Orthopedic Examination Flashcards
True/False: You DO NOT need to be a surgeon to perform a Good Orthopedic Exam
True
*It just takes practice
Second Portion of Orthopedic Exam following History Taking described Below:
Demeanor
Body and Limb Position/Activity
Body Condition
Joint and Soft Tissue Symmetry
Observation
*Complete a General Physical Exam prior to Starting a full Orthopedic Exam
Third Portion of Orthopedic Exam that Assess the Following:
Gait Analysis
*Head Bob- putting Weight on the Good Leg (Foreleg Lameness)
Portion of the Orthopedic Exam described Below:
Standing Exam
Portion of the Orthopedic Exam described Below:
Recumbent Exam
*Trying to localize the specific Region that is Painful- Start Distal (with Toes) and Move Proximal, also start with the Normal Limb
Crepitus- Crunchiness/Abnormal Vibrational Feel within a Joint
Effusion- Joint Swelling
What are we Evaluating for in this Orthopedic Exam Image?
Biceps Tendonitis (Bicipital Tenosynovitis)
*Animal with Biceps Tendonitis will be painful with this Manipulation
Orthopedic Exam of the Hind Limb. What are we assessing for?
Cranial Drawer
*Stifle disease is a huge issue in canine patients. This is a manipulation that you want to be able to perform in order to Detect Cruciate Disease. Attempting to push the Tibia Cranially in Relation to the femur- if you can do this, then there is a significant tear of the Cranial Cruciate Ligament
Orthopedic Exam of the Hind Limb. What is being assessed?
Tibial Thrust
*Putting the leg through normal Weight Bearing motion by holding the Stifle and Flexing the Tarsus. When you flex up the Tarsus, if they have a Cruciate Tear then you will be able to feel as the Tibial tuberosity moves forward
What are we assessing in this Orthopedic Exam
Patellar Luxation
*Feel for the Patellar Luxation with the leg in Extension.
Portion of Orthopedic Exam being Assessed Below
Ortolani Sign
*Used in Patients where we are Suspicious of Hip Dysplasia. C_hecking to see if you can Subluxate the Hip_, which you should not be able to do with a normal hip joint. Can feel it click back into place when it Reduces.
Push Femur up towards the Spine while simultaneously Adducting the Leg. If there is Laxity in the joint then you will be able to push the Femoral Head out of the Acetabulum.
True/False: You should Peform Orthopedic Exams without Sedation whenever possible
True
Number one Diagnostic Modality for Orthopedic Issues, that should be done after the Problem Area is Identified
Radiographs
*ALWAYS take Orthogonal Views
Diagnostic Technique to Evaluate Joint Effusion
Arthrocentesis
*Looking for Conditions that are Treatable and that would explain why the Joint is Swollen and has Increased Fluid
Diagnostic Modality used for Evaluation of Muscular and Tendonous Injuries
Ultrasound
Diagnostic Modality that allows Direct Visualization into a Joint with Rigid Endoscope that is used to:
Diagnose Osteochondrosis and Fragmented Medial Coronoid Process
Diagnose Cruciate Ligament Disease and Meniscal Tears
Diagnose Shoulder Abnormalities
Athroscopy
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