Diagnostic accuracy of special tests Flashcards
Apprehension test (apprehension and/or pain)
SP
Relocation test
SP
Jerk test (posterior instability)
SN
Hawkins
SN
Neer
SN
Painful arc
SN
Empty can
SN>SP but close
Drop arm
SP
ER lag
SP
Infraspinatus
SP
Hornblower
SN (1.0!) Rules out complete tear of teres minor
IR lag sign
SN (1.0!) Rules out complete tear of subscap
Panxios test
SN
Active compression test
O’briens: SN
Biceps load II
both .9 SN and SP
Anterior slide test
SP
Compression rotation
Crank/SN
Combination of tests for slap
Name three highly SN
Name three highly SP
SN: Crank, apprehension, active compression/obriens
SP: Yergansons, biceps II, speed
You would chose two SN and one SP to get .9 SP
Rule for cluster of RTC. 2 positive vs. 3
2 positive = impingment+ LR 11
3 positive = RTC pathology +LR 16
Elbow extension test
for elbow fx.
~1 SN
Moving valgus stress test
SP of 1.0!
Elbow flexion test
neurologic dysfunction: supine max ER, elbow flexion and wrist extension for one minute
SP of ~1.0
Ulnomeniscotriquetral dorsal glide test
For TFCC: ulna posterior, radius anterior
Barely SP
Watson/scaphoid shift test
pronated, wrist in full ulnar deviation and slight extension while stabilizing metacarpals
Pressure on distal pole of scaphoid while radially deviating and slightly flexion pt’s hand
Just barely SP
Eichoff’s and Finkesteins
SN
WHAT test (wrist hyperextension and ABD test
De’quervain’s: pt’s wrist hyperflexed with thumb ABD in full MCP and iP extension, examiner pushes thumb into ADD
~1.0 SN
Allens test
for ulnar and radial vascular deficiency
SP ~1
Scour
SP
FABER
SN
Trendelenburg
SP
What is the combination of tests for hip OA (5)
Sxs increase with squatting Lateral hip pain with active hip flexion Pain with active hip extension (+) scour <25 IR
HUGE (+)LR if all five or four are present
Lachman vs. Anterior drawer
Higher SP
Higher SN
Higher SP: neither they are both .81 specific
Higher SN: Lachman
Anterior drawer
SP
Posterior drawer
~1 SP
Posterior lag sign
~1 SP
Valgus
SN
pivot shift
SP
Mcmurry and thessley
SP but thessley>mcmurry
Patellar apprehension test
SP
Ottawa knee rules in kids and adults
SN
Anterior drawer
SP
talar tilt
SP
Medial subtalar glide test: hold talus and move calcaneous medially didn’t say anything else about it at all
SP
Kleiger test
SP
DF ER test
SN
squeeze test: syndesmosis
SP
Thompson test
both >.90
SN >SP
Windlass test
~1 SN
Sharp-purser (transverse)
SP
Compression and distraction and spurlings
SP
Upper limb tension
SN
Hoffmann
SP
Reflex testing
SP
inverted supinator sign
SP
Babinski sign
SP
Clonus
SP
SLR
SN
Cross SLR
SP
Femoral nerve traction
SN
Centralization and peripheralization
SP
Slump: think LR cauas SP and SN are too close
~4 +LR
Passive lumbar extension
SP
Prone instability test
SN
Aberrant movement pattern
SN
FABER
SN
thigh trust
SN
Gaenslen’s
SP
Compression and distraction
SP
sacral thrust
SP
Combined: thigh trust, Gaeslen, compression, distraction, sacral trust
SN
BUT
(+)3.54 liklihood ratio
