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NPTE MSK Review Exam
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NPTE MSK Review ExamWhat is the capsular pattern of the shoulder (GH joint)? ER>ABD>IR
What is the capsular pattern of the elbow complex? Flex>Ext
What is the capsular pattern of the forearm? equally restricted pronation & supination
What is the capsular pattern of the wrist? equal limitation of flexion and extension
What is the capsular pattern of the CMC joint I? joint II-V? ABD & EXT
equally restricted in all directions
What is the capsular pattern of the IP joint? flexion > extension
What is the capsular pattern of the hip? IR>Flex>ABD(minimal loss of ext)
What is the capsular pattern of the knee? flex>ext
What is the capsular pattern of the ankle?
subtalar?
midtarsal? PF>ext (DF?)
restricted varus
,restricted DF, PF, ABD, IR
Compression from a continual pressure such as crutches causes which nerve palsy? radial
Phases of frozen shoulder:
_____: minimal pain, no synovitis, significant capsular restrictions.
_____: pain only with movement, adhesions, limited GH motions. atrophy of deltoid, rotator cuff,
biceps, triceps.
_____: gradual onset of pain that increases with movement and is present at night. loss of ER is
common.
_____: intense pain even at rest. limited motion in all directions. 4 "thawing stage" (15-24 months),
3 "frozen stage" (9-15 months),
1 (<3months),
2 "freezing stage" (3-9 months)
Joint mobilization direction depends on the convex/concave rules. What is the exception for Adhesive
capsulitis? post/inf glide to improve capsular pattern loss
"David wears red high heels" refers to what gait pattern? excessive PF, knee hyperextension, anterior
pelvic tilt, excessive lordotic curve
(CP: spastic PF/contracture,CVA: foot drop leading to PF contracture)
,Convex and Concave Rules
Shoulder:
Elbow:
Prox. RU:
Distal RU:
Wrist:
Fingers:
Hip:
Knee:
Ankle: opp, same, opp, same, opp, same, opp, same, opp
Thumb joint mobs
Flexion:
Extension:
ABD:
ADD: ulnar glide,
radial glide,
dorsal glide,
volar glide
Pronation of the foot is from which motions?
Supination? eversion, DF, ABD (elvis dabs like a pro)
inversion, PF, ADD (IPAD = superior)
, Upper crossed syndrome results in which weak muscles? which tight muscles? weak (inhibited): deep
cervical flexors, lower trap, serratus anterior
tight (facilitated): SCM, pectoralis, upper trap, levator scap
Lower crossed syndrome results in which weak muscles? which tight muscles? weak (inhibited):
abdominals, glute min/med/max
tight (facilitated): rectus femoris, iliopsoas, thoraco-lumbar extensors
Wasting of the hypothenar muscles of the hand, interossei, and two medial lumbricals due to ulnar
nerve palsy.
- hyperextension of MCP and flexion of IP
- wrist flexion with MCP extension when extrinsic extensors contract = + (AKA Andre-Thomas sign)
Bishop's hand (benediction hand/Duchene's sign)
A deformity from loss of intrinsic muscle action and over-action of extrinsic extensor mm on the
proximal phalanx of the fingers.
- MCP: hyperextended; PIP & DIP: flexed
- most often caused by combined median and ulnar nerve palsy claw fingers
A progressive disease of genetic origin resulting in a contracture of the palmar fascia.
- fixed flexion deformity of MCP and PIP joints
- usually seen in ring or little finger
- men > women
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