Ortho-final Flashcards
A patient complains of a headache with neck stiffness and a fever.
Brudzinski Sign: Patient supine, examiner flexes patient’s head to the chest. (+) involuntary knee flexion. Indicating: meningeal irritation or nerve root lesion.
A patient complains ______. State and perform the ortho test to evaluate the ____ between the pectoralis minor and corocoid process.
Wright Test: Patient seated, examiner finds radial pulse and hyper-abducts the patient’s arm. (+) Pain and/or paresthesia, decreased or absent pulse, pallor. Indicates: Compression of the axillary artery by pectoralis minor or coracoid process. TOS
A patient complains of ____ ____ thigh pain. State and perform an appropriate ortho test to evaluate severe posterior thigh pain.
Turyn Sign: Patient supine, examiner dorsiflexes the big toe. (+) Pain in the gluteal region or radiating sciatic pain. Indicating sciatic
radiculopathy.
A patient complains of weakness of thumb opposition with tingling in the first three fingers
Prayer Sign: (+) reproduction of pain and/or paresthesia in median n. distribution. Indicates Carpal Tunnel syndrome.
A patient complains of radiating pain into his left arm when he turns his head to the right.
i. Roos Test: (+) Ischemic pain, heaviness of the arms, or numbness and tingling in hands. Indicates TOS on side involved.
A patient complains of lateral chest pain when laterally flexing.
Schepelmann Sign: patient seated arms fully abducted and raised over head, pt laterally flexes left to right. Indicates: Pain on
concave side indicates intercostal neuritis. Pain on convex side indicates fibrous inflammation of the pleura.
A patient complains of radiating pain down the posterior thigh and leg
Braggard’s sign: SLR to point of pain, decrease 5 degrees, and sharp dorsiflex. (+) radiating pain in posterior thigh, indicates: Sciatic radiculopathy.
A patient complains of radiating pain when he coughs, sneezes, of strains
Valsalva: (+) radiating pain from site of lesion, indicates: space occupying lesion.
A patient complains of forefoot pain when wearing tight fitting shoes.
i. Morton’s test: (+) Sharp pain in forefoot, indicates: metatarsalgia or neuroma (3rd or 4th toe is Morton Neuroma)
Patient complains of tingling in the hands while working overhead. State and perform an appropriate test for the scalene triangle
adson’s test: (+) pain and/or paresthesia, decreased or absent pulse, pallor. Indicates: compression of the brachial plexus by scalenus anticus. TOS.
A patient complains of weak abdominal muscles during crunches.
i. Milgram test: (+) Inability to perform test and/or low back pain. Indicates weak abdominal mm. or space occupying lesion.
A patient complains of pain at the medial malleolus going into the medial foot.
Tinel Foot Sign: (+) paresthesia radiating into the foot. Indicates tarsal tunnel syndrome.
A patient complains of posterior thigh pain. State and perform an appropriate ortho test to differentiate between sciatic radiculopathy and tight hamstrings.
Straight leg raiser
A patient complains of local cervical pain
Foraminal Compression Test: (+) Exacerbation of localized cervical pain. Indicates foramenal encroachment with/out nerve root compression. (+) Exacerbation of cervical pain with radicular component. Indicates: foraminal encroachment with nerve root compression.
A patient has radiating pain from straining. State and perform ortho test to differentiate a medial and lateral disc lesion.
Kemp Test: (+) Pain usually radicular, recreating existing sicatic pain. Indicates: Disc protrusion: medial disc if pain when leaning away. Lateral disc if pain when lean into side of pain. (+) Pain – local. Indicates: localized pain may indicate lumbar spasm or facet capsulitis.
