CLINICAL ORTHO -- OTHER X 13

Question 1

OTHER USEFUL TESTS X 13

1–ADAM’S POSITIONS/TEST ; HOW??

Answer 1

INDICATIONS =

• -BEND FORWARD; IF SPINE = NORMAL = FUNCTIONAL SCOLIOSIS
• -IF STILL CROOKED = STRUCTURAL SCOLIOSIS

***DR OBSERVE FROM BEHIND AND FROM THE FRONT!!

Question 2

OTHER USEFUL TESTS X 13

2–RIB COMPRESSION TEST ; HOW?

Answer 2

INDICATIONS =

REACH FROM BEHIND AND PUSH MY ELBOWS ON RIBS OF PATIENTS/ LOCALIZED PAIN = COSTOCHONDRITIS

Question 3

OTHER USEFUL TESTS X 13

3–SPINAL PERCUSSION TEST ; HOW??

Answer 3

INDICATIONS =

HAMMER EACH SP; REPEAT ON CERVICAL PARASPINALS; WITH THORACIC ONLY SP!!
PAIN = VERTEBRAL FX; LIGAMENT STRAIN; DISC HERNIATION; MUSCLE STRAIN

Question 4

OTHER USEFUL TESTS X 13

4–SPINAL VIBRATION TEST ; HOW??

Answer 4

INDICATIONS =

USE 128 HZ (EAR MUFFS) ON EACH SP; PAIN = VERTEBRAL FX

Question 5

OTHER USEFUL TESTS X 13

5–LIBMAN’S ; HOW??

Answer 5

INDICATIONS =

APPLY PRESSURE ON MASTOID; TO CHECK PAIN THRESHOLD OF PT

“LIBMAN THE MASTER”

Question 6

OTHER USEFUL TESTS X 13

6–RUST SIGN ; HOW?

Answer 6

INDICATIONS =

UPON STANDING, PT WILL GRAB HEAD = CERVICAL INSTABILITY

Question 7

OTHER USEFUL TESTS X 13

7–DEJERINE’S TRIAD; HOW??

Answer 7

INDICATIONS =

PAIN BROUGHT ON AFTER PT DOES-COUGH -SNEEEZE OR STRAINING ON STOOL; PAIN = SPACE OCCUPYING LESION

Question 8

OTHER USEFUL TESTS X 13

8–BEEVOR’S SIGN ; HOW??

Answer 8

INDICATIONS =

PT SUPINE AND DOES HALF SIT UP WHILE I LOOK AT UMBILICUS.
IF MOVES UP = T11–T12 NERVE ROOT LESION
IF MOVES DOWN = T7–T9 NERVE ROOT LESION
IF MOVES SIDEWAYS = T10 LESION

Question 9

OTHER USEFUL TESTS X 13

9–LHERMITTE’S SIGN; HOW?

Answer 9

INDICATIONS =

PT SEATED OR SUPINE; PT ACTIVE AND PASSIVELY FLEXES HEAD TOWARD CHEST

PAIN = SHARP ELECTRIC SHOCK DOWN SPINE AND INTO EXTREMITIES; PAIN = MULTIPLE SCLEROSIS MYELOPATHY

Question 10

OTHER USEFUL TESTS X 13

10—STERNAL COMPRESSION TEST; HOW?

Answer 10

INDICATIONS =

DR APPLIES PRESSURE ON STERNUM; PT IS SUPINE; IF PAIN IN RIBS LATERAL BORDER = RIB FRACTURE

Question 11

OTHER USEFUL TESTS X 13

11–HOMAN’S SIGN; HOW??

Answer 11

INDICATIONS =

–SUPINE PT; LEG AT 90//90; SQUEEZE CALF AND DORSIFLEX THE FOOT AT THE SAME TIME; DEEP PAIN IN CALF = DEEP VEIN THROMBOSIS

Question 12

OTHER USEFUL TESTS X 13

12—SCHEPELMANN’S SIGN ; HOW??

PAIN ON THE CONCAVE SIDE =???
PAIN ON THE CONVEXITY SIDE =??

Answer 12

INDICATIONS =

PATIENT RAISES BOTH ARMS OVER HEAD WHILE SEATED AND LATERALLY BENDS TO BOTH SIDES;

INTERCOSTAL NEURALGIA

PLEURISY

Question 13

OTHER USEFUL TESTS X 13

13–CLAUDICATION TEST =??

Answer 13

INDICATIONS =

PT IS MADE TO MARCH IN PLACE FOR ONE MINUTE ; PAIN IN THE CALVES = INTERMITTENT CLAUDICATION