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NPLEX II - Orthopedic Tests > Orthopedic Tests > Flashcards

Orthopedic Tests Flashcards

1
Q

Yeoman’s Test

A

Indication: SI Pathology

Technique: (prone) Flex pt’s knee to 90* and extend ipsilateral hip

Prone - push sacrum down while lifting 1 leg

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2
Q

Trendelenburg Sign

A

Glut Medius Weakness

Pt lifts 1 leg & hip drops

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3
Q

Thomas’ Test

A

Hip Flexor Tightness

Pt draws 1 knee to their chest while lying supine. + is the other leg lifting off the table

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4
Q

Telescoping Sign

A

Congenital Hip Malformation in Infants

Pressing the knee causes “telescoping” of the femur when the acetabulum is not properly formed.

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5
Q

Ortalani Click

A

Sound heard with dislocated hips in babies

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6
Q

Ober’s Test

A

Tight IT Band

Examiner lift’s pt’s leg and it hurts when the pt lowers it back down.

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7
Q

Nachlas’ Test

A

Differentiates between lumbar spine sprain and femoral n. pathology.
Touch heel to butt cheek on same side. Location of pain determines the issue.

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8
Q

Hibb’s Test

A

Hip pathology vs SI lesion

Internally rotate femur. Pain in hip = hip. Pain in butt = SI.

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9
Q

Gaenslen’s Test

A

SI pathology

Affected knee comes to chest.

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10
Q

Pelvic Rock Test

A

SI pathology

Squeeze hips together

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11
Q

Patrick’s Test (Faber)

A

SI or Groin Pain

Figure 4 w/the leg, push on some stuff.

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12
Q

Ely’s Test

A 
Muscle hypertonicity (rectus femoris, lumbar lesion, TFL)
Take heel to contralateral butt cheek.
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13
Q

Bulge Test

A

Joint Effusion

Detect small amount of fluid by palpating the joint space and watching for bulges.

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14
Q

Ballotable Patella Test

A

Large Knee Joint Effusion

Push on the patella. If it’s squishy like a floating boat it’s positive.

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15
Q

Valgus & Varus Stress Test

A

Tests patency of the opposite collatoral ligaments.
Valgus - push on the LATERAL side of the limb, so the distal part of the limb moves LATERALLY (tests medial collateral ligaments)

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16
Q

Patella femoral Grinding (Clark’s) Test

A

Tests for Chondromalacia of the patella

Push patella distally & have pt slowly flex quads, drawing patella proximally.

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17
Q

McMurray’s Test (Reduction Click)

A

Meniscal Injury
Medial - Supine w/knee completely flexed, examiner extends the knee while medially rotating the tibia. Loose fragments cause “snap or click” and can cause pain.
Lateral - opposite side.

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18
Q

Lachman’s Test

A

Stability of Knee Ligaments (ACL & PCL)

Drawer Test performed at 20 degrees of flexion

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19
Q

Bounce Home Test

A

Meniscal Injury

Examiner holds knee bent and allows it to passively extend. Positive = pain or incomplete extension.

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20
Q

Apprehension Test (for patellar dislocation)

A

Patellar instability

Push patella laterally - pt isn’t happy

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21
Q

Apley’s distraction test

A

Collateral ligament injury

Pull the knee - pain is +

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22
Q

Apley’s compression test

A

Meniscus tear

Push knee - pain is +

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23
Q

Anterior/Posterior Drawer Sign

A

ACL/PCL Tear

Push & Pull. Movement = +

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24
Q

Tibial Torsion Test

A

Tests for Tibial Torsion

Pigeon toed over 18 degrees = + and they might need surgery.

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25
Q

Thompson’s Squeeze test

A

Achilles tendon rupture

Squeeze calf muscles, foot should move with a good tendon.

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26
Q

Test for Rigid or Supple Flat Feet

A

Tests for the name of the test

If they lose their arch when they stand flat footed their feet are supple!

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27
Q

Talor Tilt Test

A

Adduction stresses calcaneofibular ligament and anterior talofibular ligament.
Abduction stresses deltoid ligament.

28
Q

Homan’s Sign

A

DVT
Extend knee & dorsiflex foot. + is pain in calf muscle.
Performtest w/edema, swelling, pain in calf, and diminished dorsalis pedis pulse

29
Q

Forefoot Squeeze Test (Morton’s)

A

Squeeze foot. Pain = Morton’s neuroma

30
Q

Forefoot Adduction Test

A

Test structural foot defect in babies. + = foot can’t move to neutral position.

31
Q

Dorsiflexion Test

A

Assessing ROM of ankle
Attempt to dorsiflex ankle with knee flexed.
If unable to dorsiflex with knee flexed - gastrocnemius tightness
No dorsiflexion regardless of knee - soleus tightness

32
Q

Anterior/Posterioer Drawer (Ankle)

A

Anterior & posterior talofibular Ligament Injury

33
Q

Tinel’s Test

A

Carpal tunnel syndrome

Tap medial nerve root on wrist (or ulnar n. root). Tingling/shooting pain = +.

34
Q

Retinacular Test

A

Tests retinacular ligament tightness.

Pt tries to bend ONLY the DIP joint in a finger.

