NMS II OSCE II- tests Flashcards
Anterior innominate test
have patient stand
put unaffected foot forward
have them bend forward to touch their toes
if their back foot stays on the floor, have them put their forward foot more forward until they have to go on their toes with their back foot
belt test
patient stands
have them bend forward and touch their toes, note pain
put your hip against their sacrum and have them bend forward again, note pain
erichsen’s test
patient supine
doctor compresses SI joints, creating a double IN ilium
gaenslen’s
patient supine
doctor brings unaffected knee toward patient’s chest
doctor slowly hyper-extends the affected leg
goldthwait’s
patient is supine
doctor palpates L5 and S1 with one hand and elevates the affected leg with the other hand
Hibb’s
patient prone
doctor flexes knee to 90 degrees, internally rotates femur by pushing foot laterally
iliac compression
patient on unaffected side
doctor compresses iliac crest on the affected side toward the table, essentially creating a double EX ilium
lewin gaenslen
patient on unaffected side
doctor hyper extends leg
patient brings other leg up to chest
yeoman’s
patient prone
doctor applies pressure to sacrum with one hand and placed other hand under affected knee and lift knee off table
actual leg length
patient is supine with feet together
doctor measures from apex of ASIS to center of medial malleolus
apparent leg length
patient is supine with feet together
doctor measures from umbilicus to center of medial malleolus
allis sign
patient lies supine with knees and hips flexes flat on table
doctor observes femur and tibia length
anvil
patient is supine
doctor stands at foot of table, elevates a straight leg and hits bottom of heel with clenched fist
gauvain’s
patient lies with affected side up
doctor places one hand on abdominal muscles and other hand grabs just above the ankle
abduct leg and internally and externally rotates thigh
hip telescoping
patient is supine
doctor passively flexes hip and knee on affected side to 90 degrees
grab thigh on affected side with one hand and other hand on thigh, just above knee
push femur into table and distracts femur from table
patrick’s
patient supine, doctor on unaffected side
patient puts leg into “figure 4” position
stabilize opposite ASIS and applies downward pressure on knee on affected side
ober’s
patient lies with affected side up
doctor stands behind patient and stabilizes pelvis
doctor uses other hand to abduct and extend the thigh and hip
doctor slides hand from knee to ankle while keeping knee bend and allows knee to adduct
thomas test
patient supine, actively pulls unaffeted knee to chest while keeping other leg straight on table
trendelenburg
patient stands on affected foot and raises unaffected foot up on the ground
doctor stands behind patient and observes for pelvic unleveling
ortolani’s
infant is supine
doctor grabs both thighs at lesser trochanter
doctor flexes and abducts thighs bilaterally
abduction (valgus) stress test
patient is supine with legs straight
doctor stabilizes medial ankle and pushes lateral to medial at knee
adduction (varus) stress test
patient lies supine with legs straight
doctor stabilizes lateral ankel and pushes medial to lateral at knee
apley’s compression test
patient lies prine with knees flexed at 90 degrees
doctor grabs foot, pushes down and medially and laterally rotates foot
doctor grabs foot, pulls up and medially and laterally rotates foot
patella ballotment
patient lies supine with leg straight
doctor pushes down on patella and move it lateral and medial, palpating for motion and looking for a boggy sensation
bounce home test
patient is supine
doctor lifts leg and bends knee to 20 degres. then allows knee to drop to full extension
clarke’s sign
patient is supine and doctor applies SI pressure on top of patella
patient contracts quadriceps
mcmurray sign
patient is supine with hip and knee flexed to 90 degrees
doctor stabilizes knee and grips heel with other hand
doctor rotates tibia externally while applying a varus stress while extending leg
doctor rotates tibia internally while applying a valgus stress while extending leg
lateral pivot shift maneuver
patient is supine with hip and knee flexed to 5 degrees
doctor applies internal rotation, valgus stress and flexes knee
lachman
patient is supine
doctor holds femur and pushes up on tibia
drawer test
patient lies supine with knee flexed to 90 degrees
doctor sits on patient’s foot
doctor pulls tibia anteriorly then pushes tibia posteriorly, looking for excess motion
Q angle test
patient standing
draw line from ASIS to midpoint of patells
draw another line from tibial tuberosity through midpoint of patella
measure angle between those lines
