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NMS2 > Individual Orthos 2 > Flashcards

Individual Orthos 2 Flashcards

0
Q

Belt test

A

SI joint
Standing, patient touches toes, then dr holds ASISs and braces buttocks w/hip, patient touches toes
Increased pain on the second part indicates a lumbar problem, no increase of pain on the second part indicates an SI problem
Erichsens, gaenslens

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1
Q

Anterior innominate

A

SI joint
Unaffected foot 2-3’ in front of other, bend forward till rear heel raises off ground
Unilateral forward displacement of ilium, sacrum or SI joint sprain
Belt, erichsens
“Mazions pelvic maneuver”

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2
Q

Erichsens

A

SI joint
Prone, compress both SI joints to make double IN ilium
Pain at the SI joint indicates is joint problem
Gaenslens, goldthwaits

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3
Q

Gaenslens

A

SI joint
Prone, dr on affected side, unaffected knee to chest
SI joint sprain, radiating pain to thigh or groin
Goldthwaits, hibbs

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4
Q

Goldthwaits

A

SI Joint
Supine, palpate L5-S1 raise affected leg and note when pain is felt.
Pain before separation=SI, after=lumbar problem (differential for diffuse pain)
Hibbs, iliac compression test
“Smith-Peterson”

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5
Q

Hibbs

A

Femoral head, acetabulum
Prone, knee at 90, internally rotate
Pain in the hip (acetabular or femoral head)
Iliac compression, lewin gaenslens

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6
Q

Iliac compression

A

SI joint
Sideline, compress hip downward (double EX)
Pain in SI joint (sublux, sprain, inflammation)
Lewin gaenslens, yeomans

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7
Q

Lewin gaenslens

A 
SI joint
Sideline, patient brings unaffected knee to chest, dr distracts affected leg posterior
SI pain (sprain, arthritis)
Yeomans, anterior innominate
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8
Q

Yeomans

A

SI joint
Prone, dr extends affected leg, supports sacrum
SI pain, muscle tightness (ant. SI lesion, femoral nerve irritation, iliopsoas/rectus femoris contracture)
Anterior innominate, belt

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9
Q

Actual leg length

A

Anitomical short leg
Supine, measure ASIS to medial malleolus, compare bilaterally
Difference of more than 6mm
Allis, apparent leg length

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10
Q

Apparent leg length

A

Pelvis, L3-5
Measure from umbilicus to medial malleolus bilaterally
Pelvic subluxation - difference of more than 6mm
Allis, actual leg length

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11
Q

Allis sign

A

Femur, acetabulum
Supine, both knees bent equally -observe from side and end
One knee more anterior (protrusion acetabuli, hip dislocation, hip fracture)
Actual leg length, apparent leg length
“Saleazzis sign”

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12
Q

Anvil test

A

Hip, heel
Supine, dr raises leg and hits bottom of foot
Hip pain- arthritis, femoral neck fracture, infection; heel pain- fracture of calcaneus, tibia, fibula
Gauvains, hip telescoping

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13
Q

Gauvains

A

Hip
Sideline, affected side up, leg abducted, rotate femur in socket (pre adolescent feel for abdominal guarding)
Hip pain- AVN, infection, fracture, gout (possible reffered pain to groin/ant. thigh)
Hip telescoping, Patricks

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14
Q

Hip telescoping

A

Hip
Supine, hip and knee to 90, grasp calf, move ant/post
Excessive joint play, clicking- dislocation, dysplasia
Patricks, obers

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15
Q

Patricks

A

Hip
Supine, affected legs foot above other knee, press down on affected knee and contralateral ASIS
Patient unable to perform/Pain at hip- DJD, OA, RA, SCFE, AVN, Fracture, strain/sprain
Obers, Thomas

16
Q

Obers

A

TFL
Affected side up, leg up, knee 90, allow knee to drop
Thigh remains abducted or drop w/spastic jerks- pain
Thomas, trendellenburg

17
Q

Thomas

A

Iliopsoas
Supine, patient actively pulls unaffected knee to chest.
Flexion contracture of affected leg or increased lumbar lordosis - shortening of iliopsoas
Trendellenburgs, anvil test

18
Q

Tendelenburgs

A

Gluteus medius
Standing, patient raises affected leg
Pelvic unleveling- low iliac crest on affected side
Anvil, gauvains

19
Q

Abduction (valgus) stress test

A

MCL
Supine, dr support leg with thighs, push knee medial, feel knee joint space
Pain/increased range of motion- MCL sprain or rupture
Adduction (varus) stress test, apleys compression

20
Q

ADDUCTION (varus) stress test

A

LCL
supine, dr supports leg with thigh, push knee out, feel knee joint
Pain/increased range of motion- LCL strain or rupture
Apleys, patella ballottement

21
Q

Apleys

A

Meniscus med/lat
Prone, bend affected knee to 90 while toe in/out, joint under axial pressure
Pain/cepetus- int rotation= lat meniscus, ext rotation= med meniscus (where heel points)
Patella ballottement, bounce home

22
Q

Patella ballottement

A

Knee (intra articular)
Supine, press patella to sides, look for motion
Spongy feel, increased movement, slow to return to resting position, sideways play- retro patellar effusion or intraarticular swelling
Bounce home, clarkes

23
Q

Bounce home

A

Meniscus
Supine, leg 20deg, drop knee to full extension
Pain, inability to fully extend knee- meniscal tear
Clarkes, mcmurray

24
Q

Clarkes sign

A

Patellofemoral joint
Supine, dr hand just above patella light pressure downward, patient contracts quads, patella slips under hand
Retropatellar pain, grinding, catching- chondromalacia patella/degeneration
Mcmurrays, lateral pivot shift maneuver

25
Q

Mcmurrays sign

A

Meniscus
Supine, hip and knee at 90, internal rotation and valgus stress or external rotation and varus stress as the leg is extended
Pain, cepetus, clicking- meniscus tear (lat with int rotation, med with ext rotation (heel points to side))
Lateral pivot shift maneuver, lachmans

26
Q

Lateral pivot shift maneuver

A

ACL
supine, dr puts leg in motion: adduct, int rotate, flex, valgus stress
Knee gives out- ACL tear
Lachmans, drawer

27
Q

Lachmans

A

ACL, PCL
Supine, knee at 25, pull tibia ant, push posterior
Pain w/wo increased translation- normal trans=sprain, hypermobile=rupture
Drawer test, abduction (valgus) stress test

28
Q

Drawer

A

ACL, PCL
Supine, knee at 90, pull tibia ant, push posterior
Pain w/wo increased translation- normal trans=sprain, hypermobile=rupture
Drawer test, abduction (valgus) stress test

NMS2 (3 decks)

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