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Orthos Flashcards

1
Q

Foraminal compression

A

Pt rotates-note pain
Back to neutral-compress
Rotate (good side first)-compress

Local pain-foraminal encroachment
Radicular pain-nerve root

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2
Q

O’Donoghue

A

Active mvt then passive

Pain active-mm
Pain passive-ll

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3
Q

Max cervical compression

A

Active rotation and extension
Rotation and flexion if no pain on first

Concave side pain-nerve root or facet
Convex side pain-mm

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4
Q

Shoulder depression

A

Depress shoulder and lat flex head away

Radicular pain-adhesions of dural sleeves, nerve root or shoulder jt capsule

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5
Q

Spurling’s

A

Active rotation-note pain
Lat flex and apply down pressure
Or lat flex and extend with downward press
Blow to top of head alternative

Radicular pain-nerve root
Local pain-facet

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6
Q

Soto hall

A

Hand on sternum and passively flex head to chest

Boney disease of C/S.
Ant pain-ant compression fx
Post pain-post ll sprain

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7
Q

Bakody

A

Hand on head reduces pain

Nerve root irritation

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8
Q

Allen’s

A

Occlude radial and ulnar aa then release one by one

Occlusion of corresponding a. if more than 10 sec

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9
Q

Reverse Baokdy

A

Hand on head produces pain

TOS

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10
Q

Halstead

A

Find radial pulse, traction arm down and pt extends neck

TOS

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11
Q

Costoclavicular

Eden’s

A

Extend arm put down pressure on shoulder pt flexes neck

Costoclavicular TOS

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12
Q

Adson’s and modified Adson’s

Scalenus anticus and scalenus medius

A

Radial pulse, slight abduction and extension of arm pt rotates toward and extends neck- pt holds breath

Pt rotates away

TOS

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13
Q

Wright’s

Hyperabduction

A

Radial pulse and abduct arm

Pec minor TOS

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14
Q

Roos

East’s

A

Arms at 90, open and close hands

TOS

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15
Q

Dugas

A

Arm across chest to opposite shoulder and touch chest with elbow

Can’t touch-shoulder dislocation

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16
Q

Yergason’s

A

Elbow 90, stabilize elbow, active supination

Pain over bicipital groove-instability of biceps tendon

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17
Q

Mazion’s shoulder rock

A

Hand to opposite clavicle-elbow from chest to forehead

Shoulder or arm pain ipsi side

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18
Q

Supraspinatus press

A

Empty can

Start in straight abduction then move to scapular plane

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19
Q

Kaplan’s

A

Grip strength with arm straight out

Improve grip strength and less pain

Lateral epicondylitis

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20
Q

Wartenberg’s

A

Thumb and forefinger of opposite hands touch held out in front of pace

Thumbs can’t touch-ulnar nerve palsy

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21
Q

Finsterer’s sign

A

Grip doesn’t show prominence of 3rd metacarpal-tapping it causes wrist pain

Kienbock’s

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22
Q

Shrivel test

A

Fingers don’t shrivel in water after 30 minutes

Denervation

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23
Q

Froment’s paper sign

A

Can’t grip paper with thumb and forefinger

Ulnar nerve paralysis

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24
Q

Bracelet test

A

Squeeze distal radius and ulna

RA

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25
Q

Lasegue

A

Flex thigh on pelvis with knee flexed-slowly extend knee with leg elevated

Sciatica from L/S or SI lesions, disc, spondy, IVF occlusion, etc

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26
Q

Bragard

A

SLR then back off from pain, dorsiflex foot

Sciatica, cord tumors, disc, nerve irritation

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27
Q

Deyerle’s

A

Pt seated, extend leg til pain then flexed while strong pressure in popliteal fossa

Sciatica above knee

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28
Q

Lindner’s

A

Flex head to chest

Pain in sciatic region-root sciatica

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29
Q

Turyn’s

A

Legs relaxed but straight out, dorsiflex big toe

Sciatica

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30
Q

Sicard’s

A

SLR, back off, extend big toe

Sciatica

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31
Q

Elwin punch

A

Punch buttock

Spinal lesion-disc

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32
Q

Beery’s

A

Pain in trunk while standing, better while sitting with knees flexed

Hamstring tightness

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33
Q

Goldwait’s sign

A

Supine, SLR with hand under lumbars

Pain before L/S moves- SI
Pain after- lumbosacral area or L/S

0-30 SI
30-60 Lumbosacral
60-90 L/S or contra SI

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34
Q

Belt test

A

Bend forward-pain
Then squeeze iliac crests and brace hip against sacrum and pt bends forward

Pelvic issue would not create pain on second
Spine issue pain in both

35
Q

Lesegue rebound test

A

SLR, drop leg without warning

Sciatica, mm spasm and/or disc

36
Q

Nachlas

A

Prone and heel to butt

SI or L/S
Pain in ant thigh-femoral nerve stretch

37
Q

Bonnet’s

A

Supine, int rotation, adduction and SLR

Sciatica

38
Q

Lewin Standing

A

Stabilize pelvis and pull knee into extension

Pain followed by snap back into flexion-hamstring spasm

39
Q

Hibb’s

A

Prone, flex knee to 90, push ankle lateral (int rotation of the hip)

Hip or SI

40
Q

Anterior innominate test

A

Standing, one foot two to three feet in front of the other, bend over forward leg, raise back heel off floor

