Ortho Flashcards by Rachel Cloke

Hawkins sign examines which tendon?

Supraspinatus

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The Supraspinatus tendon can be tested by which exams?

Hawkins, Neers sign

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Neers sign examines which tendon?

Supraspinatus

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supraspinatus (empty can) tests examines which MUSCLE

Supraspinatus

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Lift off tests examines which MUSCLE?

Supraspinatus

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The Supraspinatus MUSCLE can be tested by which exams?

Supraspinatus (empty can), lift off

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The Hawkins sign, Neers sign, Supraspinatus (emptty can) and lift off all test which kind of impingement

rotator cuff impingement

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Spurlings sign

Downward pressure on the head

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Subluxation

Incomplete or partial dislocation of a joint or organ

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Ways to test for carpel tunnel

tinel test /phalens maneuver

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tinel test /phalens maneuver test for what?

carpel tunnel

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Digital flexor tenosynovitis (what is it and what tendon does it thicken)

trigger finger, thickening of flexor tendon

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DeQuervain Tenosynovitis is the over use of what?

dorsal radial in wrist

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Finkelstein test is for which problem?

DeQuervain Tenosynovitis

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How do you test for DeQuervain Tenosynovitis

Finkelstein test

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Olecranon Bursitis

painless mass at elbow

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painless mass at elbow

Olecranon Bursitis

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How do you test for Patellofemoral pain syndrome?

clark sign

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Patellofemoral pain syndrome

pain with medial or lateral displacement of patella

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How do you test for Anterior cruciate ligament (ACL)

Lachman test, pivot/shift test, anterior drawer test

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Lachman test, pivot/shift test, anterior drawer test are for which problem?

Anterior cruciate ligament (ACL)

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If there is laxity with the MCL (part of knee) what should you do?

get imagining

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How to test for medial meniscus?

McMurray and/or Apley test

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Anserine Bursitis (what is it and when is it worse and with who?)

inflammation of outter knee, worse when climbing stairs, found with women

When aspirating a Prepatellar Bursitis, what tests should you do on it?

Gram stain, cell count, culture and sensitivity

Deltoid ligament injury is also called?

medial ankle sprain

How to test for a medial ankle sprain?

Eversion Talar tilt test

Eversion Talar tilt test examines what?

medial ankle sprain

most common cause of foot neuralgia

morton neuroma

Claw, Hammer and Mallet toes effect which joint?

Interphalangeal joint

Hallux Valgus

effects great toe, r/o gout

Plantar fasciitis pain will occur when and where

at heel with first steps in am, radiates to soul and arch

positive squeeze test is for which problem

Achilles tendinopathy

If a patient has achilles tendinopathy, what will happen to their plantar flexion?

it will be decreased

Disc buldge means what?

herniation

If when you palpate the spine, there is vertebral tenderness, what is that sensitive for?

an infection

when do you have the patient do straight leg raises?

sciatica or spinal stenosis

if a patient can elevate their leg 60 degrees when doing straight leg raises, what is that significant of

compression or irritation of nerve roots

Ankle xray is needed under which conditions?

bone tenderness at posterior edge of lateral or medial malleolus OR patient unable to bear weight immediately and in ED

Foot xray is needed under which conditions?

Bone tenderness at base of 5th metatarsal OR tenderness at navicular bone OR inability to bear weight immediately and in ED

If patient has a positive drop arm sign, painful arc of motion, weakness with external rotation...what may be the problem?

complete rotator cuff tear

If patient has a positive Hawkins test,painful arc of motion, weakness with external rotation...what may be the problem?

shoulder impingement

Sulcus sign is a sign of what?

instability

Pes planovalgus (flat feet) is associated with which problem

patellofemoral pain syndrome

Test for valgus laxity | Grade 1=increased medial joint widening by how many mm?

1-4

Test for valgus laxity | Grade 2=increased medial joint widening by how many mm?

5-9

Test for valgus laxity | Grade 3=increased medial joint widening by how many mm?

>10mm

Injury to these liagments is called: Anterior talofibular ligament = ATFL Calcaneofibular ligament = CFL Posterior talofibular ligament = PTFL

Lateral ankle sprain

Injury to theseligaments is called Posterior tibiotalar Tibionavicular Tibiocalcaneal

medical ankle sprain

a high ankle sprain is most often injury to what?

Anterior tibiofibular (ATFL)

most common cause of foot pain

plantar fasciitis

Ankle and great toe dorsiflexion are effected by?

plantar flexion, ankle reflex are effected by

numbness on medial foot and web spaces bewteen 1 and 2 toes is effected by

lateral foot/ankle is effected by

how to test L5

heel walking

how to test S1

toe walking

how to test L4

squat and rise

when should you obtain imaging on a patient with back pain?

if there is no improvement in 6 weeks (or if there is suspicion of cauda equine syndrome, malignancy, fracture, or infection)