1 - Orthopedic Tests Flashcards
What syndrome(s) might cause a positive Allen’s test?
-TOS, cervical subluxation, Raynaud’s syndrome (patency loss of the extremity arteries).
Adson’s, How long do you palpate the radial artery with this test?
-10-20 seconds, enough to decide if the pulse volume has changed.
Positive Adson’s indicates ?
-Scalenus anticus syndrome = pressure on the subclavian artery and brachial plexus.
What diagnosis is suspected with a positive Adson’s turning away from the side being tested?
-Maybe a cervical rib or Scalenus medius syndrome.
Is a cervical rib that causes loss of patency….acute or chronic?
-Usually an acute exacerbation, because bone will normally grow away from the artery.
What is a positive for Eden’s test?
-Decreased pulse volume.
A positive Eden’s test indicates?
-Costoclavicular syndrome.
What constitutes a positive Wright’s test?
-10-15 degrees difference in left vs. right arm abduction. You’re comparing where you lose the palpable radial pulse from one arm to the other arm.
A positive Wrights test indicates?
-Hyperabduction syndrome.
What constitutes a positive Yergason’s?
- Tendon pops out of the groove
- Indicates: Bicepital Instability
- Differential Diagnosis: pain w/o slipping may be an inferior humerus.
Dawburn’s:
- Positive: Pain disappears on abduction
- Indicates: Subacromial bursitis
- Negative: Pain remaining throughout abduction may be an inferior humerus
Dugas:
- Positive: Patient cannot touch chest with affected arm / elbow while grasping the opposite shoulder
- Indicates: Shoulder dislocation / separation
Shoulder apprehension:
- Positive: Look of alarm on face or patient pulling away from doctor’s pressure
- Indicates: Glenohumeral instability / propensity to dislocate
Visualization: St-Cl S
-Proximal end of clavicle sits higher than the opposite side
Visualization: A-C PS
-Distal end of the clavicle sits higher causing a visual prominence
