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SHF204 OSPE > Ortho Tests > Flashcards

Ortho Tests Flashcards

1
Q

Cervical compression test

A

Positive Test = increased radicular pain and/or altered sensation in a dermatomal distribution (testing for increased pressure on nerve roots)
Local neck pain is NOT a positive test (testing for local strain/joint damage/facet irritation)

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2
Q

Jackson’s compression test

A

Positive test = increased peripheral pain and/or altered sensation (testing for increased pressure on nerve roots)

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3
Q

Cervical distraction test

A

Positive test = increased local pain (testing for muscles/ligaments/capsules)
Positive test = decreased radicular pain (testing for increased pressure on nerve roots)
Positive test = decreased local pain (testing for facet irritation/DJD)

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4
Q

Slump test

A

Positive test = reproduction of symptoms e.g. shooting or electrical pain down leg (increasing pressure on nerve root)
Adding trunk rotation tests intercostal nerves

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5
Q

Kemps test

A

Positive test = localised pain (testing for acute inflammatory lesions, local strain, facet irritation and spinal fracture)

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6
Q

Distraction test

A

Positive test = decreased pain due to pressure on nerve root being relieved

Increased pain may be caused by muscle spasm/ligament sprain/muscle strain/disc herniation

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7
Q

Kemps test

A

Positive test = localised pain (testing for acute inflammatory lesions, local strain, facet irritation and spinal fracture)
Positive test = increased peripheral pain or numbness (testing for increased pressure on nerve root)

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8
Q

Slump test

A

Positive test = reproduction of symptoms e.g. shooting or electrical pain down leg (increasing pressure on nerve root)
Positive test = local lumbrosacral pain (testing for acute inflammatory lesions, local sprain, facet irritation, spinal fractures)

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9
Q

Straight leg raise

A

Positive test = radicular leg pain e.g. shooting or electrical leg pain (testing for increased pressure on the nerve root)
Positive test = localised lower back pain (testing for piriformis entrapment, SI/lumbar sprain/strain

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10
Q

Femoral nerve traction test

A

Positive test = pain radiating to anterior thigh e.g. shooting or electrical thigh pain (testing for femoral nerve or root compression (L2-4))

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11
Q

SI marching test (Gillette/Step test)

A

Positive test = localised pain, excessive motion and decreased ROM (testing for hyper mobility/joint dysfunction/Ipsilateral SIJ dysfunction)

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12
Q

Flamingo test

A

Positive test = pain in the pubic symphysis or SIJ (localised pain) (testing for Ipsilateral SIJ dysfunction)

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13
Q

Gaenslen’s test

A

Positive test = sacroiliac or anterior thigh pain (only when there’s SIJ sprain or instability)
Positive test = elevation of extended hip (only when there’s iliopsoas contracture)
Positive test = no SIJ pain (only when there’s lumbar or hip pain origin)

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14
Q

Thigh thrust test

A

Positive test = pain in the SIJ or hip (testing for SIJ and hip pathology)

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15
Q

SIJ compression test

A

Positive test = posterior localised pain (only when there’s SIJ posterior ligaments/fracture/SIJ dysfunction)
Positive test = decreased posterior pain (only when there’s SIJ instability)

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16
Q

SIJ distraction test

A

Positive test = anterior localised pain (testing for anterior SIJ or pubic joint sprain/fracture)

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17
Q

Crank test

A

Positive test = pain (testing for glenoid labrum lesions/glenohumeral ligaments)

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18
Q

Clunk test

A

Positive test = clunking/grinding sounds (testing for glenoid labrum lesions)

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19
Q

Kim’s test

A

Positive test = posterior shoulder pain and crepitus (testing for posterior inferior labrum lesions)

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20
Q

O’briens test

A

Positive test = pain or painful crepitus inside shoulder
If pain is present in internal rotation —> Labrador/SLAP/AC pathology
If pain is present in external rotation—> bicep long head tendinopathy

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21
Q

Empty can test

A

Positive test = pain (testing for injury or lesions for the supraspinatus muscle)

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22
Q

Neer’s impingement test

A

Positive test = pain
If pain is present in internal rotation —> supraspinatus impingement/subacromial bursitis
If pain is present in external rotation —> biceps long head tendinopathy

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23
Q

Yergason’s test

A

Positive test = pain
If there’s pain on bicepital groove —> biceps tendinopathy
If bicep tendon slips/pops out of bicipital groove during supination —> transverse humeral ligament is torn
If pain in shoulder —> glenoid labrum pathology

24
Q

Speed’s test

A

Positive test = pain (testing for bicipital tendinitis/impingement syndrome/ labrum lesions/bursitis

25
Q

Cozen’s test

A

Positive test = pain or weakness (testing for lateral epicondylitis)

