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NPTE > LE Special Tests > Flashcards

LE Special Tests Flashcards

1
Q

FABER

A

Other name: Patrick’s test

Purpose: hip dysfunction

Test: supine, hip flexion, abd, ER, lower leg down test leg

+ pain, test knee remains above opposite straight leg once extended

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2
Q

Scour test

A

Other name: Grind test

Purpose: DJD of hip joint

Test: supine, flexion, adduction of hip, grind labrum

+ pain

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3
Q

Trendelenburg sign

A

Purpose: weak gluteus medius

Test: stand SLS

+ pelvis of non-stance limb drops (should normally rise)

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4
Q

Thomas test

A

Purpose: hip flexor tightness

Test: supine, passive flexion of one hip, knee to chest

+ straight leg rises off the table and stretch is felt

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5
Q

Ober’s test

A

Purpose: tightness in TFL/IT band

Test: SL, lower leg flexed for stability, passive abduction and extension of upper limb, slowly lower limb

+ leg remains abducted

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6
Q

Ely’s test

A

Purpose: rectus femoris tightness

Test: prone, passive knee flexion

+ hip on ipsi side flexes

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7
Q

90-90 hamstring test

A

Purpose: hamstring tightness

Test: supine, 90 deg hip flexion, knees bent, actively extend each knee

+ knee is unable to reach 10 deg from neutral

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8
Q

Tripod sign

A

Purpose: hamstring tightness

Test: seated, both knees at 90 deg flexion over edge of table, passive knee extension

+ spine extension

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9
Q

Piriformis test

A

Purpose: piriformis syndrome

Test: SL, 60 deg hip flexion, knee flexion, stabilizes hip and applies downward pressure to upper knee

+ pain

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10
Q

Leg length

A

Measures from ASIS to medial or lateral malleolus

Normal: 1-1.3 cm

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11
Q

Craig’s test

A

Purpose: abnormal femoral anteversion

Test: prone, knees flexed to 90, palpates posterior greater troch, hip is passively rotated ER/IR until greater troch is parallel with table

Can estimate degree of anteversion

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12
Q

LCL and MCL instability tests

A

Purpose: identify ligamentous laxity in collaterals

Test: supine, 20-30 deg knee flexion, varus and valgus forces applied

+ laxity, pain

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13
Q

Lachmann’s

A

Purpose: ACL integrity

Test: supine, 30 deg knee flexion, femur stabilized, tibia is translated AP

+ mushy or soft end feel, increased tibial translation

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14
Q

Pivot shift test

A

Purpose: ACL integrity

Reduction - supine, stabilize lower leg, flex knee to 90, IR tibia (subluxing lateral tibial plateau)

Subluxation - knee flexed, IR tibia and provide valgus stress, slowly extend knee

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15
Q

Posterior sag test

A

Purpose: PCL integrity

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16
Q

Slocum test

A

Purpose: anteriomedial and anterolateral rotary instability

Test: 90 deg knee flexion, 45 deg hip flexion, 30 deg IR, draw tibia forward (anterior drawer) - same is done with ER

17
Q

Posterior drawer test

A

Purpose: PCL integrity

18
Q

Reverse lachman

A

Purpose: PCL integrity

Lachmann’s for PCL

19
Q

McMurray’s test

A

Purpose: meniscal tear

20
Q

Apley test

A

Purpose: differentiate meniscal tear vs ligamentous lesion

Test: prone, 90 deg knee flexion, ER/IR, adding distraction or compression

+ rotation + distraction pain - ligamentous lesion

rotation + compression pain - meniscus injury

21
Q

Bounce home test

A

Purpose: meniscal lesion

Test: supine, heel is cupped, full knee flexion, knee is allowed to passively extend

+ incomplete extension or rubbery end feel

22
Q

Thessaly test

A

Purpose: meniscal lesion

Standing ER/IR

23
Q

Hughston’s plica test

A

Purpose: plica dysfunction

Test: supine, knee flexed, IR of tibia, pressing patella medially, palpating medial condyle

+ popping of plica band

24
Q

Patellar apprehension test

A

Purpose: patella dysfunction

25
Q

Clarke’s sign

A

Purpose: patellofemoral dysfunction

Test: press down proximal to base of patella with knee extended, pt contracts quad muscles

+ retropatellar pain or inability to hold contraction

26
Q

Patella tap test

A

Purpose: infrapatellar effusion
+ floating patella

27
Q

Fluctuation test

A

Purpose: knee joint effusion

+ feeling of synovial fluid fluctuation under the hands

28
Q

Q angle measurement

A

ASIS - mid patella
tibial tubercle - mid patella

Angle between the two
Normal: 13 M, 18 F

29
Q

Noble compression test

A

Purpose: distal IT band friction syndrome

+ pain over lateral femoral condyle with pressure

30
Q

Tinel’s sign (of common fibular n)

A

Purpose: dysfunction of common fibular n posterior to fibular head

+ tingling or paresthesia in leg

31
Q

Neutral subtalar positioning

A

Purpose: identify rearfoot to forefoot positioning

Prone

32
Q

Anterior drawer test (ankle)

A

Purpose: ATFL ligament instability

33
Q

Talar tilt test

A

Purpose: CFL ligament instability

34
Q

ER stress test (ankle)

A

Purpose: syndesmosis injury and deltoid ligament tear

35
Q

Squeeze test

A

Purpose: syndesmosis injury

36
Q

Thompson’s test

A

Purpose: achilles tendon integrity

+ absence of PF with squeeze of muscle belly

37
Q

Tinel’s sign (of ankle)

A

Purpose: dysfunction of posterior tibial n

38
Q

Morton’s test

A

Purpose: stress fracture or neuroma in forefoot

+ pain

NPTE (6 decks)

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