Physical Therapy Clinical Scenario and Questions

A patient presents with the following ROM measurements during their physical exam: • Shoulder flexion: 180° • Shoulder abduction: 150° • Elbow flexion: 110° • Elbow extension: 5° hyperextension. Which motion is restricted, and which osteokinematic glide would be most appropriate to improve it?

• Shoulder abduction; inferior glide

• Elbow flexion; anterior glide

• Elbow extension; posterior glide

• Shoulder flexion; posterior glide

A patient is positioned in 90 degrees of shoulder elevation. Approximately how much of that motion is contributed by the glenohumeral joint versus the scapulothoracic articulation based on typical scapulohumeral rhythm?

• 60 degrees glenohumeral, 30 degrees scapulothoracic

• 45 degrees glenohumeral, 45 degrees scapulothoracic

• 30 degrees glenohumeral, 60 degrees scapulothoracic

• 75 degrees glenohumeral, 15 degrees scapulothoracic

A compression of the suprascapular nerve within the suprascapular notch would affect the function of which rotator cuff muscle(s)?

• Supraspinatus only

• Infraspinatus only

• Supraspinatus and Infraspinatus

• None of the above

During scapular protraction, what are the arthrokinematics occurring at the sternoclavicular (SC) joint?

• Convex clavicle glides posteriorly on concave sternum

• Concave clavicle glides anteriorly on convex sternum

• Convex clavicle glides anteriorly on concave sternum

• Concave clavicle glides posteriorly on convex sternum

A physician makes a medical diagnosis based on only one view of an X-ray. Should this diagnosis be trusted?

• Yes, one view is sufficient for most conditions

• Yes, as long as the patient is asymptomatic

• No, two views are required at a minimum?

• There are no guidelines for imaging

A patient is recovering from an elbow injury. Their elbow ROM is measured as 0° extension / 25° flexion start / 105° flexion end (0/25/105). Does this patient have enough ROM to be considered functional for typical community activities?

• No, they lack both normal and functional ROM

• Yes, they have full normal ROM

• Yes, they have functional ROM but still lack full normal ROM

• No, elbow function is lost without full ROM

The stabilization of the ulnohumeral joint primarily relies on which of the following?

• Radial collateral ligament

• Ulnar collateral ligament

• Ulnohumeral joint articulation

• Annular ligament

An 8-year-old male presents to the clinic with elbow pain. Which of the following ossification centers would NOT be expected to be completely ossified yet?

• Capitellum

• Radial head

• Medial epicondyle

• Olecranon

A rupture of the ulnar collateral ligament (UCL) of the elbow would most likely lead to which functional impairment?

• Decreased elbow flexion strength

• Increased valgus instability at the elbow

• Loss of forearm supination

• Reduced wrist extension

Which muscles make up the 4th extensor compartment of the forearm?

• Extensor digitorum and extensor indicis

• Extensor carpi radialis longus and brevis

• Extensor pollicis longus and abductor pollicis longus

• Extensor digiti minimi and extensor carpi ulnaris