Adjusting Techniques for Extremities Flashcards
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The 'gun-stock' deformity after a supracondylar fracture contraindicates which elbow adjustment?
Answer: Valgus stress mobilization
A gun-stock deformity indicates malunion with cubitus varus; valgus stress mobilization is contraindicated because it stresses compromised medial structures.
Which carpal bone is most commonly restricted in an anterior (palmar) direction and adjusted with a posterior-to-anterior thrust?
Answer: Lunate
The lunate commonly subluxates anteriorly; an anterior lunate adjustment uses a P-to-A thrust to restore it toward its anatomic position.
A 'pinch-roll' or 'facet' adjustment to the interphalangeal joint of the finger primarily restores which motion?
Answer: Lateral glide (shear)
The pinch-roll technique applies a lateral (shear) glide to gap the IP joint and restore restricted lateral motion.
When performing a posterior fibular head adjustment, excessive force risks injury to which structure?
Answer: Common peroneal nerve
The common peroneal nerve wraps around the fibular neck just below the fibular head, making it vulnerable to compression or traction during adjustment.
In a Gonstead-style knee adjustment for a lateral-restricted tibia, the patient is prone and the tibial contact is:
Answer: Medial tibial plateau with medial-to-lateral thrust
For a lateral tibial restriction, contact is on the medial tibial plateau and the thrust is medial-to-lateral to restore the restricted lateral glide.
A spring test on the first tarsometatarsal joint that reproduces dorsal pain with absent springiness indicates which listing?
Answer: Dorsal fixation of the 1st TMT
Absent dorsal springiness with pain during a dorsal spring test at the 1st TMT indicates a dorsal fixation (restricted plantar glide) at that joint.
The 'scapular-thoracic' adjustment performed with the patient seated and the arm draped over the practitioner's thigh primarily mobilizes which joint?
Answer: Scapulothoracic articulation
This technique levers the scapula away from the thorax to mobilize the scapulothoracic articulation, improving dyskinesis.