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Flashcards

AT Review 3

hailey burns English 73 cards

AT Review 3

Cards in this deck (73)

  1. 1different between sternoclavicular joint vs. acromioclavicular joint fracture?sternoclavicular is a much worse injury than acromioclavicular joint fracture
  2. 2—
  3. 3joints of the shoulder complex?glenohumeral joint (GH)
    acromioclavicular joint (AC)
    sternoclavicular joint (SC - still part of shoulder)
    scapulothoracic articulation - area where scapula sits (nota joint)
  4. 4—
  5. 5—
  6. 6—
  7. 7—
  8. 8—
  9. 9—
  10. 10what is the most important phase in pitching stage?cocking phase
  11. 11—1. Jugular notch
    2. Sternoclavicular joint
    3. Clavicular shaft
    4. Acromion process and AC joint
    5. Coracoid process
    6. Humeral head
    7. Greater tuberosity
    8. Lesser tuberosity
    9. Bicipital groove
    10. Humeral shaft
    11. Pectoralis major
    12. Pectoralis minor
    13. Coracobrachialis
    14. Deltoid group
    15. Biceps brachii
    16. Long head of the biceps
    17. Short head of the biceps    1. Jugular notch 2. Sternoclavicular joint 3. Clavicular shaft 4. Acromion process and AC joint 5. Coracoid process 6. Humeral head 7. Gr...
  12. 12—1. Spine of the scapula
    2. Superior angle
    3. Inferior angle
    4. Infraspinatus
    5. Teres minor
    6. Supraspinatus
    7. Teres major
    8. Rhomboid major
    9. Rhomboid minor
    10. Levator scapulae
    11. Trapezius
    12. Latissimus dorsi
    13. Posterior deltoid
    14. Triceps brachii    1. Spine of the scapula 2. Superior angle 3. Inferior angle 4. Infraspinatus 5. Teres minor 6. Supraspinatus 7. Teres major 8. Rhomboid m...
  13. 13FOOSH?fallen on out-stretched hand
  14. 14—
  15. 15what are SLAP lesions and what does it stand for?Superior labrum anterior to posterior lesions; tears of the superior aspect of the glenoid labrum that extend anteriorly and posteriorly to the biceps insertion
  16. 16classifications of SLAP lesions?I: degenerative fraying of the labrum near insertion of LHBT - least invasive
    II: avulsion of gleaned labrum with an associated tears of LHBT (further classified based on detachment of labrum - isolated to anterior aspect, posterior aspect or appearing in both aspects)
    III: a buckets-handle tear of the labrum with displacement of the fragment; no involvement of LHBT
    IV: bucket-handle tear of labrum with associated tearing LHBT
  17. 17what to do for humeral fractures?- splint in position found using moldable splint or vacuum splint
    - leave wrist and fingers exposed to check for circulation
    transport
  18. 18what to do for glenohumeral dislocations?- monitor the distal pulses, check for circulation in the fingertips, and perform a sensory screen
    - arm is fixed in the position it has assumed
    - reductions of GH dislocation should only be performed by those who are trained.
  19. 19sternoclavicula joint injuries MOI? S&S?- MOI: longitudinal force on clavicle (FOOSH) or hit on lateral portion of shoulder, traction force
    - S&S: pain with protraction, retraction and joint play
  20. 20what to do for posterior sternoclavicular joint dislocation?- medical emergency
    - threat to subclavian artery and vein, trachea, and esophagus
  21. 21what to do for sternoclavicular joint injuries?- neurological and vascular examination of the extremity and carotid artery
    - involved arm is immobilized
    - athlete is immediately transported to an emergency facility
  22. 22what is an acromioclavicular joint pathology? MOI? and classification of sprain?- separated shoulder
    - MOI: FOOSH, blow to superior accordion process
    - classification of sprain depends on structures involved, degree of instability, and direction of displace clavicle
  23. 23if FOOSH occurs, what could be the outcome?- clavicular fracture, AC sprain, or SC sprain
  24. 24muscles acting primarily on the scapula?levator scapulae
    rhomboid major/minor
    serratus anterior
    trapezius
    pectoralis minor
  25. 25muscles acting primarily on humerus?biceps brachii
    coracobrachialis
    deltoid
    infraspinatus
    latissimus dorsi
    pectorals major
    subscapularis
    supraspinatus
    theres major/minor
    triceps brachii
