26 Questions
What is the primary indication for Interlaced Digital/Proximal Humerus technique in flexion?
Loss of accessory movements in inferior glide in flexion
In the patient positioning for Interlaced Digital/Proximal Humerus in flexion, what is the angle of elbow flexion?
90 degrees
Where does the doctor stand in relation to the patient during Interlaced Digital/Proximal Humerus in flexion?
In front of the patient and to the affected side
What is the direction of the thrust in the Interlaced Digital/Proximal Humerus technique in flexion?
Superior-to-Inferior (S-I)
What is the primary indication for Interlaced Digital/Proximal Humerus technique in abduction?
Loss of accessory movements in inferior glide in abduction
How does the doctor grasp the proximal humerus in the Interlaced Digital/Proximal Humerus technique?
With interlaced fingers on the superior aspect and thumbs in the axilla
What is the purpose of the downward pressure applied by the doctor's hands in the Interlaced Digital/Proximal Humerus technique?
To remove articular slack
In what direction does the doctor step away from the patient during the Interlaced Digital/Proximal Humerus technique in abduction?
Away from the patient
The doctor's thumbs are placed on the superior aspect of the joint capsule during the Interlaced Digital/Proximal Humerus technique.
False
The patient's arm is fully abducted to 180 degrees during the Interlaced Digital/Proximal Humerus technique in abduction.
False
The Interlaced Digital/Proximal Humerus technique in flexion is used to treat inferior misalignment of the humerus.
False
The doctor's legs should be crossed during the Interlaced Digital/Proximal Humerus technique in flexion.
False
The patient's hand rests on the doctor's shoulder during the Interlaced Digital/Proximal Humerus technique in flexion.
False
The doctor applies a lateral pressure to remove articular slack during the Interlaced Digital/Proximal Humerus technique.
False
The Interlaced Digital/Proximal Humerus technique in abduction is used to treat loss of accessory movements in superior glide in abduction.
False
The doctor grasps the distal humerus with interlaced fingers during the Interlaced Digital/Proximal Humerus technique.
False
What is the primary indication for the Reinforced Palmar/Olecranon technique?
Loss of A-P accessory movement
In what position does the patient place their hand during the Reinforced Palmar/Olecranon technique?
On the opposite shoulder
Where does the doctor stand in relation to the patient during the Reinforced Palmar/Olecranon technique?
Behind the patient, slightly to the side of involvement
What is the role of the doctor's ipsilateral hand during the Reinforced Palmar/Olecranon technique?
To reinforce the CP
What is the primary direction of the thrust in the Reinforced Palmar/Olecranon technique?
Anterior-to-Posterior
During the Reinforced Palmar/Olecranon technique, the patient's arm is fully abducted to 180 degrees.
False
The doctor stands in front of the patient during the Reinforced Palmar/Olecranon technique.
False
The doctor's contralateral hand is used to reinforce the contact point during the Reinforced Palmar/Olecranon technique.
False
The thrust direction in the Reinforced Palmar/Olecranon technique is primarily in the axis of the radius.
False
The contact point in the Reinforced Palmar/Olecranon technique is on the patient's shoulder.
False
Study Notes
Interlaced Digital/Proximal Humerus Techniques
Superior-to-Inferior Glide in Flexion
- Indicates loss of accessory movements in inferior glide in flexion and superior misalignment of the humerus
- Patient positioning: stands with feet shoulder-distance apart, involved arm flexed to 90 degrees, and elbow flexed so that hand rests on shoulder
- Doctor's positioning: stands in front of patient, legs spread for balance, and aligned to patient's height
- Contact points: proximal humerus, with interlaced fingers on superior aspect of joint capsule and thumbs in axilla
- Vectored correction: draw away from patient to create joint separation, then apply downward pressure to remove articular slack, and finally give a thrust in the superior-to-inferior direction
Superior-to-Inferior Glide in Abduction
- Indicates loss of accessory movements in inferior glide in abduction and superior misalignment of the humerus
- Patient positioning: stands with legs at least shoulder-distance apart, involved arm abducted to 90 degrees, and elbow flexed so that hand rests on shoulder
- Doctor's positioning: stands with legs apart, patient's elbow resting on doctor's shoulder
- Contact points: proximal humerus, with interlaced fingers on superior aspect and thumbs in axilla
- Vectored correction: back away from patient to distract joint while applying downward pressure with hands to remove articular slack, then give an impulse thrust in the superior-to-inferior direction
Interlaced Digital/Proximal Humerus Techniques
Superior-to-Inferior Glide in Flexion
- Indicates loss of accessory movements in inferior glide in flexion and superior misalignment of the humerus
- Patient positioning: stands with feet shoulder-distance apart, involved arm flexed to 90 degrees, and elbow flexed so that hand rests on shoulder
- Doctor's positioning: stands in front of patient, legs spread for balance, and aligned to patient's height
- Contact points: proximal humerus, with interlaced fingers on superior aspect of joint capsule and thumbs in axilla
- Vectored correction: draw away from patient to create joint separation, then apply downward pressure to remove articular slack, and finally give a thrust in the superior-to-inferior direction
Superior-to-Inferior Glide in Abduction
- Indicates loss of accessory movements in inferior glide in abduction and superior misalignment of the humerus
- Patient positioning: stands with legs at least shoulder-distance apart, involved arm abducted to 90 degrees, and elbow flexed so that hand rests on shoulder
- Doctor's positioning: stands with legs apart, patient's elbow resting on doctor's shoulder
- Contact points: proximal humerus, with interlaced fingers on superior aspect and thumbs in axilla
- Vectored correction: back away from patient to distract joint while applying downward pressure with hands to remove articular slack, then give an impulse thrust in the superior-to-inferior direction
Reinforced Palmar/Olecranon; Anterior-to-Posterior Glide
- IND: Loss of A-P accessory movement, anterior misalignment of the humerus
- PP: Patient positioning involves sitting with arm in forward flexion, elbow bent, and hand resting on opposite shoulder (for internal rotation) or same shoulder (for external rotation)
Procedure Details
- DP: Stand behind patient, slightly to the side of involvement, stabilizing shoulder girdle against torso
- SCP: Olecranon process
- CP: Palmar contact to cup patient's elbow using ipsilateral hand
- IH: Reinforcing CP with other hand
- VEC: A-P direction
- P: Remove articular slack, give quick and shallow thrust primarily in humerus axis using both hands
Reinforced Palmar/Olecranon; Anterior-to-Posterior Glide
- IND: Loss of A-P accessory movement, anterior misalignment of the humerus
- PP: Patient positioning involves sitting with arm in forward flexion, elbow bent, and hand resting on opposite shoulder (for internal rotation) or same shoulder (for external rotation)
Procedure Details
- DP: Stand behind patient, slightly to the side of involvement, stabilizing shoulder girdle against torso
- SCP: Olecranon process
- CP: Palmar contact to cup patient's elbow using ipsilateral hand
- IH: Reinforcing CP with other hand
- VEC: A-P direction
- P: Remove articular slack, give quick and shallow thrust primarily in humerus axis using both hands
This quiz assesses a patient's range of motion, specifically the superior-to-inferior glide in flexion of the humerus. It involves a series of steps to evaluate the patient's movement and alignment. The quiz is useful for medical professionals and students.
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