Clinical stuff -Brown

Question 1

What orthopedic tests should be used for low back pain? (1)

Answer 1

straight leg raise

Question 2

What orthopedic tests should be used for neck pain? (3)

Answer 2

 Spurling’s Test
 Compression Test
 Distraction Test

Question 3

What orthopedic tests should be used for shoulder pain? (4)

Answer 3

 Biceps Load Test
 Apprehension Test
 Drop Arm Test
 Empty Can Test

Question 4

What orthopedic tests should be used for elbow pain? (1)

Answer 4

Cozen’s test

Question 5

What orthopedic tests should be used for Wrist/Hand pain? (3)

Answer 5

 Tinel’s sign
 Phalen’s sign
 Finkelstein’s test

Question 6

What orthopedic tests should be used for Hip pain? (3)

Answer 6

 Thomas Test
 FABER/FADIR Tests
 Trendelenburg Test

Question 7

What orthopedic tests should be used for leg pain? (1)

Answer 7

 Ober Test

Question 8

What orthopedic tests should be used for knee pain? (5)

Answer 8

 Lachman Test
 Anterior/Posterior Drawer Test
 McMurray Test
 Patellar Ballotment
 Varus/Valgus Stress Test

Question 9

What orthopedic tests should be used for ankle pain? (1)

Answer 9

 Anterior Ankle Drawer Test

Question 10

What orthopedic tests should be used for foot pain? (1)

Answer 10

plantar fasciitis test

Question 11

What does the straight leg test test for?

Answer 11

lumbar radiculopathy or protruding discs

Question 12

What is Spurling’s test for?

Answer 12

test for compression of the nerve root exit by placing axial pressure sending numbness and tingling down their arms

turn the head to the side of the injury and apply axial pressure

+=shooting numbness/tingling down

Question 13

What is the Distraction test?

Answer 13

pt lay down supine, physician grab the base of the skill and pull superiorly to widen the canal and relieve the pressure of the nerve root

+ sign: relief of symptoms

Question 14

What is the compression test?

Answer 14

press straight down axially for nerve root compression

+: pain or numbness down arm

Question 15

What is the biceps load test? What does it test for?

Answer 15

issues with the top part of the labrum

life and flex the elbow at 90 degrees (like flexing biceps) and then have them contract against you

subacromial pain=+ for sup larbal tear

Question 16

What is the apprehension test?

Answer 16

arm flexed and then physician from behind apply anterior pressure to the back of the shoulder while externally rotating the shoulder.

+=anterior labral tear

Question 17

What is the drop arm test?

Answer 17

bring the pts arm straight out to the side and then slowly lower it to the side

+=unable to smoothly, slowly lower=supraspinatus m.

Question 18

What is the Empty Can Test?

Answer 18

abduct the arm and then turn the thumb down and put pressure on the top of the arm

+: supraspinatus m. problem
-pain or weakness

Question 19

What is Cozen’s test?

Answer 19

test for lateral epicondylitis

examiner stabilizes the patients elbow with his/her thumb while palpating the lateral epicondyle. The patient is then asked to actively make a fist, pronate his or her forearm as well as radially deviate and extend the wrist against a counterforce that is being applied by the examiner.

+ test would be the reproduction of pain near the lateral epicondyle

Question 20

What is the Thomas test?

Answer 20

test for tightness of the hip flexors (iliopsoas and rectus femoris mm)

have the pt on the edge of the table and lay supine and bring the pts legs to their chest, keeping their back flat on the table. slowly bring the pts leg down one at a time and see if you can lower it all the way down to the table.

Question 21

What is the FABER test?

Answer 21

for SI dysfunction: flex, abduct, and externally rotate

Question 22

What is the FADIR test?

Answer 22

Acetabulum and femoral head checking for osteoarthritis and deformities

flex, adduct and internally rotate

+=pain=pathology

Question 23

What is the Trendelenburg?

Answer 23

assessing for gluteus medius m function

+ sign: stand on one foot and lift the unaffected side and if the iliac crest drops on the unaffected side, there is a problem with the gluteus medius m.

Question 24

What is the Ober test?

Answer 24

test for IT band syndrome

have the pt lie lateral recumbent on the unaffected side. Extend, laterally rotate and abduct the hip. can palpate the IT band for tightness

IT band syndrome is common in hikers and runners

Question 25

What is the Lachman’s test?

Answer 25

test for ACL tear

pt supine, flex knee 20 degrees with foot stabilized on the table and then stabilize the proximal leg and pull anterior on the tibia

increase laxity=ACL tear=+

Question 26

What is the Drawer test?

Answer 26

pt supine with hip and knee flexed at 90. physician stabilizes foot and places their hand around the tibia to apply an anterior force

+=ACL tear=laxity

can also check PCL with posterior motion

Question 27

What is the Ballotment test?

Answer 27

push down on patella and check for rebound

a lot of effusion=rebound=+

Question 28

What are the varus and valgus stress tests?

Answer 28

tests for medial and lateral collateral ligaments

have the pt flex their knee to 20 degrees and the physician stabilizes the distal ankle

push knee inward–> test medial collateral ligament=valgus test

Question 29

What is McMurray Test?

Answer 29

to check the medial and lateral meniscus

have the pt lie supine in full hip flexion. place one hand around the knee and another under the pts heel

to check medial meniscus: apply a valgus force to the knee and externally rotate the tibia an extend

to check lateral meniscus: internally rotate the tibia while applying a varus force and extending

Question 30

What is the anterior ankle drawer test?

Answer 30

check for a lateral ankle sprain

grab the distal tibia and slide the heel forward, assessing for laxity in the joint

Question 31

What is the plantar fasciitis test?

Answer 31

dorsiflex the pt’s foot and palpate their heel where the calcaneal tuberosity is.

+=pain