NMS II OSCE II- problems if positive Flashcards
anterior innominate
unilateral forward displacement of ilium, sacrum or SI joint sprain
local pain over SI joint
belt
pain in first part, no pain in second part- SI joint
pain in first and second part- lumbar involvement
erichsen’s
pain in SI joint by stressing anterior SI joint ligament
gaenslen’s
SI joint instability
SI joint pain on side being tested or radiating pain to thigh or groin
goldthwait’s
pain before L5, S1 separation- SI joint problem
pain after L5, S1 separation- lumbar problem
hibb’s
sacroiliac lesion (pain- positive)
iliac compression
sprain of posterior SI ligament, SI joint inflammation or subluxation
pain is a positive finding
lewin gaenslen
SI joint sprain or arthritis
SI joint pain on affected side or muscle tightness
yeoman’s
SI joint lesion, specifically of anterior SI ligament
femoral nerve irritation
iliopsoas or rectus femoris muscle contracture
pain in SI joints and muscle tightness
actual leg length
difference more than 6mm
hip joint to long bone deficiency
apparent leg length
spinal or pelvic subluxation
difference more than 6mm
allis sign
one knee is shorter compared to the other
looking for ipsilateral femoral leg descrapancy (protrusion acetabuli, hip dislocation, hip fracture)
anvil
heel pain: calcaneous, tibia, fibula fracture
hip pain: arthritis, femoral neck fracture, infection
gauvain’s
AVN, infection, fracture, gout
ipsilateral contraction of abdominal muscles
pain in hip
referred pain to groing or anterior thigh
hip telescoping
hip dislocation or hip displasia
excess joint play or palpable click in joint
patrick’s
DJD, OA, RA, SCFE, AVN, fracture, strain/sprain
pain in hip or patient is unable to perform the test
ober’s
painful or may drop with clonus, indicates iliotibial contraction
thomas
flexion contracture or shortening of iliopsoas on affected side
lumbar spine maintains lordosis or patient is unable to keep affected thigh flat on table
trendelenburg
paralysis or weakness of hip abductors on affected side
high iliac crest on supported leg and low iliac crest on lifted leg
ortolani
congenital femoral dislocation or instability in area
palpable click or “clunk”
abduction (valgus) stress
MCL strain or rupture
pain or increased motion/gapping
adduction (varus) stress
LCL strain or rupture
pain or increased motion/gapping
apley’s compression
looking for meniscus tears
pain or crepitus with compression
internal rotation: lateral meniscus
external rotation: medial meniscus
patella ballottement
retropatellar effusion or intraarticular knee swelling
patela is slow to return to resting position
there is increased patella movement
patella feels spongy
bounce home test
meniscal tear
pain in joint or instability to fully extend knee
clarke’s
chondromalacia patella or degeneration of patellofemoral joint
retropatellar pain
mcmurray
lateral meniscus tear while internally rotating and valgus stress
medial meniscus tear while externally rotating and varus stress
lateral pivot shift maneuver
ACL tear
patient feels like knee is joint to pop or give out
lachman
sprain or rupture of ACL
pain with normal translation (grade I)
pain with increased translation (grade II or III)
pain with or without increased ACL translation
drawer test
sprain or rupture of ACL and PCL
pain with normal translation (sprain)
pain with increased translation (rupture)
pain with or without increased ACL or PCL translation
Q angle
less than 13 degrees suggests patellofemoral dysfucntion or patella alta
angle greater than 18 degrees suggests patellofemoral dysfucntion or patella valga
