Lab Final

Question 1

Obrien sign

Answer 1

Postive: 1. pain felt either deep or 2. superficial
Indicates: labrum tear if deep or AC joint problem if felt superficial

Question 2

Anterior Slide test

Answer 2

Positive: popping, cracking, and crepitus is noticed with pain on the anteroom- superior aspect of the shoulder
Indicates: Superior or anterior glenoid labrum tear

Question 3

Anterior apprehension test with relocate ( Jobes relocation test )

Answer 3

Positive: the patient senses relief upon relocation
Indicates: confirms anterior instability of The GH joint ( rules out tendinitis as false positive for anterior apprehension test )

Question 4

Hawkin Kennedy test

Answer 4

Positive : the supraspinatus tendon is jammed up against the anterior surface of the Coraco- acromial ligament due to narrowing of the subacromial space. Posterior pain implicates stretch of the trees minor and infraspinatus tendons.

Indicates: local= supraspinatus tendinitis and impingement. Anterior pain is ant impingement syndrome Posterior pain is posterior impingement syndrome

Question 5

Patte test (horneblower test)

Answer 5

Positive: pain or inability to actively externally rotate against restitance due to weakness.

Indicates: infraspinatus or teres minor tendinopathy

Question 6

Empty can test:

Answer 6

Positive: restiance to abduction and downward pressure stresses the supraspinatus muscle and tendon insertion

Indicates: tear, rupture to the supraspinatus muscle or tendon with possible supra scapular nerupathy

Question 7

Sulcus sign Load and Shift

Answer 7

POSITIVE: this motion attempts to dislocate the shoulder inferiorly. A sulcus that appears anterolateral will indicate instability and graded
Indicates: inferior shoulder instability and possible inferior dislocation . A +1 sulcus indicates less than 1cm… +2 indicates 1-2 cm …. +3 indicates more then 3 cm

Question 8

Marion shoulder maneuver

Answer 8

Postive: inability to actively raise the elbow to the forehead due to pain and/or stiffness

Indicates: Early stage adhesive capsulitis or non- inflammatory capsular adhesions

Question 9

Maximum elbow flexion test/ compression test

Answer 9

Positive: reproduction of paresthesia’s into the ulnar nerve distribution with possible weakness on handshake
Indicates: Cubital tunnel syndrome ( ulnar nerve entrapment at the burial tunnel)

Question 10

Valgus overload test for elbow

Answer 10

Positive : pain in the posterior elbow with reproduction of a locking or catching sensation or an inability to fully extend the elbow due to pain

Indicates: posterior elbow impingement syndrome

Question 11

Reverse Mills test

Answer 11

Positive: reproduction of pain in the medial elbow

Indicates: medial epicondylitis or golfer’s elbow

Question 12

Format’s paper

Answer 12

Positive: the patient is seen to flex the thumb thereby recruiting the median nerve to compensate for apparent weakness

Indicates: weakness or palsy of the adductor polices muscle - innervated by the ulnar nerve

Question 13

Hip impingement sign

Answer 13

Positive: sharp anterior catching hip pain
Indicates: Hip impingement syndrome

Question 14

Modified Ober test

Answer 14

Positive: the hip and lateral thigh remains in abduction ( does not angle down towards floor) the patient experiences lateral thighs pain upon the maneuver

Indicates: Tight TFL (possible contracture) with possible IT band syndrome

Question 15

Test for synovial Knee Plica (patellar bowstring)

Answer 15

Positive: popping, snapping, clunking , grinding or stuttering of the patella

Indicates: medial patella pain is medial knee synovial place syndrome. Lateral knee pain is lateral knee synovial place syndrome

Question 16

Noble test

Answer 16

positive: worse pain through 30/40 degrees of flexion/extension (painful arc of the knee) of the knee

Indicates: IT band syndrome or lateral knee impingement syndrome

Question 17

Godfrey “sag” sign

Answer 17

positive: the proximal tibia sags posteriorly due to lack of a static posterior constraint
indicates: tear or sprain of the posterior cruciate ligament . this test is done to confirm injury to this ligament if drawer test proves inconclusive

Question 18

Fat Pad squeeze test of heel

Answer 18

positive : pain diminishes during this procedure or feels better

indicates: lessening of pain rules in fat pad syndrome . if pain remains the same or worse consider plantar fasciitis, heel spur or calcanea stress fx

Question 19

Test for plantar fasciitis

Answer 19

postive: sharp pain along medial longitudinal arch
indicates: plantar fasciitis