Musculoskeletal Flashcards
If you percuss lightly over the median nerve in the carpal tunnel and the person experiences tingling this is a positive _______
- suggests?
- Tinel Sign
- carpal tunnel syndrome
If the patient flexes the wrists and pressed the backs of their hands together and experiences numbness or tingling this is a positive ______
- suggests?
- Phalen’s sign
- Carpal tunnel syndrome
If you hold onto the patient’s thumb and grind down and around and the patient experiences crepitus this is a positive ________
- suggests?
- thenar grind test
- osteoarthritis
If you have the patient bend one knee 90 degrees and cross it over the other leg and apply pressure to the knee and the patient feels pain at the hip this is a positive ________
- suggests?
- Patrick’s test
- hip problem or bursitis
If there’s a fluid wave or bulge between the patella and femur this is a positive ________
- suggests?
- bulge sign
- effusion
If you push medially against the knee and pull laterally at the ankle and there’s pain or a gap in the medial joint line then this is a positive ________
- suggests?
- Valgus stress test
- partial tear of the MCL
If you push laterally against the knee and pull the ankle medially at the ankle and there’s pain or a gap in the lateral joint line this is a positive ________
- suggests?
- Valgus stress test
- partial tear of the LCL
If the patient puts a knee at 90 degrees and you push the tibia posteriorly and it moves backward this is a positive ________
- suggests?
- posterior drawer sign
- suggests a tear in the PCL
If the patient’s knee is at 90 degrees and you draw the tibia forward and there’s a forward jerk showing the contours of the tibia then this is a positive ________
- suggests?
- anterior drawer sign
- suggests a tear in the ACL
If the patient’s knee is at 15 degrees of flexion and the leg is in external rotation, and you move the tibia forward and femur back and there’s significan forward extension this is a positive ________
- suggests?
- Lachman’s test
- suggests a tear in the ACL
If you apply the valgus stress test with external rotation and extension of the leg and hear a click or pop along the medial joint this is a positive ________
- suggests?
- McMurray test
- suggests a tear of the posterior portion of the medial meniscus
If the patient closes their fist around their thumb and ulnar deviate their wrist and sense a sharp pain in the region of the distal radius this is a positive ________
- suggests?
- Finklestein’s test
- DeQuervain’s tenosynovitis (overuse of the extensor and abductor tendons of the thumb)
If you adduct the arm over the chest and there’s localized tenderness or pain then this is a positive ________
- suggests?
- crossover test
- inflammation or arthritis of the acromioclavicular joint
If you have the patient touch the opposite scapula by putting the arm overhead this tests abduction and external rotation. If you have the patient do it under then this tests teh adduction and internal rotation. If there’s difficulty then this is a positive ________
- suggests?
- Apley scratch test
- rotator cuff disorder
What are the 2 things you want to look for with TMJ inspection?
- palpation: crepitus, tenderness
- ROM: open/close, protrude/retract, lateral motion
what are the 4 muscles of the rotator cuff?
SITS:
- Supraspinatus: abduct against R
- Infraspinatus: lateral rotation against R
- teres minor
- subscapularis: medial rotation against R
Lateral epicondylitis resulting in pain increase when extending the wrist against resistance is indicative of _____
- which muscle group does this effect?
- tennis elbow (extensor muscles)
Medial epicondylitis resulting in pain increase when flexing the wrist against R is indicative of ________
- which group of muscles does this affect?
- golfer’s elbow
- flexor muscles
What suggests a Colles fracture?
- tenderness over the distal radius
Tenderness over the snuff box and avascular necrosis suggests _____
scaphoid fracture
Firm lumps on the back of the wrist suggests
ganglion cysts
painless, palmer fascia that begins to adhere to the skin which slowly contracts until the person can’t extend their 4th or 5th digits is______
Dupuryten’s contracture
red palms indicates _______ which is a result of _____ (2)
- palmar erythema
- liver disease or connective tissue problems
pitting in the fingernails can suggest ____
psoriasis which can cause arthritis
cuticle edema/redness in the fingernails can suggest _______
- scleroderma or dermatomysoitis
genu varus
bow legged
genu valgus
knock knees
FABER test
FABER = flexion, abduction, external rotation
- used to distinguish hip pain from back pain
- patient flexes knee, abducts and externally rotates the hip
- push on the knee
- if the pain is in the hip region it indicates hip pain, pain in the back means sacroiliac pain
thickening of a nerve between the 3rd and 4th toes that leads to tingling, pain and a feeling like something is inside the foot
Morton’s neuroma
Lordosis
inward curvature of the spine
kyphosis
humped ack
scoliosis test
have patient bend down and touch their toes and you will observe elevation of one shoulder or side of the back
