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C-Scan: elements of AROM (4) |
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Definition
Craniovertebral flex/ext, Long flex/ext, Sidebend, Rotation |
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C-Scan: Compression/Traction (6) |
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Definition
Compression c ... + flex Compression c ... + ext Compression in neutral Traction in neutral Traction in ext Traction in flex |
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Elbow flex + sup, wrist ext |
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sup, wrist/finger ext, elbow ext |
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pron, IR, wrist/thumb flex, elbow ext, ulnar dev |
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elbow flex/ext - sup elbow flex/ext - pron pron/sup wrist flex/ext ulnar/radial dev |
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Definition
biceps & brachialis, brachioradialis, brachialis, triceps & anconeus, FDS/FDP/FCU, ECRB/ECRL, ECU/ED, Pron teres, Supinator |
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Term
Ligt test: valgus in ext tests... (3) |
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Definition
MCL, ant capsule, bony config |
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Ligt test: varus in ext tests... (2) |
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Definition
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Ligt test: valgus in flex tests... (2) |
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Definition
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Ligt test: varus in flex tests... |
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Definition
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Tinel's, elbow flex, Wartenberg's sign, pronator, pinch grip, Mills, Cozens |
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abd, flex, IR (c/s abd), ER (c/s abd |
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Shoulder resisted tests (9) |
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Definition
ER, IR, horiz add, flex+IR, abd, flex, ext, add, elbow ext |
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Definition
ER = SIT empty can = ST abd = S |
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Definition
IR = SLT IR+ext = LT IR+elev = L horiz add = P IR+flex = D |
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Term
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Definition
GH (sup, mid, ant-inf, post-inf) Coracohumeral (ant, post) |
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Definition
abd = inf glide flex = spin ER = ant glide IR = post glide |
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Term
Shoulder instability tests (4) |
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Definition
Apprehension & relocation, ant/post drawer, sulcus sign, Norwood stress test |
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Term
Shoulder labral tear tests (5) |
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Definition
O-Brien, Crank, Clunk, Biceps load, Biceps tension |
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Term
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Definition
Crossbody add, Paxson O's sign |
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Term
Shoulder impingement tests (7) |
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Definition
Painful arc, Neers, Hawkins Kennedy, IRRST, ERLS, lift off, drop arm |
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Term
Scap glide resistance: sup-lat |
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Definition
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Scap glide resistance: sup-med |
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Definition
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Scap glide resistance: inf-lat |
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Definition
lev scap (C3-4), rhomboid (C4-5) |
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Scap glide resistance: inf-med |
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Definition
pec min (C8), serr ant upper fibers (C7) |
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Term
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Definition
Acromion @ T1 Sup angle @ T2 med borders 3" from spine rotates up 60* c full abd atrophy winging/tipping glides |
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Term
Reasons to perform a C-scan (6) |
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Definition
1. insidious onset of neck, scap, shoulder, elbow, hand pain 2. neurological symptoms 3. UE weakness/fatigue 4. muscle atrophy in c-innervated mm 5. feelings of coldness in one/both hands 6. relief with arm in unusual positions |
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Definition
posture, shoulder ht, orientation of head, scap position, mm atrophy |
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equal ipsilat sidebending/rotation |
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"Abnormal DTRs are not clinically relevant unless they are found in combination with _____ or _____ abnormalities" |
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GH ligt attachments - sup band |
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Definition
upp glenoid >> sup lesser tubercle |
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GH ligt attachments - mid band |
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Definition
upp glenoid >> inf lesser tubercle |
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GH ligt attachments - inf band |
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Definition
ant glenoid >> anatomical neck of humerus |
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Term
Which part of GH capsule usually shrinks during immobilization? |
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Definition
inf capsule (+ inf GH ligt) |
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Term
Coracohumeral ligt attachments - ant band |
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Definition
lat coracoid >> lesser tubercle (c subscap tendon) |
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Coracohumeral ligt attachments - post band |
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Definition
lat coracoid >> ant greater tubercle (c supra tendon) |
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Term
Role of coracohumeral ligt |
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Definition
hold hd of humerus into glenoid c arm in dependent position (counteracting add pull of gravity) |
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Term
Long hd of biceps = "_____ ___" |
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Definition
"dynamic ligt"; snugs humeral hd into glenoid upon abd |
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Term
Elevation = "____..."; 3 examples |
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Definition
"motion which requires muscles to overcome the wt of the limb"; flex, abd, scap up rot |
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force couple for scap up rot |
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Definition
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Peripheral nn of shoulder (4) |
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Definition
suprascap, axillary, subscap, musculocutaneous |
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Biomechanical steps involved in shoulder elevation (4) |
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Definition
humeral rotation, scap rotation around clavicle, clavicular rot/elev, T-spine ext/rot |
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ROM where scap movement begins: abd: flex: |
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Definition
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ROM where GH abd mvmt shifts to AC joint |
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Definition
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Role of infra, teres minor, subscap in GH abd |
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Definition
pull humeral head downward |
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Referred TO shoulder girdle - viscerogenic (5) |
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Definition
cardiac, liver, spleen, lung, stomach |
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Referred TO shoulder girdle - spondylogenic |
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Definition
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Referred TO shoulder girdle - systemic (4) |
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Definition
RA, AS, diabetes, subclavian occlusion |
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Referred FROM shoulder girdle - capsular (4) |
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Definition
