MSK Special Tests That I Cannot Cemember

Question 1

Describe the Finklestein Test

Answer 1

For De quervain’s tenosynovitis - Passive thumb flexion with ulnar deviation

Question 2

Describe the Bunnel-Littler Test

Answer 2

The Bunnel-littler test is used to differentiate capsular vs intrinsic hand tightness. Lumbricles Flex at the MCP and extend straight at the PIP. So you flex the PIP when the MCP is both flexed and extended and examine the differences. If there Is more motion when the MCP is flexed, then it is intrinsic (lumbrical) tightness, vs if its tight lacking ROM in both positions, it is capsular tightness.

Question 3

Differentiate the 3 special tests for lateral epicondylitis and the one test for medial epicondylitis

Answer 3

Tennis Elbow
- Maudsley, resists 3rd metacarpal
- Cozens, make a fist, pronate, and radial deviate and do MMT in slight ext
- Mills test is simply flexing the wrist

Golfers elbow
-Supinate, and extend elbow, wrist to stretch flexors

Question 4

Lumbar quadrant test

Answer 4

Ext and rot looking for sx
Tests gacet joints

Question 5

Describe the Eichoffs Test

Answer 5

For De quervain’s tenosynovitis - Thumb fixed inside of fist with ulnar deviation

Question 6

Lateral pivot shift test

Answer 6

Put lef in 30 flex and 30 abd, apply valgus force at knee, then flex and extend. Lookf for clunk or post translation

For ACL

Question 7

Slocum test

Answer 7

Ant drawer with medial bias by IR tibia 30 degrees

Question 8

Craigs test

Answer 8

Greater than 15 IR is excessive antevesrion (toe in)
Anything in between (8-15) IR is normal
Less than 8 is retroversion (toe out)

Question 9

Ludingtons and yergasons tests

Answer 9

Biceps tendon pathology

Question 10

Obriens

Answer 10

For labral tear test

Question 11

Jerk test

Answer 11

for instability

Question 12

Murrphys sign

Answer 12

Disloacted lunate, third metacarpal level with others is positve