Approach to MSK Physical Exam

Question 1

Pes anserinus

Answer 1

Goose’s foot

Attachment site of gracilis, sartorius, and semitendinosus

Question 2

Spurling’s test

Answer 2

Test for cervical nerve root compression on the side of flexion
Compress the foramen where the nerve root exits

Question 3

Trendelenberg gait

Answer 3

Weakness of the hip abductor muscle - gluteus medius (L5)
When standing on the weak side, the opposite hip will drop lower
Creates a “waddle”
May be compensated by leaning the trunk towards the weak side

Question 4

Leg length measurement

Answer 4

Apparent method: belly button to foot

True method: using bony landmarks