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SCI HOME COLUMN TECHNIQUE PEEK STUDIES QUIZ

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MTO QUIZ #15
Clinical Biomechanics

 

This quiz concerns clinical biomechanics. The following table asks for classification information about named joints. Fill in the blanks.

JOINT Ovoid/ Sellar Modified/ Unmodified Close Pack Position Least Pack Position Conjunct Rotation with Close Packing
Glenohumeral
Ulnohumeral
1st CMT
2nd MCP
Hip
Tibiofemoral
Ankle
Subtalar




ANSWERS
JOINT Ovoid/ Sellar Modified/ Unmodified Close Pack Position Least Pack Position Conjunct Rotation with Close Packing
Glenohumeral OVOID UNMODIFIED 90 ° ABDUCTION/ 90 ° LATERAL ROTATION/ EXTENSION 30 ° ELEVATION/ 30 ° ABDUCTION/ 30 ° MEDIAL ROTATION NONE. THIS IS AN UMODIFIED OVOID
Ulnohumeral SELLAR MODIFIED EXTENSION/ PRONATION 110 ° (GEOMETRIC MEASURE) MEDIAL
1st CMT SELLAR UNMODIFIED FULL OPPOSITION RESTING POSITION OF THE HAND MEDIAL
2nd MCP OVOID MODIFIED FULL FLEXION RESTING POSITION OF THE HAND LATERAL
Hip OVOID UNMODIFIED EXTENSION/ MEDIAL ROTATION/ ??ADDUCTION 70 ° FLEXION/ 30 ° LATERAL ROTATION/ 30 ° ABDUCTION NONE. THIS IS AN UMODIFIED OVOID
Tibiofemoral OVOID MODIFIED FULL WEIGHT BEARING EXTENSION 40 DEGS FLEXION LATERAL
Ankle SELLAR MODIFIED DORSI-FLEXION 80 ° (GEOMETRIC MEASURE) LATERAL
Subtalar SELLAR* MODIFIED EVERSION 10 ° INVERSION MEDIAL


*Each surface of the subtalar joint is structurally a modified ovoid but each must function with the other therefore the joint is functionally one surface. The posterior surface of the calcaneus is convex while the anterior is concave. Consequently, the joint functions as a concavoconvex surface ie a modified sellar.

References can be found in Gray's Anatomy 36th edition and on and in your course notes (for those of you who have taken manual therapy courses).




 

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