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Regional Orthopedics > Midterm OP - Special Test Recall > Flashcards

Midterm OP - Special Test Recall Flashcards

1
Q

GH Dislocation/Instability

Confirming & Ruling Out

A

CONFIRM: Crank/Apprehension Test (anterior), Sulcus Sign (inferior), or Push-Pull (posterior)
> can add Jobe Relocation test, verbalize Rockwood modification

RULE OUT: Active Compression of O’Brien (SLAP lesion)

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2
Q

Adhesive Capsulitis

A

CONFIRM: pROM (scapulohumeral rhythm, CPR ER > ABD > IR)

RULE OUT: Infraspinatus Test OR Whipple Test

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3
Q

Shoulder Impingement

A

CONFIRM: Hawkins-Kennedy

RULE OUT: Speed’s

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4
Q

Subacromial Bursitis

A

CONFIRM: Empty Can Test OR pROM (passive range of motion)
Painful Arc Test (pain between 60-120* - after 120* compression on supraspinatus and the subacromial bursa decreases
> this also rules out adhesive capsulitis
> pain at 170-180* may indicate AC lesion

RULE OUT: Paxinos Sign

> Speed’s & Empty Can Test would both elicit pain with subacromial bursitis, too!

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5
Q

Acromioclavicular Sprain/Injury

A

CONFIRM: Paxinos Sign

RULE OUT: Empty Can (supraspinatus tendinopathy)

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6
Q

Biceps tendinitis

A

CONFIRM: Speed’s Test

RULE OUT: Yergason’s Test OR Empty Can

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7
Q

Transverse humeral ligament sprain

A

CONFIRM: Yergason’s test

RULE OUT: Speed’s test

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8
Q

Rotator cuff strain

A

CONFIRM: Whipple Test
>contractile

RULE OUT: Hawkins-Kennedy
>passive

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9
Q

Supraspinatus tendonitis

A

CONFIRM: Empty Can Test

RULE OUT: Speed’s OR Paxinos Sign

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10
Q

SLAP Lesion/Labral Tear

A

CONFIRM: Active Compression of O’Brien

RULE OUT: Paxinos Sign

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11
Q

TOS

A

CONFIRM: Wright’s OR Halstead

RULE OUT: Spurling’s
>rule out cervical radiculopathy

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12
Q

Serratus Anterior pathology

A

CONFIRM: Punch Out Test

RULE OUT: Wright’s or Halstead
>since serratus anterior refers down the arm and into the hand

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13
Q

Medial epicondylitis

A

CONFIRM: Golfer’s elbow test (passive) then add active component to confirm

RULE OUT: Valgus instability test

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14
Q

Lateral epicondylitis

A

CONFIRM: Cozen’s or Mill’s test

RULE OUT: Varus instability test

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15
Q

Ulnar/radial lateral collateral ligament sprains

A

CONFIRM: Valgus or varus instability tests

RULE OUT: Cozen’s or Golfer’s elbow tests

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16
Q

Olecranon bursitis

A

CONFIRM: aROM
>end range of elbow flexion limited d/t pain

RULE OUT: ISE/palpation/history - RA? Gout or pseudogout, fracture, OR Elbow Flexion Test

17
Q

Cubital Tunnel syndrome

A

CONFIRM: Elbow Flexion Test

RULE OUT: Halstead, Wright’s OR Spurling’s
> Rule out cervical radiculopathy

18
Q

Dequervain’s

A

CONFIRM: Finklestein’s

RULE OUT: Axial Load Test of Thumb

19
Q

Trigger finger

A

CONFIRM: rROM (may hear snapping if tendon catches while moving, pain)

RULE OUT: pROM to rule out Dupuytren’s

20
Q

Dupuytren’s

A

CONFIRM: pROM
RULE OUT: Froment’s sign to rule out ulnar nerve pathology
>ulnar nerve lesion could cause hypothenar atrophy

21
Q

FDP Rupture

A

CONFIRM: History/MOI, Sweater Finger Sign

RULE OUT: Pronator Teres Syndrome Test

22
Q

Mallet finger

A

CONFIRM: aROM

RULE OUT: pROM to ensure no contracture on flexor side such as trigger finger - snapping of tendons

23
Q

Ganglion cyst

A

CONFIRM: visual scan with wrist in flexion & palpation, pROM wrist extension

RULE OUT: refer to doctor

24
Q

RA or OA

A

CONFIRM: Axial Load or Ligamentous Instability test

RULE OUT: Finklestein’s, if in the thumb

25
Q

Gamekeeper’s/skiier’s thumb

A

CONFIRM: Thumb Ulnar Collateral Laxity (compare BL, 15* is normal, up to 30* is partial tear & 30-35*+ is a full tear)

RULE OUT: Axial Load Test OR Finklestein’s

26
Q

Scaphoid fracture

A

CONFIRM: Axial Load test

RULE OUT: Finklestein’s

27
Q

CTS

A

CONFIRM: Phalen’s or Carpal Compression Test

RULE OUT: Pronator teres syndrome test

28
Q

TFCC Irritation

A

CONFIRM: UMT Dorsal Glide Test

RULE OUT: Elbow Flexion Test

29
Q

Bankart Lesion

A

CONFIRM: Crank Apprehension Test

RULE OUT: Speed’s Test

Regional Orthopedics (6 decks)

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