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Musculoskeletal 1 > Flip a coin or not? LE > Flashcards

Flip a coin or not? LE Flashcards

1
Q

Anterior Drawer

A

Tests ligamentous laxity (ATFL & Ant Delt)

Meh (OK spin .73 but not great, Shitty Snout .33)

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2
Q

Medial Talar Tilt

A

Tests for ligamentous laxity of ATFL, CFL, & PTFL

Good Spin .88 worth doing to rule in

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3
Q

Impingement Sign

A 
Tests for anterior ankle impingment
Awesome spin (.88) and snout (.95) (DO IT)
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4
Q

Talocrural Impingement (CPR)

A 
Great snout (.94)
Spin (meh .75)
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5
Q

Syndesmosis Squeeze Test

A

Syndesmotic ankle sprains
Spin is awesome (.94) Rule it in
Flip a coin on snout (.30) Can’t rule it out

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6
Q

External Rotation Test

A

Tests for Syndesmotic ankle sprain
Good spin (.85)
Flip a coin for snout (Crappy .20)

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7
Q

Thompson Test

A

Tests for Achilles tendon integrity
Its going to tell you everything you need to know about the Achilles integrity
Snout .96
Spin .93

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8
Q

Navicular Drop

A

Less than 3 mm drop may indicate need for OTC orthotics
Spin good (.80)
Dont worry about snout

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9
Q

Ottawa Ankle Rules

A

Definitely can rule out a fracture, can’t rule one in
Snout .98
Spin .20
Put a tuning fork on the lat malleolus and see if it hurts (improves accuracy)

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10
Q

FABER

A

Presence of hip pathology (not specific)

Just flip a coin

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11
Q

Item Cluster: Hip Osteoarthritis

A 
Identify presence of osteoarthritis in the hip (either cluster)
good snout (.86)
Spin ok (.75)
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12
Q

Hip Quadrant

A

Presence of hip pathology (not specific)
Snout meh (.75)
flip a coin to rule it in (.43 Spin)

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13
Q

FAIR test

A

Test for irritation or compression of sciatic nerve
I would do it
Spin .83
Snout .88

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14
Q

CPR: Radiographic Lumbar Instability

A

Detect radiographic instability
Positive if no hypomobility in vertebral segments and lumbar flexion greater than 53 when measured w/ single bubble inclinometer
Awesome Spin (.98)
Don’t even think you can rule out instability though (.29 snout)

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15
Q

Slump Test

A

Test for disc bulge or herniation
Doc Z would use it to rule out but would flip a coin to rule it in
.92 snout
.28 spin

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16
Q

Straight Leg Raise Test

A 
Tests for disc bulge or herniation
Good spin (.90)
BAD snout (.28)
Maybe add with slump test (switched snout and spin)
17
Q

Slump Knee Bend Test

A

Tests for nerve root compression
Snout 1.00 ?? What
Spin .83 Still good
Can also test for femoral neural tension

18
Q

Prone Instability Test

A

Tests Lumbar Instability
Not a great test by itself
Snout .72
Spin .58

19
Q

Passive Lumbar Extension Test

A

Tests for radiographic lumbar instability

Good snout and spin (.84 snout, .83 spin)

20
Q

CPR: Lumbar Manipulation

A

Determine likelihood that patient will respond to lumbar manip
Pretty Awesome +LR 13.2 when having 4 positive tests from CPR
-duration of current LBP 16 or less days
-No symptoms distal to knee
-FABQ work subscale 18 or less points
-Segmental hypomible in at least 1 segment
-Hip IR ROM with 1 or both hips has at least 35 degrees

21
Q

Gillet Test

A

Tests for Sacroiliac Dysfunction
Not great by itself
Snout sucks (.43)
Spin (.68)

22
Q

Supine to Long Sit

A

Tests for sacroiliac dysfunction
Not very reliable
Snout (.44), Spin (.64)

23
Q

CPR for Sacroiliac Dysfunction

A 
Good for ruling out .91 Snout
Spin (.78) almost there
-Distraction test
-Thigh Thrust Test
-Gaenslen Test
-Compression Test
-Sacral Thrust
24
Q

Lachman Test

A

Best test for ACL integrity
Snout .85
Spin .94

25
Q

Anterior Drawer Test

A

Can rule in an ACL can’t rule it out
Spin - .92
Snout - .55

26
Q

Pivot Shift

A

Same as Anterior Drawer (rule in ACL, not out)
Spin .98
Snout .24 (don’t event try to rule out ACL injury)

27
Q

Posterior Drawer Test

A

Kind of awesome for checking the PCL
Snout .9
Spin .99

28
Q

Valgus Stress Test

A

MCL integrity
Not so great just judging on Pain
Good snout when checking laxity (.91)
Spin sucks

29
Q

Varus Stress Test

A

LCL integrity

Don’t really know a lot about it

30
Q

McMurray Test

A

Medial and Lateral Meniscus Integrity
Better at ruling in lateral meniscus (spin .94)
Other then that, not so good

31
Q

Apley Grind Test

A

Medial and lateral meniscus integrity
Ok with ruling in injury spin .84
Not good at ruling out Snout .38

32
Q

Thessaly .20

A

Best for medial and lateral meniscus integrity
Can rule in or rule out meniscus injury pretty regularly
(Spin and Snout good for both Medial and Lateral Meniscus)

33
Q

Joint Line Tenderness

A

Better at ruling in meniscus injury (Spin .76 medial, .97 Lateral)
Not as good with ruling out (snout .83 medial, .68 lateral)

34
Q

Test Item Cluster: Knee Osteoarthritis

A 
3/6 signs
Good at ruling out OA for the knee (.69)
-age >50
-Stiff > 30 min
-Crepitus
-Bony Tenderness
-Bony Enlargement
-No palpable warmth
35
Q

Ottawa Knee Rules

A 
Determine if radiographs are needed
Great at ruling out fracture (.99 snout)
->55
-Isolated patellar tenderness
-Tenderness of fib head
-Inability to flex to 90
-Inability to bear weight immediately after injury and in the emergency department (4 steps)

Musculoskeletal 1 (10 decks)

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