lab final Flashcards
O’brien sign
deep pain worse in position 1 = labral tear
superficial pain equal in both positions = AC separation
Anterior slide test
Popping, crepitus, pain at superior anterior shoulder= superior anterior labral tear
PASSIVE THEN PATIENT PUSHES BACK
Anterior apprehension with relocation
(Jobe relocation test)
Decreased pain with relocation = anterior dislocation
Rules out tendinitis
Painful arc
Pain between 70-110 = impingement (supraspinatus)
Pain after 160 = AC involvement
Neer
End range pain as greater tuberosity jams acromiom = Impingement with overuse of supraspinatus, bicep
Hawkin-Kennedy
Anterior pain indicates anterior impingement (supraspinatus)
Posterior pain = posterior impingement (teres minor, infraspinatus)
Patte test
(Hornblower sign)
Pain or inability to externally rotate = infraspinatus, teres minor tendinopathy
Empty can test
Pain or inability to perform = tear/ rupture of supraspinatus tendon OR suprascapular neuropathy
Lift off test
Inability to perform = subscapularis tendinopathy
Sulcus sign with load and shift
Sulcus at anterolateral shoulder = inferior dislocation
\+1= <1cm \+2= 1-2cm \+3= >3cm
Mazion shoulder maneuver
Inability to perform due to pain or stiffness = Early adhesive capsulitis OR non-inflammatory capsular adhesions
Maximum elbow flexion test
Parasthesia in ulnar distribution, power grip weakness = cubital tunnel syndrome
Valgus overload test of elbow
Pain in posterior elbow, with catching/ locking OR inability to extend = posterior elbow impingement syndrome
Reverse Mills test
Medial elbow pain = medial epicondylitis
Fromet
Thumb flexion/ median nerve recruitment = weakness of adductor pollicis, innervated by ulnar
Craig test for anteversion
Trochanter parallel to table at >30 degrees inversion = structural anteversion
Impingement sign of hip
Sharp anterior catching hip pain = hip impingement syndrome
Modified Ober test
Hip remains abducted, possible lateral thigh pain = Tight TFL, possible IT band syndrome
Test for synovial plica
(Patellar bowstring)
Popping, cracking, clunking, grinding, stuttering, and medial or lateral pain = medial or lateral synovial plica syndrome
Noble test
Worse pain through 30-40 degrees of flexion = IT band syndrome or lateral knee impingement syndrome
Godfrey sag sign
Tibia sags posteriorly = tear/ sprain of posterior cruciate ligament, used if Drawer is inconclusive
Dreyer sign
Inability to raise leg or peripatellar pain without compression, able to raise/ reduction in pain with compression = patellar fracture
Wilson sign
increased pain at 30 degrees flexion with internal rotation, decreased pain with external rotation = osteochondritis dessicans
Pat pad squeeze test of heel
Calcaneus less tender with compression = fat pad syndrome
If pain remains the same = plantar fasciitis, heel spur, calcaneal stress fracture
Navicular drop test
Navicular drops more than 5/8”/ 1.6cm on cloth tape = functional pronation
Distal tibia-fibula squeeze test
Pain is reproduced with compression, or made worse on release = high ankle sprain of tibiofemoral ligament and/ or interosseus syndesmosis
Test for plantar fasciitis
Sharp pain along medial longitudinal arch = plantar fasciitis
