Section 1
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Vomer clinical
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Last updated
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Date created
Mar 1, 2020
Cards (129)
Section 1
(50 cards)
Vomer clinical
Trauma to face Nasal edema Sinuses
CN IX
Sinuses
Pain over dorsomedial foot Weak extensor digitiorum brevis (extend toes)
Anterior tarsal tunnel syndrome Deep fibular N (L4-S2) Inferior extensor retinaculum
Yergasons Speeds
Bicep tendon
T1
Finger abduction Medial arm
CN3
Pupils
Headaches Clinical
Dilated, distention or traction arteries Impaired venous drainage
Numbness on anterolateral thigh Hyperesthesia, can't put things in pockets Trophic skin changes
Meraligia paresthetica Lateral femoral cutaneous nerve Inguinal L entrapment
Phalen's sign
Median nerve entrapment
apprehension Sulcus sign
Glenohumeral instability
Spurling's maneuver
Compressed cervical N root on ipsilateral side Cervical radiculopathy
C7
Wrist flexion Elbow extension Finger extension Middle finger
Finkelstein's test
DeQuervain's Tenosynovitis
Pterion
Junction of frontal, parietal, sphenoid, and temporal bones Middle meningeal artery
CV4 compression
Thenar eminences are inferior to superior nuchal line + medial to patient's OM sutures Encourage extension by leaning back
S1
plantar flexion
Pain on plantar foot Medial malleolus issues
Posterior tibial N Tarsal tunnel Flexor retinaculum
L4
ankle dorsiflexion
C8
Finger flexion Ulnar forearm Small finger
Lateral Strain Trauma
Trauma lateral to one side of anterior cranium Or opposite posterior cranium
CN7
Lacrimal Salivary Glands
Empty can test
supraspinatus pathology
Pronation pain
Median nerve is entrapped by the pronator teres Pronator syndrome Dentists, pianists, fiddlers, baseball players
Bell's Palsy
Temporal bone release Weakness of facial muscles Drying and cornea ulceration Changes in taste
trigeminal neuralgia
characterized by severe lightning-like pain due to an inflammation of the fifth cranial nerve V2 distribution Chewing or brushing teeth
Wrist drop pain with supination 5 cm distal to lateral epicondyle
Radial tunnel Rotatory movements (rowing, racquet sports)
Weakness of elbow flexion Wrist drop
Radial nerve humerus
Trigeminal ganglion
Meckel's cave of temporal bone ER of temporal bone would put pressure on the NN
tennis elbow
lateral epicondylitis
Paresthesia of 4th + 5th digits Medial elbow pain radiating down +tinels sign Sx reproduction with elbow flexion + wrist extension
Ulnar Nerve entrapment Cubital tunnel syndrome
Anterior interosseous syndrome
Median nerve-Anterior interosseous N Can't do okay sign EMG gold standard
L5
extensor hallucis longus
C6
wrist extension Elbow flesion Radial forearm Thumb/index finger
Posterolateral hand sensations
Superficial branch of radial N trapped between brachioradialis
L2, L3
Knee extension
occipital condylar decompression
Contact near foramen and condyles Apply tractions pull posterior/lateral
L1, L2
hip flexion
Spent squatting Leg around pole Fibular head trauma Lithotomy position during childbirth
L4-S2 Common fibular N compression Fibular tunnel "strawberry picker palsy"
Neer Impingement Test Hawkins test Painful Arc
Rotator cuff
Temporal Bone Clinical
Eustachian tube *IR causes the tube to be compressed and low pitched tinnitus *ER high pitched tinnitus Otitis media (IR) Dizzy Ear infections Swallowing & Chewing Bells Palsy
Scalene triangle Costoclavicular passage Pec minor/coracoid process Weakness Paresthesia of medial arm, forearm and overhead
Thoracic outlet syndrome
Golfers elbow
medial epicondylitis
C5
Deltoid, biceps motor Lateral arm sensation
Median N Supples
Forearm flexion + pronation Wrist Flexion + Radial deviation Thumb AB + Opposition Index + middle finger AB + flexion
Nighttime numbness of lateral 1-3 fingers Wrist pain
Medial Nerve entrapment Carpal tunnel syndrome
Palatine Clinical
Sphenopalatine ganglion involvement Pterygopalatine ganglia: Trigeminal: Motor: Mastication Issues with TMJ, swallowing and speech
radial N supplies
Triceps, Brachii, aconeus, wrist extensors
Direct cranial motion impulse correction
Identify asymmetry of cranial motion Midpoint between flexion and extension apply a gentle force in a corrective direction
Drop arm test
supraspinatus tear
Straight Leg
Compressed lumbosacral N root
Section 2
(50 cards)
AA HVLA
Flex spine fully Rotate and thrust
Newborn skull lacks?
