GHJ STANDING/SITTING
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Questions and Answers

What is the primary indication for Interlaced Digital/Proximal Humerus technique in flexion?

  • Superior misalignment of the scapula
  • Inferior misalignment of the humerus
  • Loss of accessory movements in superior glide in flexion
  • Loss of accessory movements in inferior glide in flexion (correct)

    • In the patient positioning for Interlaced Digital/Proximal Humerus in flexion, what is the angle of elbow flexion?

  • 120 degrees
  • 135 degrees
  • 90 degrees (correct)
  • 45 degrees

    • Where does the doctor stand in relation to the patient during Interlaced Digital/Proximal Humerus in flexion?

  • To the side of the patient
  • Behind the patient
  • In front of the patient and to the affected side (correct)
  • At an angle to the patient

    • What is the direction of the thrust in the Interlaced Digital/Proximal Humerus technique in flexion?

    <p>Superior-to-Inferior (S-I)</p> Signup and view all the answers

    What is the primary indication for Interlaced Digital/Proximal Humerus technique in abduction?

    <p>Loss of accessory movements in inferior glide in abduction</p> Signup and view all the answers

    How does the doctor grasp the proximal humerus in the Interlaced Digital/Proximal Humerus technique?

    <p>With interlaced fingers on the superior aspect and thumbs in the axilla</p> Signup and view all the answers

    What is the purpose of the downward pressure applied by the doctor's hands in the Interlaced Digital/Proximal Humerus technique?

    <p>To remove articular slack</p> Signup and view all the answers

    In what direction does the doctor step away from the patient during the Interlaced Digital/Proximal Humerus technique in abduction?

    <p>Away from the patient</p> Signup and view all the answers

    The doctor's thumbs are placed on the superior aspect of the joint capsule during the Interlaced Digital/Proximal Humerus technique.

    <p>False</p> Signup and view all the answers

    The patient's arm is fully abducted to 180 degrees during the Interlaced Digital/Proximal Humerus technique in abduction.

    <p>False</p> Signup and view all the answers

    The Interlaced Digital/Proximal Humerus technique in flexion is used to treat inferior misalignment of the humerus.

    <p>False</p> Signup and view all the answers

    The doctor's legs should be crossed during the Interlaced Digital/Proximal Humerus technique in flexion.

    <p>False</p> Signup and view all the answers

    The patient's hand rests on the doctor's shoulder during the Interlaced Digital/Proximal Humerus technique in flexion.

    <p>False</p> Signup and view all the answers

    The doctor applies a lateral pressure to remove articular slack during the Interlaced Digital/Proximal Humerus technique.

    <p>False</p> Signup and view all the answers

    The Interlaced Digital/Proximal Humerus technique in abduction is used to treat loss of accessory movements in superior glide in abduction.

    <p>False</p> Signup and view all the answers

    The doctor grasps the distal humerus with interlaced fingers during the Interlaced Digital/Proximal Humerus technique.

    <p>False</p> Signup and view all the answers

    What is the primary indication for the Reinforced Palmar/Olecranon technique?

    <p>Loss of A-P accessory movement</p> Signup and view all the answers

    In what position does the patient place their hand during the Reinforced Palmar/Olecranon technique?

    <p>On the opposite shoulder</p> Signup and view all the answers

    Where does the doctor stand in relation to the patient during the Reinforced Palmar/Olecranon technique?

    <p>Behind the patient, slightly to the side of involvement</p> Signup and view all the answers

    What is the role of the doctor's ipsilateral hand during the Reinforced Palmar/Olecranon technique?

    <p>To reinforce the CP</p> Signup and view all the answers

    What is the primary direction of the thrust in the Reinforced Palmar/Olecranon technique?

    <p>Anterior-to-Posterior</p> Signup and view all the answers

    During the Reinforced Palmar/Olecranon technique, the patient's arm is fully abducted to 180 degrees.

    <p>False</p> Signup and view all the answers

    The doctor stands in front of the patient during the Reinforced Palmar/Olecranon technique.

    <p>False</p> Signup and view all the answers

    The doctor's contralateral hand is used to reinforce the contact point during the Reinforced Palmar/Olecranon technique.

    <p>False</p> Signup and view all the answers

    The thrust direction in the Reinforced Palmar/Olecranon technique is primarily in the axis of the radius.

    <p>False</p> Signup and view all the answers

    The contact point in the Reinforced Palmar/Olecranon technique is on the patient's shoulder.

    <p>False</p> Signup and view all the answers

    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

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    Description

    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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