): coracobrachilalis
Biceps
Brachialis

OA Athrokinematics extension: anterior glide of Occiput

OA Athrokinematics Flexion: Posterior glide of Occiput

OA athrokinematics sideflexion: contralateral translation
RSF-R ant. L post.
LSF-L ant. R post.

OA muscles causing extension: rectus capitis post minor
superior oblique
splenius, semispinalis capitis

OA muscles causing flexion: longus capitis
rectus capitis ant

Radial nerve elbow (4): Triceps
Anconeus
Brachialis
brachioradialis

Radial nerve hand (6): ext digitorum
ext digiti minimi
abd pollicis longus
ext pillicis brevis
ext pollicis longus
ext indicis

Radial nerve wrist (3): ext carpi radialis longus
ext carpi radialis brevis
ext carpi ulnaris

Reflexes: C4-lev scap
C5-deltoid
C5/6-biceps
C6-brachioradialis
C7-triceps

Rhomberg's test: both feet together arms held by side and close eyes

Rib joint classification: costovertebral-synovial
costotransverse-synovial
costochondral-synchondrosis

SC ant clavicle rotation

humeral add, ext, lat rot

scapular elevation, protraction, downward rot

sternal exp

head contralateral rot, sf, f

SC joint capsular pattern: pain at extreme range

SC joint classification

unmodified sellar

complex

SC joint close pack: full elevation and protraction

SC joint resting position: arm at side supported

SC post clavicle rotation

humeral flex 0-60 clavicle elevates

>60 clavicle posteriorly rotates

humeral abd, int rot

sternal isp.

scapular depression,retraction,upward rot

head ips rot,sf,ext.

Scapular Anterior tilt (1): pec min

Scapular depression (2): lower traps
lower Serratus ant

Scapular elevation (5): upper traps
lev scaps
rhomboid min
rhomboid maj
upper Serratus ant

Scapular lateral (upward) rotation (3): Serratus ant
lower fibres of traps
upper fibres of traps

Scapular medial (downward) rotation (4): Rhomboids maj
rhomboids min
middle fibres of traps
lev scap

Scapular Post tilt (1): lower fibres of traps

Scapular protraction (2): Serratus ant
pec minor

Scapular retraction (3): middle traps
rhomboid min
rhomboid maj

Shoulder Abduction (5): Deltoids
Supraspinatus
Infraspinatus
Teres Minor
Subscapularis

Shoulder Adduction (6): Pec Major
Teres Major
Coracobrachialis
Latissimus Dorsi
Triceps
Biceps

Shoulder Extension (4): Deltoids (post)
Triceps
Latissimus Dorsi
Teres Major

Shoulder External Rotation (3): Deltoid
Teres Minor
Infraspinatus

Shoulder Flexors (4): Biceps (long head)
Coracobrachialis
Deltoids (ant)
Pec major

Shoulder Internal Rotation (4): Latissimus Dorsi
Pec Major
Subscapularis
Teres Major

Stability Testing AA joint

anterior shear

lateral shear

Stability Testing OA joint

anterior shear

posterior shear

lateral shear

compression, traction

Subclavian nerve (1): subclavius

sup radioulnar joint resting position: mid position

superior radioulnar joint classification

synovial

compound

modified ovoid

superior radioulnar joint close pack position: full sup or pronation

Suprascapular nerve (2): supraspinatus
infraspinatus

T-spine classification: synovial, ovoid and planar

Ulnohumeral arthrokin extension glide: post med glide of ulna

Ulnohumeral arthrokin flexion glide: ant lat glide of ulna

Ulnohumeral close pack: ext with supination

Ulnohumeral joint capsular pattern

flex>ext

pronation = supination

Ulnohumeral joint classification

compound synovial

modified sellar

ulnohumeral resting position

70 flex

10 supination

Upper subscapular nerve (1): subscapularis

Vertebral artery dissection: head and neck P
unilateral sub occipital
sharp and severe Pain
acute trauma related
stiffness
14 day delay

Vertebral Artery Testing: Rotation as far as possible
hold 10 sec
back to start, hold 10 sec
rotate to other side, hold 10 sec
Ext. then rotation + extension

Vertebral Body Landmarks

C1: mastoid process and angle of mandible

C2:angle of mandible

C3:lateral to hyoid

C4:superior thyroid cartilage

C5:inferior thyroid cartilage

C6:cricoid cartilage

C7:thyroid isthmmus

vertebrochondral flexion arthrokin costotransverse: PMS (planar)

Vertebrosternal extension arthrokin costotransverse: inferior glide

Vertebrosternal extension arthrokin vertebrochondral: ALI

Vertebrosternal extension arthrokin z-jts: inferior posterior

vertebrosternal flexion arthrokin costotransverse t3-7: superior glide (concavoconvex)
spin with ant roll

vertebrosternal flexion arthrokin z-jts: superoanterior

Vestibular testing: collar or stabilize head and neck, move from ly to sit. If positive, then head and neck not responsible for dizziness

superior radioulnar jt degrees of freedom: one

superior radioulnar jt close pack position: full pro or sup

superior radioulnar jt resting position: 35 supination with elbow flexed to 70

superior radio ulnar jt capsular pattern: equal limitation of pronation and supination

superior radioulnar jt arthrokin: sup: Aant med glide of radial head
pro: PL glide of radial head

Ulnar (med) collateral lig bands: ant: taut in ext.
post: taut in flex
oblique transverse band: not as well developed

ulnohumeral joint neurology segmental: C5-T1

ulnarhumeral joint peripheral: median: ant capsule
ulnar nerve: MCL,postmed capsule
Musculocutaneuous: ant capsule
radial nerve: post and anterolat capsule

Ulnohumeral joint Vascular supply: collalateral branches of brachial wiht radial and ulnar arteries

Elbow Flexors (7): Biceps
Brachialis
Brachioradialis
Pronator teres
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris

Elbow Extension (2): Triceps
Anconeus

Elbow Pronation (4): Brachioradialis
Pronator teres
Flexor carpi radialis
Pronator quadratus

Elbow Supination (3): Biceps
Brachioradialis
Supinator

Humeroradial joints, ligaments: Radial collateral ligament, lateral ulnar collateral, accessory lateral collateral

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Glossary of Level II Upper quadrant

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