Orthopedic Testing Flashcards
Berlin Criteria (x4)
Finding: Sponyloarthropathy/AS
Criteria:
- Stiffness in the AM that lasts >30 mins
- Improvement with exercise but not with rest
- Awake with pain and/or stiffness during 2nd half of night.
- Buttock pain that can be on one side or the other at various times
2 of 4 = 70% Specificity
Ankylosing Spondylitis history of other conditions
Uveitis, Psoriasis, Crohn’s/Colitis
Cervical Distraction
Indicates: Nerve root compression/Facet Joint pressure
Finding: Reproduces pain.
Test: Distract cervical spine while seated.
Cervical Compression
Indicates: Nerve root compression/Facet Joint pressure
Finding: Reproduces pain.
Test: Compress cervical spine while seated.
Spurling’s Test
Indicates: Cervical Radiculopathy
Finding: Radicular pain down one arm.
Test: Neck in extension, lateral flexion, with axial compression.
ROOS Stress Test.
aka - EAST Test
Indicates: Thoracic Outlet Syndrome.
Finding: Reproduces symptoms
Test: Hands in 90 deg abduction-external rotation. “Hands up” position. Slowly open and close hands for 3 minutes.
Empty Can Test
Indicates: Supraspinatus dysfunction
Finding: Pain or weakness with resistance
Test: Arm at 90 deg, full internal rotation and pronation. Provider applies downward pressure to arm with patient resistance.
Neer’s Test
Indicates: Subacromial Impingement Syndrome
Finding: Pain
Test: Provider stabilizes the scapula and passively flexing the arm while internally rotated.
Drop Arm Test
Indicates: Rotator cuff tear
Finding: Failure to control lowering arm and/or pain during lowering of arm.
Test: Stand behind the seated patient and abduct the arm to 90 and full external rotation, supported. Release elbow support and ask patient to slowly lower to neutral.
Hornblower’s Sign
Indicates: Teres minor tear
Finding: Pt unable to externally rotate arm
Test: Provider places arm and elbow both in 90 deg. Patient asked to externally rotate against resistance.
Phalen’s Test
Indicates: Carpal Tunnel
Finding: Reproduce pain or tingling.
Test: Hands in full flexion (prayer position) with elbows at 90 deg.
Yeomans Test
Finding/Indicates:
Pain in SI = SI Joint
Pain in Lumbar = Lumbar involvement
Pain in Thigh = Femoral Nerve Tension
Test: Provider stands on painful side. Flexes ipsi knee to 90 deg and extends hip.
FABER Test
Finding/Indicates:
Pain in SI = SI Dysfunction
Groin Pain = Iliopsoas Strain, Possible Hip impingement or tear
Posterior Hip Pain = Post Hip Impingement
Test: Patient supine, Flex hip into figure 4. Stabilize contra ASIS and apply external rotation to flexed knee.
FADIR Test
Finding/Indicates:
Pain in Groin = Hip Impingement
Apprehension/Clicking = Anterior Labral Tear
Test: Patient supine, flex hip, adduct and internally rotate leg.
Apley’s Grind Test
Finding/Indicates:
Pain w distraction = ligament damage to knee
Pain w compression = meniscus injury
Test: Patient prone. Knee flexed to 90 deg. Provider roots thigh to table with their knee. Laterally and medially rotate the tibia first with distraction and then with compression.
