NUR1 239 Chapter Notes -Trapezius Muscle, Lymphadenopathy, Coronal Plane
12 Sep 2014
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1-joints; pain, stiffness, swelling, heat, redness, limitation of movement. Inspect the skin and tissues over the joints for colour, swelling and any masses or deformity. The presence of swelling is significant and signals joint irritation. With the pt seated, inspect the area just anterior to the ear. Place the tips of your first two fingers in front each ear, ask the pt to open and close the mouth. Drop your fingers in the depressed area over the joint, and note smooth motion of the mandible. An audible and palpable snap ou clock occurs in many healthy people as the mouth opens. Crepitus and pain occur with temporomandibular joint dysfunction. Ask pt to open mouth maximally: vertical motion=normal space is 3-6 cm or 3 fingers between upper and lower incisors. Ask pt to trust lower jaw side to side: lateral motion= normal extent is 1-2 cm. Ask pt to stick out jaw: protusion without deviation.
