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Glossary of Level II Upper Elbow

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Created by rowellnancy

Ulnohumeral Joint Classification (3)
compound, synovial, modified sellar
Ulnohumeral DF
1 - flexion/extension
ulnohumeral close pack position
extension with supination
ulnohumeral resting position
70 degrees flexion, 10 degrees supination
ulnohumeral capsular pattern
flexion>extension, pro and sup remain full unless severe
ulnohumeral end feel (2)
flexion - soft tissue
extension - bony
ulnohumeral ostekinematics for flexion/extension
impure swing around an oblique coronal axis
ulnohumeral osteokinematics conjunct movement for flexion and extension
flexion - adduction, extension - abduction
ulnohumeral arthrokinematics for flexion
anterior glide of ulna on humerus, slight lateral glide of ulna on humerus
ulnohumeral arthrokinematics for extension
posterior glide of ulna on humerus, with slight medial glide of ulna on humerus
radiohumeral joint classification
compound, synovial, anatomically is unmodified ovoid but due to attachment to ulna via the annular ligament it functions as a modified ovoid
radiohumeral DF
1 = flexion/extension
radiohumeral close pack position
90 degrees flexion with forearm supinated 5 degrees or 90 degrees flexion with mid pronation
radiohumeral resting position
70 degrees fleixon or extension with forearm supinated
radiohumeral capsular pattern
flexion>extension
radiohumeral end feels (2)
flexion - soft tissue
extension - bony
radiohumeral osteokinematics for flexion/extension
impure swing about an oblique coronal axis in a sagittal plane
radiohumeral osteokinematics for pronation/supination
pure spin about a vertical axis in the transverse plane until terminal pronation/supination when it becomes a swing (debate if ulnar abd/add occur with it are conjunct or other DF
radiohumeral arthrokinematics for flexion
anterior glide of radius on humerus
radiohumeral arthrokinematics for extension
posterior glide of radius on humerus
radiohumeral arthrokinematics for supination
lateral spin of radius on humerus at end range
radiohumeral arthrokinematics for pronation
medial spin of radius on humerus at end range
superior radioulnar classification
synovial, compound, modified ovoid (acts as mod sellar when inf R-U jt is in pron or sup due to interosseous membrane and connection via annular lig)
superior radioulnar degrees of freedom
1 - supination/pronation
superior radioulnar close pack position
full supination or pronation
superior radioulnar resting position
mid-position to slight pronation or 35 degrees supination, elbow 70 degrees flexion and inf RU jt 10 degrees sup
Can joint of the forearm be simultaneously position in their resting positions
no
superior radioulnar capsular pattern
pron=sup
superior radioulnar end feels (2)
supination - capsular
pronation - capsular or bony
superior radioulnar osteokinematics
arcuate swing about oblique vertical axis through the radial and ulnar heads
superior radioulnar arthrokinematics for supination
anteromedial glide of radial head on humerus
superior radioulnar arthrokinematics for pronation
posterolateral glide of radial head on ulna
Concave-Convex at ulnohumeral
ulna concave, humerus convex
Concave-Convex at radiohumeral joint
radius - concave, humerus convex
Concave-Convex superior radioulnar joint
radius - convex, ulna convave
Concave-Convex ulnohumeral (2)
humerus - convex ant/post, concave med/lat, ulna - concave ant/post, convex med/lat
Elbow Joint Specific Questions (7)
lock or click with movement, history of hyperextension, ability to carry heavy objects with elbow extended, history of trauma or overuse, history of pull as child, repetitive leisure or work activities, anaesthesia or paraesthesia
wrist flexors and pronators (5)
pronator teres, flexor carpi radialis, palmaris longus, flexor carpi ulnaris, biceps (elbow flexor)
wrist extensors at elbow (3)
extensor carpi radialis longus, extensor carpi radialis brevis, brachioradialis (elbow flexor)
Passive Accessory Glides ulnohumeral joint(5)
distraction, anterior/posterior glide of ulna on humerus, medial/lateral glide of radius and ulna on humerus
Passive Accessory Glides radiohumeral joint (3)
anterior/posterior glide radius on humerus, traction
Passive Accessory Glides superior radioulnar joint (2)
anteromedial glide of radial head on ulna, posterolateral glide of radial head on ulna
Ulnar Collateral Ligament Test
Valgus stress in extension (anterior band), 15 degrees flexion (oblique band), 90 degrees flexion (posterior band)
Radial Collateral Ligament Test (elbow)
varus stress in extension and flexion
what should you do before manipulating the elbow
clear upper limb tension tests
inferior radioulnar joint classification
synovial, compound, modified ovoid but acts as a modified sellar when acting with the superior radioulnar joint
inferior radioulnar DF
1 - pronation/supination
inferior radioulnar close pack position (2)
full pronation and extension or full supination
inferior radioulnar resting position
mid position (slight pronation, flexion and ulnar deviation)
inferior radioulnar capsular pattern
pronation=supination
inferior radioulnar end feels
supination - capsular
pronation - tissue stretch or bony
inferior radioulnar osteokinematics
impure swing about a coronal axis in a transverse plane
inferior radioulnar osteokinematic conjunct movement
ulna adducts with supination and abducts with pronation
percentage of movement at inferior radioulnar joint due to it and percentage due to wrist complex mobility
90% R-U, 10% wrist complex
inferior radioulnar arthrokinematcs for supination
posterior glide of radius on ulna and associated fanning of the hand
inferior radioulnar arthrokinematics for pronation
anterior glide of distal radius on ulna and associated folding of the hand
radiocarpal and ulnomeniscocarpal joint classification
synovial, compound, modified ovoid with interposed TFCC
radiocarpal and ulnomeniscocarpal joint DF
2 - flexion/extension, radial/ulnar deviation
radiocarpal and ulnomeniscocarpal joint close pack position
full extension
radiocarpal and ulnomeniscocarpal joint resting position
slight flexion with ulnar deviation
radiocarpal and ulnomeniscocarpal joint capsular pattern
equal restriction of all movements
radiocarpal and ulnomeniscocarpal joint end feel
flexion, extension, ulnar deviation - capsular
radial deviation - bony
radiocarpal and ulnomeniscocarpal joint osteokinematics for flexion/extension
impure swing about a coronoal axis in a sagittal plane
radiocarpal and ulnomeniscocarpal joint osteokinematics conjunct movements with flexion/extension
flexion - ulnar deviation
extension - radial deviation
which joint in wrist has greater contribution to extension?
