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Orthopedic Testing > Orthopedics > Flashcards

Orthopedics Flashcards

1
Q

Describe Painful Arc (General)

A

Standing with Full Abduction
Positive sign = Pain
Tissues = GH Joint (45-120) & AC Joint (170-180)

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2
Q

Describe Apleys Scratch Test (General)

A

Standing Reach behind back to touch Scap

Positive test = Pain

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3
Q

Describe Crank (ant Apprehension) (Stability/Instability)

A

Passive Lateral Rotation
Positive test = Resistance, Facial Expression
Tissues = GH Dislocation

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4
Q

Describe Stress Test (Posterior Apprehension) (Stability/Instability)

A
  • Supine position, arm in front, Elbow 90*, pronation, medial rotation and push elbow into table
  • Positive test = pain
  • Posterior Capsule
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5
Q

Describe Anterior Drawer (Stability/Instability)

A
  • Supine, 90* abduction, 60* lateral rotation. Hand is placed beneath GH joint, distract Humerus , pull shoulder up
  • Pain , excessive motion
  • Anterior Capsule
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6
Q

Describe Dugas Test (Stability/Instability)

A
  • Arm in front, touch shoulder, drop elbow to chest
  • Positive test = Pain
  • Tissues = GH dislocation
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7
Q

Describe AC Shear Test (Stability/Instability)

A
  • One hand on the posterior surface of scapula to stabilize, other hand on clavicle- then push together
  • Positive Sign = Pain/abnormal end feel
  • AC Dislocation
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8
Q

Describe Roos (Neurological)

A
  • Goal post hands, open and close for 3 minutes
  • Positive sign = Tingling/Numbness/Pain
  • Tissues = Brachial Plexus
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9
Q

Describe Adsons (Neurological)

A
  • Full extension, feel pulse, turn head towards arm
  • Positive sign = Reduced Pulse/Tingling/Numbness/Pain
  • Tissues = Brachial Plexus
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10
Q

Describe Halstead (Neurological)

A
  • Full extension, feel pulse, turn head away
  • Positive sign = Reduced Pulse /Tingling/Numbness/Pain
  • Tissues = Brachial Plexus
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11
Q

Describe Costoclavicular -Edens - Military Brace (Neurological)

A
  • Arm into extension, feel pulse, downward distraction
  • Positive sign = Reduced Pulse/Tingling/Numbness/Pain
  • Tissues = Brachial Plexus
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12
Q

Describe Alen’s Maneuver (Neurological)

A
  • Elbow 90*, Feel pulse, Look opposite side
  • Positive sign = Reduced Pulse /Tingling/Numbness/Pain
  • Tissues = Brachial Plexus
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13
Q

Describe Wrights (Neurological)

A
  • Full Abduction, Lateral Rotation, Feel pulse
  • Positive sign = Reduced Pulse/Tingling/Numbness/Pain
  • Tissues = Brachial Plexus
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14
Q

Describe Speeds Test (Musculotendinous)

A
  • Shoulder Flexion. RMT Push hand down in supination and pronation
  • Positive Test = Pain
  • Tendons = Biceps Long Head
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15
Q

Describe Yergason’s (MusculoTendinous)

A
  • Lateral rotation, Supination with active resistance, hand on intertubercular groove
  • Positive test = Bicep Tendon shift / Pain
  • Tendons = Ligament holding biceps long head
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16
Q

Describe Empty Can (Supraspinatus) (Musculotendinous)

A
  • Abduction, push arm down in full abduction and 30-45 * with pronation
  • Positive Test = Pain
  • Tendon = Supraspinatus tendon, due to strain microtear
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17
Q

Drop Arm - (Codman) (Musculotendinous)

A
  • Standing Abduction, Let arm go, observe drop
  • Positive Test = Pain
  • Tendons = Supraspinatus tendon impingement, due to tear - severe sprain
18
Q

Hawkins - Kennedy (MusculoTendinous)

A
  • Arm in flexion, Elbow 90*, support elbow, RMT Medially rotates at the arm
  • Positive Test = Pain
  • Tendons = Supraspinatus Tendon impingement
19
Q

Neer’s Impingement (MusculoTendinous)

A
  • Full abduction, Medial Rotation
  • Positive Sign = Pain
  • Tendons = Supraspinatus Tendon Impingement
20
Q

Describe Valgus Stress Test

A
  • Seated: Stabilize wrist, elbow 70°, apply pressure from lateral to medial
  • Positive: Laxicity, based on end-feel, pain in medial epicondyle area
  • Ulnar Collateral Ligament
21
Q