26
Q

Reverse cozen’s test

A

Positive test = pain or weakness (testing for medial epicondylitis)

27
Q

Mill’s test

A

Positive test = pain or weakness (testing for lateral epicondylitis)

28
Q

Reverse mill’s test

A

Positive test = pain or weakness (testing for medial epicondylitis)

29
Q

Varus stress test

A

Positive test = pain (testing for lateral ligament sprain)

30
Q

Valgus stress test

A

Positive test = pain (testing for medial ligament sprain)

31
Q

Finklesteins test

A

Positive test = pain on lateral wrist (testing for tenosynovitis abductor policies longus/extensor policies brevis

32
Q

Phalen’s test

A

Positive test = pain/numbness/tingle distal to compression (testing for carpal tunnel syndrome)

33
Q

Reverse phalen’s test

A

Positive test = pain/numbness/tingle distal to compression (testing for carpal tunnel syndrome)

34
Q

Ulnomeniscotriquetral dorsal glide

A

Positive test = pain or laxity in TFCC area (testing for TFCC damage)

35
Q

TFCC dorsal glide

A

Positive test = pain or laxity in TFCC area (testing for TFCC damage)

36
Q

Tinel’s

A

Positive test = pain/numbness/tingle distal to compression (testing for neuropathy/carpal tunnel syndrome/pronator teres impingement)

37
Q

Allen’s test

A

Positive test = skin remains bleached for more than 5 seconds (testing for artery stenosis or occlusion)

38
Q

Scour’s test

A

Positive test = increased local pain or crepitus (testing for hip joint pathology/osteoarthritis/capsulitis/Labrador tear/acetabular impingement/slipped capital femoral epiphysis)

39
Q

FABER test

A

Positive test = increased local pain or inability to perform test (testing for hip joint pathology/osteoarthritis/capsulitis/sprain/strain/tight hip adductors

40
Q

FADIR test

A

Positive test = pain and reproduction of symptoms (testing for anterior-superior impingement syndrome/anterior labral tear/iliopsoas tendinitis)

41
Q

Posterior Labral tear

A

Positive test = local pain in groin/reproduction of symptoms with or without click (testing for labral tear/anterior hip instability/ posterior inferior impingement)

42
Q

Trendelenburgs sign

A

Positive test = pelvis drops on opposite side, indicating weak gluteus medius or unstable hip/dislocation (testing hip abductors ability to stabilise the pelvis on femur)

43
Q

Ober’s test

A

Positive test = tight IT band trochanteric bursitis (testing for TFL contracture/pain at hip/trochanteric bursitis)

44
Q

Clack’s test

A

Positive test = retropatella pain (testing for chrondromalacia patella/degeneration of patella femoral joint)

45
Q

Apley’s compression

A

Positive test = pain on compression and rotation (testing for meniscal damage)

46
Q

Apley’s distraction

A

Positive test = increased pain on distraction (testing for capsule/ligament lesion/collateral ligament sprain)

47
Q

McMurray’s test

A

Positive test = pain/crepitus when knee is extended
If tibia internally rotated —> testing for lateral meniscus
If tibia externally rotated —> testing for medial meniscus

48
Q

Ege’s test

A

Positive test = pain/crepitus (testing for meniscus lesion)
If tibia internally rotated —> lateral meniscus
If tibia externally rotated —> medial meniscus

49
Q

Thessly’s test

A

Positive test = medial or lateral joint discomfort (testing for meniscus lesions)

50
Q

Anterior draw test

A

Positive test = pain or excessive motion (rupture) (tibia moves 6mm+) (testing for ACL sprain/rupture)
Could indicate injury in ACL, Iliotibial band, MCL, posterolateral capsule, posteromedial capsule, posterior oblique ligament

51
Q

Posterior draw test

A

Positive test = pain or excessive motion (rupture) (tibia moves 6mm+) (testing for PCL sprain/rupture)
Could indicate injury in PCL, posterior oblique ligament, ACL

52
Q

Lachman’s test

A

Positive test = pain or excessive motion or a mushy/soft end feel when the tibia is moved forward on femur (testing for ACL/PCL)

GOLD STANDARD

53
Q

Anterior Ankle drawer test

A

Positive test = anterior motion of the foot (testing for anterior talofibular ligament instability)

54
Q

Posterior ankle drawer test

A

Positive test = posterior motion of the foot (testing for posterior ankle ligament instability)

55
Q

Inversion talar tilt

A

Positive test = pain on ankle inversion (testing for lateral ligament sprain)

Could be anterior talofibular ligament, calcaneofibular ligament, posterior talofibular ligament

56
Q

Eversion talar tilt

A

Positive test = pain on ankle Eversion (testing for deltoid ligament sprain) (RARE)

SHF204 OSPE (2 decks)

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