Lower trunk pain of post leg-forward displacement of ilium

41
Q

Erichsen’s sign

A

Prone-hands over dorsum of ilia and forceful B/L thrust toward midline

SI

42
Q

Ely’s sign

A

Prone, heel to opposite buttock, thigh extended

Hip lesion, lumbar nerve root irritation

43
Q

Allis’ sign

A

Supine, knees flexed, feet flat on table, malleoli approximated-look at height of knees

Knee lower-ipsi hip dislocation

44
Q

Slocum’s test

A

Supine, knee flexes to 90, hip flexed to 45-tibia drawn forward
Then externally rotate 15 degrees and draw tibia forward

ACL tear

45
Q

Fiuchet’s sign

A

Supine, knee extended, compress patella, if no pain run patella transversely

Tracking disorder or other patellar issue

46
Q

Hoover’s sign

A

Supine, hand under each heel, raise affected limb

If no downward pressure from heel on unaffected side then malingering

47
Q

Burn’s bench test

A

Kneel on table or stool ~18 inches up, bend trunk forward to touch floor with fingertips while doc holds heels

Refuse to do-malingering

48
Q

Magnuson’s

A

Point to pain, later points to different spot

Malingering

49
Q

Mannkopf

A

Feel pulse, push painful spot, pulse increase 10 or more beats is normal

Doesn’t increase-malingering

50
Q

Shepelmann’s

A

Raise arms above head and lat flex at waist

Pain concave-intercostal neuritis
Pain convex-intercostal myofascitis or pleurisy

51
Q

Libman’s

A

Pain tolerance-pressure to mastoid

52
Q

Forestier’s bowstring

A

Lat flex- concave mm tightening

ALS

53
Q

Lewin supine

A

Supine, Dr holds legs while pt sits up without hands

Can’t do it-AS

54
Q

Sternal compression

A

Supine-pressure on sternum

Pain at lat border-rib fx

55
Q

Kernig sign

A

Supine-flex hip and knee to 90 then try to extend

Pain prevents, resistance, involuntary flexion of opposite leg

Meningeal irritation

56
Q

Bikele’s

A

Arm in ext and abd and elbow fully flexed, ext elbow-resistance, radicular pain

Brachial plexus neuritis or meningeal irritation

57
Q

Guilland’s sign

A

Supine and firmly pinch quads-brisk hip and knee flexion

Meningeal irritation

58
Q

Beevor’s sign

A

Supine-watch umbilicus while pt does a partial sit up

Unilateral lesion-umbilicus moves away from lesion and toward working mm

59
Q

Barre-leiou sign

A

Seated, rotate side to side slowly then until tolerance reached

Vertigo, blurred visions, nausea, etc

Buckling of ipsi vertebral artery

60
Q

Dekleyn’s test

A

Supine head extended off table, hyperextend and rotate, hold for 15-45 seconds

Vertebrobasilar circulation compromise

61
Q

Hallpike

A

Supine head extended off table, Dr rotates and let extends looking for nystagmus etc, hold for 15-45

Vertebral, basilar or carotid stenosis or compression

62
Q

Hautant’s

A

Seated, extends arms forward to shoulder level supinated, close eyes, rotate and extend neck to one side

Drifting of arms-vertebrobasilar compromise

63
Q

Underberg’s

A

Stands feet close together, close eyes and extend arms to shoulder level, extend and rotate head while attempting to march in place

Loss of balance, drop or drifting arms, hand probation

Vertebrobasilar or carotid stenosis or compression

64
Q

Vertebrobasilar artery functional maneuver

A

Seated, auscultate subclavian and carotids for bruits, assess pulse (don’t do if there are bruits), rotate and extend head to each side

Vertebral, basilar or carotid stenosis or compression

65
Q

Rovsing sign

A

Pressure in LLQ causes pain in RLQ

Appendix

66
Q

Psoas sign

A

Flex thigh against resistance pain

Appendix

67
Q

Obturator’s sign

A

Thigh flexed then internally rotated pain

Appendix

68
Q

Cutaneous hyperesthesia

A

Lightly stroke over appendix with thumb and forefinger

Appendix

69
Q

Blumberg’s rebound tenderness

A

AT McBurney’s point

Appendix

70
Q

Rebound tenderness

A

Anywhere BUT McBurney’s point

Appendix

71
Q

Jackson’s compression test

A

Seated then lat flex and downward pressure

Radicular pain-nerve root

72
Q

Passive shoulder approximation

A

Pt standing, Dr lifts shoulders up and back-pain in scapular region

T1 or T2 nerve root issue on side of pain

73
Q

Bryant’s

A

Dr observes heights of axillary folds

Lower fold-shoulder dislocation

74
Q

Pinch grip test

A

Pinch thumb and forefinger pads together

Median nerve

75
Q

Millgram’s

A

Pt supine, hold legs 6 inches off table for as long as possible (30 sec min)

Pain- space occupying lesion

76
Q

Leg lowering test

A

Dr picks legs up to 90 and pt slowly lowers them

Low back pain- space occupying lesion

77
Q

Heel walk

78
Q

Toe walk

79
Q

Femoral nerve traction test

A

Side lying, involved side up, Dr brings hip in 15 degrees extension

Ant thigh pain- L2, L3, L4 nerve root

80
Q

Neri’s sign

A

Standing, pt bends forward at waist

Knee buckles- hamstrings, disc, SI or lumbosacral sprain/strain

81
Q

Amos’ sign

A

Side lying asked to stand up

Pain or lack of ROM- AS, severe IVD or sprain/strain

82
Q

Rib compression

A

Wrap arms around patient and compress lat ribs

Costochondritis

83
Q

Stork test

A

Dr behind pt, raise one leg and lean back

Pain-suggestive of spondy

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