12: What Does this Suggest? Flashcards
What does this finding suggest may be the problem?
Positive crossover test (adduct patient’s arm across chest).
Inflammation or arthritis of the AC joint
What does this finding suggest may be the problem?
Positive drop arm test in a patient over 60 years of age.
Degenerative rotator cuff tear. The combined findings of supraspinatus weakness, infraspinatus weakness, and a positive impingement sign increase the likelihood of a tear.
What does this finding suggest may be the problem?
Difficulty with the Apley scratch test.
Rotator cuff disorder or adhesive capsulitis
What does this finding suggest may be the problem?
Pain with Neer’s sign.
Inflammation or rotator cuff tear
What does this finding suggest may be the problem?
Pain with Hawkin’s sign.
Inflammation or rotator cuff tear
What does this finding suggest may be the problem?
Weakness with empty can test.
Rotator cuff tear
What does this finding suggest may be the problem?
- Weakness when asking the patient to place arms at the side and flex the elbows to 90 degrees with the thumbs turned up.
- Provide resistance as the patient presses the forearms outward.
Rotator cuff tear or bicipital tendinitis
What does this finding suggest may be the problem?
Pain with forearm supination.
Inflammation of the long head of the biceps tendon or rotator cuff tear
What does this finding suggest may be the problem?
Weakness with the drop arm test.
Rotator cuff tear
What does this finding suggest may be the problem?
Pain with Finkelstein’s test.
deQuervain’s Tenosynovitis
What does this finding suggest may be the problem?
Weakness with thumb abduction.
Carpal Tunnel
What does this finding suggest may be the problem?
Aching and numbness in the first 3 fingers with Tinel’s sign.
Carpal Tunnel
What does this finding suggest may be the problem?
Numbness and tingling with Phalen’s sign.
Carpal Tunnel
What does this finding suggest may be the problem?
Elbow supination causes pain.
Medial Epicondylitis (Golfer’s Elbow)
What does this finding suggest may be the problem?
Elbow pronation causes pain.
Lateral Epicondylitis (Tennis Elbow)
What does this finding suggest may be the problem?
Swollen olecranon process.
Bursitis
What does this finding suggest may be the problem?
Thenar eminence is flattened.
Carpal Tunnel
What does this finding suggest may be the problem?
Weakness with thumb/first finger opposition to resistance.
Carpal Tunnel
What does this finding suggest may be the problem?
Deformity of the thorax with forward bending (Adam’s bend test).
Scoliosis
What does this finding suggest may be the problem?
Persistence of lumbar lordosis with forward bending.
- Muscle Spasms
- Ankylosing Spondylitis
What does this finding suggest may be the problem?
Decreased spinal mobility with back extension.
- Osteoarthritis
- Ankylosing Spondylitis
What does this finding suggest may be the problem?
A wide standing/walking base.
Cerebellar disease or foot problems
What does this finding suggest may be the problem?
A waddling gait caused by the pelvis dropping on the other side.
- Hip dislocation
- Arthritis
- Leg length discrepancy
- Abductor weakness
What does this finding suggest may be the problem?
Loss of lordosis.
Paravertebral spasm
What does this finding suggest may be the problem?
Excess lordosis.
Flexion deformity of the hip
What does this finding suggest may be the problem?
Leg shortening and external rotation of the hip.
Hip fracture