Describe Varus Test

A
  • Seated: Stabilize wrist, elbow 70°, apply pressure from medial to lateral
  • Positive Test: Laxicity, based on end-feel, pain in lateral epicondyle area
  • Radial Collateral Ligament
22
Q

Describe Tinels Test

A
  • Tap Distal to Cubital Fossa
  • Numbness, tingling through medial 1.5 digits, dorsal & palmar
  • Ulnar nerve
23
Q

Pronator Teres Stress Test (Active Resisted Pronation)

A
  • (hand shake)
    Hand in slight pronation, support elbow, try to bring into supination, client resists
  • Positive Test: Pain, tingling where median nerve innervates
  • Median Nerve
24
Q

Cozen’s Test (Active)

A
  • Start with fist in neutral, 1.pronate 2.radial deviation 3.extension
  • Pain in lateral Epicondyle
  • May indicate Lateral Epicondylitis , Tennis Elbow
25
Q

Mill’s Test (passive)

A
  • Elbow flexed, pronated, flex wrist… therapist bring elbow into extension
  • Pain in lateral epicondyle
  • Lateral epicondylitis / Tennis Elbow
26
Q

Lateral Epicondylitis Method 3 (Active Resisted)

A
  • Therapist resists extension of 3rd digit at the proximal phalange
  • Pain in lateral Epicondyle
  • Lateral epicondylitis
27
Q

Medial Epicondylitis Method 1 (Active Resisted)

A
  • Elbow flexed, palm up, active resist wrist flexion, resistance on hand
  • Pain in medial epicondyle
  • Indicate Medial Epicondylitis Golfers elbow
28
Q

Medial Epicondylitis Method 2 (Passive)

A
  • Elbow flexed, supinated, extend the wrist and the therapist brings the elbow in to extension.
  • Pain medial Epicondyle
  • May indicate medial epicondylitis
29
Q

Describe the Supination lift Test

A
  • Elbow’s flexed to 90, supinated. Use elbows and tell client to push my elbows up w/o wrist flexion
  • Pain or clicking
  • TFCC (Triangular Fibrocartilaginous complex - possible Tear )
30
Q

Describe the Scaphoid Stress test

A
  • Press on scaphoid and ask them to radially deviate, palm up and open
  • No Restrictions in deviation/popping
  • Dislocation of scaphoid
31
Q

Describe Murphy’s Test (Lunate)

A
  • Hands in fist, pronated. Observe knuckles
  • 3rd metacarpal in being pulled back toward wrist
  • Dislocation of lunate
32
Q

Describe Phalen’s Test

A
  • Position dorsum of hands together, practitioner brings hands downward
  • Pain, tingling where median nerve innervates
  • Median nerve, compression
33
Q

Describe Tinel’s Test (At wrist)

A
  • Tap lateral to palmaris longus tendon
  • Pain, tingling where median nerve innervates, in carpal tunnel
  • Median Nerve
34
Q

Describe Prayer’s Test

A
  • Position palms together, practitioner brings hands upward
  • Pain, tingling where median nerve innervates, in carpal tunnel
  • Median nerve, stretching
35
Q

Describe Finkelstein Test

A
  • Thumb in fist, practitioner brings client into ulnar deviation
  • pain in radial side
  • Extensor pollicis brevis and abductor pollicis longus
36
Q

Describe Bunnel-Littler’s Test

A
  • Extend metacarpophalangeal (2-5) , flex PIP and DIP
  • Resistance, can’t get into flexion
  • Flexor Tendons
37
Q

Describes Allens Test

A
  • Arm 90 degrees, open & close hand, then hold a fist. Practitioner compresses radial and ulnar nerve, client opens hand. Releases one nerve. Close hand and repeat
  • Lack of blood flow back into hand upon release of the nerve, takes more than 10 secs
38
Q

Describe the Three Knuckle Test

A
  • Ask patient to open the jaw and insert as many fingers (Proximal Interphalangeal joints) into mouth
  • Positive Sign = Patient can only get 1 or 2 knuckles
39
Q

Chvostek Test

A
  • Tap Parotid Gland (Cheeks) overlying the masseter muscle
  • Positive Sign = if fascial muscle twitch
  • Determines pathology of CN (vii) facial nerve)
40
Q

DTR for TMJ

A
  • Examiners thumb is place on the chin of patient with patient mouth is relaxed. Patient closes eyes while the thumbnail is tapped.
  • Assesses cranial Nerve V (Trigeminal)

Orthopedic Testing (3 decks)

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