radiocarpal
which wrist joint has the greatest contribution to flexion
midcarpal
radiocarpal and ulnomeniscocarpal joint osteokinematics for radial/ulnar deviation
impure swing about a sagittal axis in the coronal plane
radiocarpal and ulnomeniscocarpal joint arthrokinematics for flexion
dorsal glide of the proximal carpal row on TFCC and radius
radiocarpal and ulnomeniscocarpal joint arthrokinematics for extension
palmar glide of the proximal carpal row on the TFCC and radius
radiocarpal and ulnomeniscocarpal joint arthrokinematics for radial deviation
ulnar glide of proximal carpal row on radius and TFCC
radiocarpal and ulnomeniscocarpal joint arthrokinematics for ulnar deviation
radial glide of proximal carpal row on radius and TFCC
Mid Carpal Joint classification (1 difference)
synovial, compound, modified ovoid, triquetro-hamate is modified sellar
Mid Carpal Joint DF
2 - flexion/extension, radial/ulnar deviation
Mid Carpal Joint close pack position
neutral flexion/extension to full extension (serial close pack)
Mid Carpal Joint resting position
slight flexion with ulnar deviation
Mid Carpal Joint capsular pattern
equal restrictionof all movements
Mid Carpal Joint End Feel
capsular
Intercarpal Joint Classification
synovial, compound, planar
Intercarpal Joints DF
2 - flexion/extension, radial/ulnar deviation
Intercarpal Joints close pack position
extension
Intercarpal Joints resting position
neutral to slight flexion
Intercarpal Joints capsular pattern
equal restriction of all movements
Intercarpal Joints End Feel
capsular
what carpal bone is not involvedin the serial close packing mechanism
trapezium
thumb movements are or are not independent of the stable carpal unit?
are
Serial Close Packing Mechanism for full flexion to neutral
distal row moves on proximal row until hand is aligned with forearm, distal row close packs with the scaphoid to form a rigid mass
Direction of glides of distal row of carpals while close packing on scaphoid
trapezoid - dorsal glide, capitate and hamate - palmar glide
Serial Close Packing Mechanism from neutral to mid-extension
distal row and scaphoid move as a whole on the lunate and triquetrum and become closed packed in mid-extension
Serial Close Packing Mechanism from mid-extension to full extension
simultaneously, the proximal row moves palmarly on the radius and ulnomeniscal complex until the radiocarpal/ulnomeniscocarpal joint is close packed in full extension, some fanning of the metacarpal bones occurs
Arthrokinematics for flexion for the proximal row of carpals on TFCC and radius
dorsal glide of proximal row of carpals on TFCC
Arthrokinematics for flexion for hamate on the proximal row of carpals
dorsal glide
Arthrokinematics for flexion for capitate on the proximal row of carpals
dorsal
Arthrokinematics for flexion for trapezoid on scaphoid
palmar
Arthrokinematics for flexion for trapezium on scaphoid
palmar glide
Arthrokinematics for extension of proximal carpal row on TFCC and radius
palmar glide
Arthrokinematics for extension of hamate on the proximal row of carpals
palmar
Arthrokinematics for extension of capitate on the proximal row of carpals
palmarglide
Arthrokinematics for extension of trapezium and trapezoid on scaphoid
dorsal glide
Arthrokinematics for radial deviation for the proximal row of carpals on the radius and TFCC
ulnar glide
Arthrokinematics for radial deviation for distal row on proximal row of carpals
radial glide and dorsal rotation
Arthrokinematics for radial deviation for capitate
spins
Arthrokinematics for radial deviation for scaphoid
rotates and becomes more horizontal allowing furthur approximation of the radius to the distal carpals
Arthrokinematics for radial deviation for trapezoid
rolls posteriorly and laterally over scaphoid
Arthrokinematics for ulnar deviation for proximal row on radius and TFCC
radial glide
Arthrokinematics for ulnar deviation for distal row on proximal row of carpals
ulnar glide
Arthrokinematics for ulnar deviation for capitate
spins
Arthrokinematics for ulnar deviation for trapezium
rolls anteriorly and medially over scaphoid
Arthrokinematics for pronation at the wrist (folding)
palmar glide/rotation of medial and lateral carpal columns on central column
Arthrokinematics for supination at the wrist (fanning)
dorsal glide/rotationof medial and lateral carpal columns on central column