Mastoid process
Temporalis fossa
Filled by temporal muscle
Sagittal suture
Fingers inferior portion of parietal suture bilaterally Thumbs cross the sagittal suture Gap the joint Hold until release is noted
SBS decompression
Direct: Gently engage Temporal bones to distract against the occiput Pull in an anterior and slightly superior direction Indirect: BMT compression first. followed by release
C2-C7 HVLA (SB emphasis)
Rotate where they like SB where they don't like Rotational arch thrust
petrous portion of temporal bone
Thick portion of the temporal bone; hearing and balance are housed here Mastoid process
Occipitomastoid release
Ipsilateral hand around mastoid process Contralateral hand around occiput Roll head towards affected side Traction of Mastoid anteriorly
AA
Fully Flex and then rotate
Lamda
Sagittal and lambdoid suture meet
Temporal pull
Use a pincher grip Apply gentle traction laterally, posteriorly, and superiorly Encourage inhalation
asterion suture
Parietal Temporal Occiput
Frontal bone motion
Glabella (middle) moves anterior or posterior ER: lateral sides anterior, glabella posterior
bregma suture
junction of coronal and sagittal sutures
Parietal Lift
Place fingertips on both parietal bones just superior to the parietal-sqaumous sutures Cross and hook thumbs: pivot IR parietal bones Maintain until superior give or lateral fullness
OA
Type 1 F/E Opposite
5-finger temporal hold
Middle finger: Ear Thumb + index contact arch 4th and 5th finer on the mastoid process F/ER: thumb+index move inferomedial Move back and forth between IR/ER until bones achieve equality of motion
V spread
Spread at one end Compress at the other
OA BLT
Monitor (pincher) on either side of C1 to stabilize and monitor OA Then use other hand to put where they like to go
Ischemic compression
physician places thumbs over trigger point Apply a pinching force over the trigger
Lambdoid synostosis
Affected side: Flattenening of the back of the head Mastoid bulge Ear is deviated posteriorly
PC1 inion
FSTRA
C2-C7 Still
FE, SB, Rotate into ease Compress into direct
Becker contact
Thumbs: Greater sphenoid wings Index: mastoid processes Middle finger: posterior to OM suture Pinky: Mastoid process Palms: cup occiput
HVLA OA
Thrusting hand on occiput just inferior to sulcus (MCP below) Other hand on patients chin R & SB into barriers Force directed at pts eyes (Arching thrust)
Pterigo (spheno) palatine ganglion inhibtion
Posterior and lateral to the molars Medial to pterygoid Push superior, medial and posterior Hold and await relaxation
Frontal Occipital Contact
Cup occiput Cup forehead so that one finger is on greater wing of sphenoid and the thumb is on the other
Cervical traction, seated
Hand ipsilateral to the foot on the table cradles the occiput Hand on forehead Stand up and add traction
frontal lift
Engage lateral inferior edge of frontal bone Apply anterior force and some anterior rotation
Head pain (temporal)
Pain along a suture May radiate from a point of restriction Tension headache Occipitomastoid & Asterion (migraine) Parietosquamous
Balanced Membranous Tension
Indirect technique: used for any SD Find the side it likes to go Balance the two sides No longer can palpate CRI: still point When it returned then its symmetrical
Cervical FPR
Flatten: flex head and neck Gentle axial compression towards feet Move into ease of motion
Frontal bone Clincal
Sinusitis Visual problems Anosmia
Sagittal synostosis
Premature fusion of the sagittal suture Restricts transverse (horizontal) growth
Cervical Traction, supine
One hand cradles occiput Other hand below chin Exert cephalad traction
C2-C7
Type 2 F/E Same
Vault Contact
Index finger: greater wing of sphenoid Middle finger: Anterior to the ear Ring Finger: mastoid process Pinky: Occiput
Temporal headache
Pterion
Unicoronal synostosis
"Anterior Plagiocephaly" "C-shaped' facial deformity Base of the nose is drawn towards the affected side Tip is pointing away Affected forehead is flat and the ear is more anterior
PC 3
F Sara
Temporal bone motion
Mastoid process moves medially Squamous portion moves laterally
Lower temporal ridge
Origin of the temporalis muscle
TMJ decompression
1. thumb on TMJ, rest of fingers on mandible Indirect compression of mandible towards TMJ until relaxation 2. Switch the lateral mandible Push inferior and anterior
AA still
Monitor at C1 Rotate into ease Compress into direcgt
Bicoronal Synostosis
Fused coronal sutures Can't grow AP Grows horizontal and vertical
PC 1 and 2 occiput ,4-8
E SaRa
Cranial Vault bones
Frontals Parietals Temporals
Upper temporal ridge
Attach to temporal fascia
Head pain (frontal)
Coronal: Tensions headaches Global: diminished primary respiration and CSF flow due to increase dural tension at the cribriform plate
OA Still
Monitor at basioocciput SB and F/E rotation in the opposite direction occurs b/c of coupling Indirect to direct
Section 3
(29 cards)