12: MSK Tests Flashcards

1
Q

Which test/maneuver?

Aids in evaluating hip or sacroiliac disease (pain in buttocks, groin, or hip)

A

Patrick’s Maneuver (FABER or Figure-4 Test)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which test/maneuver?

Flexion, abduction, and external rotation of the leg/hip.

A

Patrick’s Maneuver (FABER or Figure-4 Test)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which test/maneuver?

Tests for malingering (made up pain)

A

Waddell Signs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which test/maneuver?

  • Apply pressure in the mid-gluteal region.
  • A positive sign could indicate potential sciatica or a herniated disc.
A

Sciatic Notch Test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which test/maneuver?

  • Used to assess nerve root pain (radicular pain).
  • The examiner turns the patient’s head to the affected side while extending and applying downward pressure to the top of the patient’s head.
  • Positive test causes pain to radiate into the upper extremity.
A

Spurling Test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Which test/maneuver?

  • Adduct the patient’s arm across the chest.
  • Positive test indicates AC joint inflammation or arthritis.
A

Crossover Test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which test/maneuver?

  • Ask the patient to touch the opposite scapula from below and again from over the shoulder (above).
  • Difficulty suggests a rotator cuff disorder or adhesive capulitis.
A

Apley Scratch Test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which test/maneuver?

  • Press on the scapula to prevent scapular motion with one hand.
  • Raise the patient’s arm with the other.
  • Pain indicates inflammation or rotator cuff tear.
A

Neer’s Impingement Sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which test/maneuver?

  • Flex the patient’s shoulder and elbow to 90 degrees with the palm facing down.
  • Then with one hand on the forearm and one on the arm, rotate the arm internally.
  • Pain indicates inflammation or rotator cuff tear.
A

Hawkin’s Impingement Sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which test/maneuver?

This compresses the tuberosity of the humerus against the acromion.

A

Neer’s Impingement Sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which test/maneuver?

This compresses the greater tuberosity against the coracoacromial ligament.

A

Hawkin’s Impingement Sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which test/maneuver?

This tests supraspinatus strength.

A

Empty Can Test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which test/maneuver?

This tests infraspinatus strength.

A

Patient places arms at the side and flexes elbows to 90 degrees with thumbs turned up. Provide resistance as the patient presses the forearms outward.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which test/maneuver?

  • Flex the patient’s forearm to 90 degrees at the elbow and pronate the patient’s wrist.
  • Provide resistance as the patient turns arms upward.
  • Pain indicates inflammation of the long head of the biceps tendon or rotator cuff tear.
A

Forearm Supination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which test/maneuver?

  • Elevate arms to 90 degrees and internally rotate the arms with the thumbs pointing down.
  • Ask the patient to resist you as you place downward pressure on the arms.
  • Weakness indicates rotator cuff tear.
A

Empty Can Test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Which test/maneuver?

  • Ask the patient to grasp the thumb against the palm and then move the wrist toward the midline in ulnar deviation.
  • Pain indicates deQuervain’s tenosynovitis.
A

Finkelstein’s Test

17
Q

Which test/maneuver?

  • Ask the patient to raise the thumb straight up as you apply downward resistance.
  • Weakness is a sign of carpal tunnel.
A

Thumb Abduction

18
Q

Which test/maneuver?

  • Tap lightly over the median nerve.
  • Aching and numbness in the first 3 fingers indicates carpal tunnel.
A

Tinel’s Sign

19
Q

Which test/maneuver?

  • Hold the wrists in flexion for 60 seconds.
  • Alternatively, ask patient to press the backs of both hands together to form right angles for 60 seconds.
  • Numbness and tingling in the first 3 fingers is positive.
A

Phalen’s Sign

20
Q

Which test/maneuver?

  • Suprapatellar compression ejects fluid into the spaces adjacent to the patella.
  • Causes a palpable fluid wave.
A

Balloon Sign

21
Q

Which test/maneuver?

  • With the patient supine, grasp the heel and flex the knee.
  • Cup your other hand over the knee joint with fingers and thumb along the medial joint line.
  • From the heel, externally rotate the lower, then push on the lateral side to apply valgus stress on the medial side of the joint.
  • At the same time, slowly extend the lower leg in external rotation.
  • Repeat maneuver with internal rotation and fingers over lateral joint line.
  • Positive sign is a click (felt/heard), tenderness along joint line.
A

McMurray Test

22
Q

Which test/maneuver?

  • Patient supine, knee slightly flexed, move the thigh about 30 degrees laterally.
  • Place one hand against the lateral knee to stabilize the femur and the other hand around the medial ankle.
  • Push medially against the knee and pull laterally at the ankle to open the knee joint on the medial side.
  • Pain or a gap in the medial joint line is positive.
A

Valgus Stress Test (Abduction)

23
Q

Which test/maneuver?

This tests the MCL.

A

Valgus stress Test (Abduction)

24
Q

Which test/maneuver?

This tests the LCL.

A

Varus Stress Test (Adduction)

25
Q

Which test/maneuver?

  • Patient supine, knee slightly flexed, move the thigh about 30 degrees laterally.
  • Place one hand against the medial knee to stabilize the femur and the other hand around the lateral ankle.
  • Push laterally against the knee and pull medially at the ankle to open the knee joint on the medial side.
  • Pain or a gap in the lateral joint line is positive.
A

Varus Stress Test (Adduction)

26
Q

Which test/maneuver?

  • Have the patient lie supine with legs extended.
  • Squeeze the calf.
  • Positive sign has no plantar flection.
A

Thompson Squeeze Test

27
Q

Which test/maneuver?

  • Patient lies on stomach and bends knees up.
  • Presss down on the heel.
  • Positive sign is pain.
A

Apley’s Grind Test

28
Q

Which test/maneuver?

  • Patella bounces up and down when you touch it.
  • Effusion or pocket of fluid under the patella.
A

Patellar Ballottement

29
Q

Which test/maneuver?

  • Arm at 90 degrees.
  • Anterior pressure and external rotation.
  • Pain or fear of the feeling of subluxation.
  • Positive test indicates glenohumeral instability.
A

Apprehension Test