during what wrist ROM can full strength with pinch and grasp be acheived
mid extension to neutral
what degree of flexion, extension, RD and UD at the wrist is required to complete most ADLs
flexion - 5, extension 30
What degree of radial deviation and ulnar deviation at the wrist are required to complete most ADLs
RD - 10, UD - 15
first carpometacarpal joint classification
synovial, simple, unmodified sellar
first carpometacarpal joint DF
2 - flexion/extension, abduction/adduction
first carpometacarpal joint close pack position (2)
full opposition or extension and abduction
first carpometacarpal joint resting position
mid position
first carpometacarpal joint capsular pattern
ext=abd, flexion full
first carpometacarpal joint end feel
capsular, adduction - soft tissue approximation
first carpometacarpal joint osteokinematics for flexion/extension
impure swing about an obliqu axis 35 degrees from coronal plane
first carpometacarpal joint osteokinematics for flexion/extension conjunct movements (2)
IR with flexion, ER with extension, MC base moves in opposite direction to movement of the long bone, i.e. ulnar glide with flexion, radial glide with extension
first carpometacarpal joint osteokinematics for abduction/adduction
impure swing about an oblique axis 15 degrees from sagittal plane, MC base moves in opp directionto long bone, dorsal glide with abd, palmar glide with add
first carpometacarpal joint osteokinematics for opposition
combined flexion and abduction, ulnar and palmar circumduction with medial rotation of MC 1, clockwise thumb movement is associated with counter-clockwise movemetn of MC base
first carpometacarpal joint osteokinematics for reposition
combined extension and adduction, radial and dorsal circumduction with ER of MC 1
first carpometacarpal joint arthrokinematics for flexion
ulnar glide of MC 1 on trapezium
first carpometacarpal joint arthrokinematics for extension
radial glide of MC 1 on trapezium
first carpometacarpal joint arthrokinematics for abduction
dorsal glide of MC 1 on trapezium
first carpometacarpal joint arthrokinematics for adduction
palmar glide of MC 1 on trapezium
Carpometacarpal Joints 2-5 classification
synovial, modified ovoid, 3 - simple, 2,4,5 - compound
Carpometacarpal Joints 2-5 DF
2 - flex/ext, abd/add
Carpometacarpal Joints 2-5 close pack position
full extension (fanning)
Carpometacarpal Joints 2-5 resting position
slight flexion with ulnar deviation (slight folding)
Carpometacarpal Joints 2-5 capsular pattern
loss of flex>ext, folding>fanning
Carpometacarpal Joints 2-5 end feels
capsular
Carpometacarpal Joints 2-5 Arthrokinematics for Flexion (folding)
palmar glide of MC2 on trapezoid and MC3 on capitate, dorsal glide of MC 4 and 5 on hamate
Carpometacarpal Joints 2-5 Arthrokinematics for Extension (fanning)
dorsal glide of MC 2 on trapezoid and MC3 on capitate, palmar glide of MC4 and 5 on hamate
Carpometacarpal Joints 2-5 Arthrokinematics for Abduction
radial glide of MC 2 on trapezium, MC 3 stationary, radial glide of MC 4 and 5 on hamate
Metacarpophalangeal Joint classification
synovial, simple, modified ovoid
Metacarpophalangeal Joint DF
2 - flex and ext, abd and add
Metacarpophalangeal Joint Close pack position
full flexion
Metacarpophalangeal Joint resting position
slight flexion
Metacarpophalangeal Joint capsular pattern
flex greater than ext
Metacarpophalangeal Joint Arthrokinematics for flexion
palmar glide of phalanx on MC
Metacarpophalangeal Joint Arthrokinematics for extension
dorsal glide of phalanx on MC
Metacarpophalangeal Joint Arthrokinematics for abduction
radial glide of phalanx 2 on MC, ulnar glide of phalanges 4 and 5 on MC
Metacarpophalangeal Joint Arthrokinematics for adduction
ulnar glide of phalanx 2 on MC, radial glide of phalanges 4 and 5 on MC
Interphalangeal Joint Classification
synovial, simple, modified sellar
Interphalangeal Joint degrees of freedom
1 - flex and ext
Interphalangeal Joint close pack position
full extension
Interphalangeal Joint resting position
slight flexion
Interphalangeal Joint capsular pattern
flexion greater than extension
Interphalangeal Joint arthrokinematics for flexion
palmar glide distal phalanx on proximal phalanx
Interphalangeal Joint arthrokinematics for extension
dorsal glide

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