arthritises, neuropathic arthropathy, intra-articular fx, adhesive capsulitis |
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Referred FROM shoulder girdle - noncapsular (7) |
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Definition
bursitis, tendonitis, ligt adhesions/scars, subluxations, AC sprain, extra-articular fx/tumor, pancoast tumor |
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Referred FROM shoulder girdle - unrestricted, painful (2) |
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Definition
chronic bursitis/tendinosis, instabilities |
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Term
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Definition
traumatic, unidirectional, bankart lesion, surgery required |
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Term
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Definition
atraumatic, multidirectional, bilateral, rehab is effective, inferior capsular shift recommended |
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Term
Rehab of AMBRI depends on: (4) |
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Definition
type of instability, pt's inflamm response to surgery, post-op precautions, gradual rate of progression (gentle ROM for 8 wk post-op) |
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Term
Neers stages of impingement (3) |
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Definition
I: edema/hemorrhage II: tendonitis/osis, bursitis, fibrosis III: bone spurs, tendon disruption |
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Neers stage I descriptors (5) |
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Definition
<25 yo, SA pain/tenderness, painful arc, + impingement tests, strong & painful resisted tests |
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Neers stage II descriptors (3) |
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Definition
25-40 yo, capsular pattern, more pronounced pain |
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Term
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Definition
reduce inflamm, pt ed, rest, restore prox perscap control |
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Term
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Definition
reestablish GH capsular mobility |
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Neers stage III descriptors (3) |
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Definition
>40 yo, weakness in abd/ER, squaring of acromion (indicated atrophy of deltoid & RC) |
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Term
Frozen shoulder stage I - name & timeframe |
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Definition
painful/freezing phase, 10-36 weeks |
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Frozen shoulder stage II - name & timeframe |
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Definition
stiffening/frozen phase, 4-12 mos |
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Frozen shoulder stage III - name & timeframe |
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Definition
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Frozen shoulder stage I - presentation (6) |
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Definition
women > men, non-dominant arm, capsular pattern, pain at rest, pain radiating past elbow in C5 dermatome, night pain |
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Term
Frozen shoulder stage I - Rx |
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Definition
rest, ice, modalities, low grade mobs, US over T4 ganglion, manip of T-spine, gentle ROM, cortisone injection |
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Term
Frozen shoulder stage II/III - presentation (3) |
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Definition
pain in shoulder (not elbow), pain with use, less pain at rest |
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Term
Frozen shoulder stage II/III - Rx |
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Definition
pain control, heat modalities, low grade jt mobs, ROM, jt mobs working backward through capsular pattern (flex >> IR >> abd >> ER), stretch inf capsule |
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Term
Ulnohumeral close packed position |
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Definition
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Ulnohumeral capsular pattern |
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Definition
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Radiohumeral close packed position |
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Definition
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Radiohumeral capsular pattern |
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Definition
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Sup radioulnar close packed position |
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Definition
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Sup radioulnar capsular pattern |
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Definition
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Carrying angle norms (M & F) |
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Definition
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Trochlea: "The medial side of the trochlea projects more ______ than laterally" |
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Definition
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Main factor dictating arthrokinematics of elbow |
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Definition
spiral config of trochlear groove |
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Term
Elbow flex/ext arthrokinematics (convex, concave) |
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Definition
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Elbow abd/add arthrokinematics (convex, concave) |
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Definition
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In elbow pronation, the radial hd shifts _____ to provide room for ____ _____ |
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Definition
laterally; radial tuberosity |
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Term
In full pronation, carrying angle is ______ |
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Definition
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Term
Conjunct motions with elbow flex (2) |
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Definition
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Term
Arthrokinematics of elbow ext: radiohumeral: ulnohumeral: |
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Definition
radiohumeral: post-lat ulnohumeral: post-med |
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med epicondyle >> coronoid & olecranon |
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lat epicondyle >> olecranon; annular ligt |
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CT that resists elbow ext |
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Definition
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CT that resists elbow flex |
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Definition
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Dermatomes giving rise to lateral elbow pain |
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Definition
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Ant interosseous n lesion: sensory, motor, or both? |
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Definition
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Important items in pt hx when screening for elbow pathology (5) |
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Definition
age, occupation, length of time having injury, mvmt impairments, function |
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Term
Fx or growth plate injury to humerus can result in: |
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Definition
cubitus varus (gunstock deformity) |
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Definition
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Definition
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Definition
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Definition
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Ligt stressed: valgus in ext |
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Definition
MCL, ant capsule, bony config |
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Term
Ligt stressed: valgus in flex |
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Definition
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Term
Ligt stressed: varus in ext |
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Definition
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Ligt stressed: varus in flex |
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Definition
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