35
Q

Phalen’s test

A

Carpal Tunnel Syndrome

Make “prayer” hand with BACK of hands instead of palms. Pain = +.

36
Q

Mill’s Test

A

Lateral epicondylitis

Stretch the extensors of the forearm. Pain at lateral epicondyle is +

37
Q

Finkelstein’s Test

A

de Quervain tenosynovitis

Make a fist w/thumb inside & stretch it in a stupid uncomfortable way.

38
Q

Cozen’s Test

A

Lateral epicondylitis

Flex the extensors of the forearm. Pain at lateral epicondyle is +

39
Q

Speed’s Test

A

Bicep m./tendon
Pt holds arm out with palm up. Doctor presses arm down.
Pain in bicepital groove = +.

40
Q

Yergason’s Test

A

Bipep tendonitis, instability of biceps, or displaced biceps tendon.
Pain in the tendon or bicep slipping out of the groove. Pt supinates arm while you palpate the groove.

41
Q

Lippman’s Test

A

Bicepital tendonitis

Sharp pain while rotating arm = +.

42
Q

Neer’s Test

A

Supraspinatus Tendon Impingement

Arm passively elevated w/thumb face down (internally rotated)

43
Q

Hawkins-Kennedy

A

Supraspinatus Tendon Impingement

Holding a towel like a surver, push wrist toward floor. Ouch = +

44
Q

Glenohumeral Apprehension Test

A

Glenohumeral jt instability

Push back of their shoulder. Cranky/scared = +

45
Q

Drop Arm Test (Codman’s)

A

Rotator Cuff Tear

Lift arm slowly, then slowly lower down. Sudden arm drop = +

46
Q

Apley’s Scratch Test

A

Rotator cuff tear/tendonitis/weakness of rotator cuff

One arm up, one down, try to touch fingers behind back.

47
Q

Wright’s Test

A

Thoracic Outlet Syndrome

Palpate radial pulses while lifting arms. Pulse disappears = +

48
Q

Vertebral Artery Test

A

Vertebral, Basilar, or Carotid artery stenosis/compression

Turn their head for 30 seconds. Relief on opposite side = + for that side.

49
Q

Valsalva

A

SOL

Pain in back = +

50
Q

Soto Hall Test

A

Tests lots of problems in the neck

Press the sternum down into the table while lifting their head (finger sniff test).

51
Q

Shoulder Depression Test

A

Brachial Plexus Lesions

Push shoulder down with head flexed away. + is pain or increased irritation

52
Q

Minor’s Sign

A

Sciatica, SI lesions, Lumbosacral lesions, disc involvement

Patient stands up. If they shift weight to unaffected side it’s a +.

53
Q

Milgam’s Test

A

Disc herniation, Lumbar strain. (Can also be weak abdominal or hip flexor muscles).
Raise both legs off table for 30 seconds. + is if they can’t hold feet there for 30 seconds.

54
Q

Lindner’s Test

A

DIsc lesion MAYBE at level of pain (sounds like a shitty test).
Flex neck passively while pt is supine with legs extended. Pain = +

55
Q

Lasegue’s Test (Straight Leg Raise)

A

Spondylolysthesis or other lesion at level of hip is < 30 degrees flexion. Sciatic pain between 30 & 70 degrees means ipsilateral disc herniation.
Examiner passively lifts pt’s leg.

56
Q

Kernig’s Test

A 
Meningeal irritation (could be subarachnoid hemorrhage)
Passively flex knee and hip 90 degrees, then extend knee. Resistance and pain = +
57
Q

Kemp’s Test

A 
Facet irritation (local pain). Nerve root irritation (radiating pain, especially below the knee). 
Maximal cervical compression technique applied to lumbar spine.
58
Q

Hoover’s Test

A

Malingering
Put hand under their ankle & ask them to lift opposite leg. If they’re full of shit they’ll say they can’t do it and you won’t feel any pressure in your hand, meaning they aren’t really trying.

59
Q

East’s Test (Roo’s Test)

A

TOS

Squeezing hands for 3 minutes. Fatigue is normal. Tingling is +.

60
Q

Cervical Spine Distraction Test

A

Cervical Radiculopathy
Pull their head away from their shoulders. Relief of sxs =+.
Local pain = ligamentous issue.

61
Q

Cervical Spine Compression Test

A

Nerve root compression/inflammation

Press down on their head

62
Q

Burn’s Bench Test

A

Malingering

“Child’s Pose” basically… should relieve Sciatica and liars say that it hurts or they can’t do it.

63
Q

Becterew’s Test

A

Tension on sciatic n.

Sitting on a Table extend 1 leg, try for 2. Sxs in back of leg = +.

64
Q

Braggard’s Test

A

Sciatic n. Tension

Reduce the angle after straight leg raise is symptomatic. Once sxs. are relieved dorsiflex the foot. Return of sxs = +.

65
Q

Adson’s Test

A

TOS
Take radial pulses while pt reaches behind them. They look to 1 side. + is when the pulse reduces on the side they look at.

66
Q

Adam’s Sign

A

Scoliosis

Pt bends forward. Hump on one side of the spine is +.

NPLEX II - Orthopedic Tests (1 decks)

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