  26. 26sternoclavicular joint injury onset? pain? symptoms? MOI? tests?onset: acute
    symptoms: pressure on underlying nervouscular network can cause paresthesia in upper extremity
    pain: ;imited to the SC joint area
    MOI: indirect force applied to joint thru clavicle, FOOSH, ant. or post. directed forces exerted on anterolateral or posterolateral shoulder
  27. 27muscles contributing to scapular movements?levator scapulae
    romboid major/minor
    serratus anterior
    trapexius
  28. 28acromioclavicular joint sprain onset? MOI, pain?onset: acute
    pain: superior anterior shoulder on AC joint, anterolateral neck, anterolateral deltoid
    MOI: fallin gon point of shoulder, landing on AC joint, force applied longitudinally to clavicle, FOOSH
  29. 29subacromial impingement syndrome onset? pain? smyptoms? MOI?onset: insidious
    pain: beneath accordion process and radiating to lateral arm
    symptoms: popping an clicking, depending on involvement of bursa and rotator cuff musculature
    MOI: repetitive overhead motion impinging the rotator cuff muscles (especially the supraspinatus and LHBT between humeral and coracoacromial arch
  30. 30SLAP lesion onset? pain? symptoms? MOI: risk factors?onset: acute or resulting from repetitive micro trauma
    pain: superior portion of shoulder, increased pain in position of 90 degrees, abduction of 90 degrees of external rotation
    symptoms: clicking/catching possible
    MOI: FOOSH, GH instability, overhead motion
    risk factors: GH instability, posterior GH hypomobility
  31. 31gerber’s lift off test for subscapularisgerber’s lift off test for subscapularis
  32. 32Acromioclavicular traction testAcromioclavicular traction test
  33. 33Acromioclavicular compression testAcromioclavicular compression test
  34. 34Apprehension Test for Anterior Glenohumeral LaxityApprehension Test for Anterior Glenohumeral Laxity
  35. 35Posterior Apprehension Test for Glenohumeral LaxityPosterior Apprehension Test for Glenohumeral Laxity
  36. 36Anterior Slide TestAnterior Slide Test
  37. 37Jerk (posterior stress) test for labral tearJerk (posterior stress) test for labral tear
  38. 38Hawkins (Kennedy-Hawkins) Impingement TestHawkins (Kennedy-Hawkins) Impingement Test
  39. 39Empty Can Test for Supraspinatus PathologyEmpty Can Test for Supraspinatus Pathology
  40. 40Yergason TestYergason Test
  41. 41Speed Test for Long Head of the Biceps Brachii TendinopathySpeed Test for Long Head of the Biceps Brachii Tendinopathy
  42. 42Active Compression Test (O’Brien Test)Active Compression Test (O’Brien Test)
  43. 43difference between subcutaneous and subtendinous olecranon bursa?subcutaneous = under skin
    subtendinous = under tendon
  44. 44difference of elbow and forearms in men and women?men have a slightly smaller angel than women
  45. 45what is the cubital fossa?front of elbow (crease of arm) and is an important place where a lot of nerves run
  46. 46Medial epicondyle Ulna Anterior band UCL Posterior band UCL Transverse band UCLMedial epicondyle Ulna Anterior band UCL Posterior band UCL Transverse band UCL
  47. 47—
  48. 48elbow dislocation MOI? characteristics?MOI: axial force through forearm w/ elbow flexed; extremely painful, obvious deformity, "terrible triad of elbow", swelling can be rapid masking deformity
  49. 49different elbow fractures and their MOI's?supracondylar: hyperextension or fall on flexed elbow
    olecranon process: falling on flexed elbow
    radial head: longitudinal compression (FOOSH)
    forearm: open or closed, simple or complex, degree of angulation, rotation or displacement
  50. 50valgus stress testvalgus stress test
  51. 51varus stress testvarus stress test
  52. 52—know the fracturesknow the fractures
  53. 53posterolateral rotatory instability test (pivot shift)posterolateral rotatory instability test (pivot shift)
  54. 54Lateral Epicondylalgia (“Tennis Elbow” Test)Lateral Epicondylalgia (“Tennis Elbow” Test)
  55. 55elbow dislocation management?activate EMS, immobilize in position found in, monitor distal pulse, rule our injury to GH joint, proximal humerus and wrist; immediately transport to medical facility for further evaluation and treatment
