Ortho Justification

Question 1

Meniscus lesion

Answer 1

McMurrays- spec 69-98, sens- 16-67
More control than Eges, better with acute Pts
However, if possible, use Eges as well to identify if ant or post

Question 2

ACL/PCL

Answer 2

Lachmans- spec 95, sens- 77
Has highest % compared to draw tests
Posterior sag sign- spec 100, sens 83-100
Use with Lachmans to identify PCL

Question 3

Lateral epi

Answer 3

Cozens- can also muscle test extensor radialis brevis/longus

Question 4

CTS

Answer 4

Phalens best- spec 33-88, sens 51-91

Question 5

Hip OA

Answer 5

Specificity- 43, sensitivity- 75-91
Approximates acetabulofemoral Jt structures causing irritation
Use in conjunction with FABERS
Specificity- 50, sensitivity- 30

Question 6

Hip impingement

Answer 6

Ant-sup- FADIR, 80 + 80
Post labral tear test- groin P

Question 7

Bicep tendinopathy

Answer 7

Yergasons
Spec- 79, sens- 43
Pair with speeds to help diagnose

Question 8

Shoulder impingement

Answer 8

Hawkins-kennedy
Spec- 25-100
Sens- 62-92
Combine with painful arc sign

Question 9

Shoulder labral lesion

Answer 9

Obriens- SLAP or AC lesions
Spec- 28-73, sens- 63-94
When paired with cranks, speeds or Yergasons the overall sensitivity is 75% and 90% specific