lab final

Question 1

O’brien sign

Answer 1

deep pain worse in position 1 = labral tear

superficial pain equal in both positions = AC separation

Question 2

Anterior slide test

Answer 2

Popping, crepitus, pain at superior anterior shoulder= superior anterior labral tear

PASSIVE THEN PATIENT PUSHES BACK

Question 3

Anterior apprehension with relocation

Answer 3

(Jobe relocation test)

Decreased pain with relocation = anterior dislocation
Rules out tendinitis

Question 4

Painful arc

Answer 4

Pain between 70-110 = impingement (supraspinatus)

Pain after 160 = AC involvement

Question 5

Neer

Answer 5

End range pain as greater tuberosity jams acromiom = Impingement with overuse of supraspinatus, bicep

Question 6

Hawkin-Kennedy

Answer 6

Anterior pain indicates anterior impingement (supraspinatus)

Posterior pain = posterior impingement (teres minor, infraspinatus)

Question 7

Patte test

Answer 7

(Hornblower sign)

Pain or inability to externally rotate = infraspinatus, teres minor tendinopathy

Question 8

Empty can test

Answer 8

Pain or inability to perform = tear/ rupture of supraspinatus tendon OR suprascapular neuropathy

Question 9

Lift off test

Answer 9

Inability to perform = subscapularis tendinopathy

Question 10

Sulcus sign with load and shift

Answer 10

Sulcus at anterolateral shoulder = inferior dislocation

\+1= <1cm
\+2= 1-2cm
\+3= >3cm

Question 11

Mazion shoulder maneuver

Answer 11

Inability to perform due to pain or stiffness = Early adhesive capsulitis OR non-inflammatory capsular adhesions

Question 12

Maximum elbow flexion test

Answer 12

Parasthesia in ulnar distribution, power grip weakness = cubital tunnel syndrome

Question 13

Valgus overload test of elbow

Answer 13

Pain in posterior elbow, with catching/ locking OR inability to extend = posterior elbow impingement syndrome

Question 14

Reverse Mills test

Answer 14

Medial elbow pain = medial epicondylitis

Question 15

Fromet

Answer 15

Thumb flexion/ median nerve recruitment = weakness of adductor pollicis, innervated by ulnar

Question 16

Craig test for anteversion

Answer 16

Trochanter parallel to table at >30 degrees inversion = structural anteversion

Question 17

Impingement sign of hip

Answer 17

Sharp anterior catching hip pain = hip impingement syndrome

Question 18

Modified Ober test

Answer 18

Hip remains abducted, possible lateral thigh pain = Tight TFL, possible IT band syndrome

Question 19

Test for synovial plica

Answer 19

(Patellar bowstring)

Popping, cracking, clunking, grinding, stuttering, and medial or lateral pain = medial or lateral synovial plica syndrome

Question 20

Noble test

Answer 20

Worse pain through 30-40 degrees of flexion = IT band syndrome or lateral knee impingement syndrome

Question 21

Godfrey sag sign

Answer 21

Tibia sags posteriorly = tear/ sprain of posterior cruciate ligament, used if Drawer is inconclusive

Question 22

Dreyer sign

Answer 22

Inability to raise leg or peripatellar pain without compression, able to raise/ reduction in pain with compression = patellar fracture

Question 23

Wilson sign

Answer 23

increased pain at 30 degrees flexion with internal rotation, decreased pain with external rotation = osteochondritis dessicans

Question 24

Pat pad squeeze test of heel

Answer 24

Calcaneus less tender with compression = fat pad syndrome

If pain remains the same = plantar fasciitis, heel spur, calcaneal stress fracture

Question 25

Navicular drop test

Answer 25

Navicular drops more than 5/8”/ 1.6cm on cloth tape = functional pronation

Question 26

Distal tibia-fibula squeeze test

Answer 26

Pain is reproduced with compression, or made worse on release = high ankle sprain of tibiofemoral ligament and/ or interosseus syndesmosis

Question 27

Test for plantar fasciitis

Answer 27

Sharp pain along medial longitudinal arch = plantar fasciitis