  56. 56fractures of the elbow management ?monitor distal pulse, immobilize elbow, forearm and wrist, treat for shock, immediately transport athlete to medical facility for further evaluation and treatment
  57. 57lateral epicondylagia characteristics?inflammation or repetitive stress at lateral epicondyle (swelling, TTP, pain w/ active wrist extension), "tennis elbow"
  58. 58medial epicondylagia characteristics?TTP on medial epicondyle, "little leaguer's elbow", neuropathy of ulnar nerve
  59. 59—
  60. 60soft tissue (lateral) injury location of pain?annular ligament, radial collateral ligament sprain, readiocapitellar chondromalacia, lateral epicondyalgia (tennis elbow). radial head disloaction, radial nerve patholog
  61. 61soft tissue (anterior) injury location of pain?biceps brachii tendinopathy, rupture of biceps brachii tendon, median nerve trauma, anterior capsule sprain
  62. 62soft tissue (medial) injury location of pain?ulnar collateral ligament sprain, medial epicondylagia, ulnar nerve pathology
  63. 63soft tissue (posterior) injury location of pain?olecranon bursitis, triceps brachii tendonopathy, triceps tendon rupture
  64. 64bony injury (lateral) location of pain?avulsion of common extensor tendon, lateral epicondyle fracture, radius fracture, radial head fracture, radial head dislocation
  65. 65bony injury (anterior) location of pain?osteochondral fracture, avulsion of biceps brachia tendon
  66. 66bony injury (medial) location of pain?avulsion of common flexor tendon, medial epicondyle fracture, ulnar fracture, osteophyte formation
  67. 67bony injury (posterior) location of pain?fracture of olecranon process, osteophyte formation
  68. 68elbow dislocation onset? pain? MOI? predisposing conditions?onset: acute
    pain: loaclized to elbow, radicular symptoms may be described in the forearm, wrist, and hand if there is associated mere involvement
    MOI: axial load placed on forearm when arm is weight bearing or supinated
    predisposing conditions: hist. of elbow instability, shallow olecranon fossa, with prominent olecranon, rate higher in children
  69. 69fractures of elbow onset? MOI? pain? predisposing condition?onset: acute
    MOI:fall onto elbow, falling on an outstretched arm, hyperextension
    pain: localized to elbow
    predisposing condition: skeletal immaturity, osteoporosis
  70. 70ulnar collateral ligament spain onset? MOI? pain? predisposing condition?onset: acute or insidious
    pain: medial aspect of elbow
    MOI: acute: valgus stress placed on ulnar collateral ligament; insidious: repeated activities that exert stresses on medial aspect of elbow, creating values loading
    predisposing condition: internal rotation deficits in throwing athletes; cubital valgus; taller and heavier baseball player
  71. 71lateral epicondyalgia onset? pain? MOI? predisposing condition?onset: insidious
    pain: lateral epicondyle and proximal portion of common tendons of wrist extensors radicular pain into wrist extensor muscles is possible w/ advanced cases
    MOI: overuse syndrome involving repeated, forceful wrist extension radialdeviation, supination, or grasping in an overhand position, repeated eccentric loading of wrist extensors muscles
    predisposing conditions: rotator cuff pathology, de Quervain's disease, carpal tunnel syndrome, smoking, oral corticosteroid therapy, new to racquet sports
  72. 72medial epicondyalgia onset? pain? MOI? predisposed condition?onset: insidious
    pain: medial epicondyle and proximal portion of adjacent wrist flexor and pronator muscles
    MOI: repeated forceful flexion or pronation of wrist or both
    predisposing condition: repeated activities that eccentrically load the medial elbow muscles (throwing, golfing)
  73. 73distal biceps tendon rupture pain? onset? MOI? predisposing condition?onset: acute
    pain: pain in the cubital fossa that decreases over time
    MOI: eccentric loading of biceps brachia while elbow is flexed
    predisposing condition: more commonly seen after third decade of life as tensile strength of tendon decreases, history of cigarette use, anabolic steroid use, statin use

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Flashcards on AT Review 3, created by hailey burns on 23/04/2019.
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hailey burns
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