Orthos Flashcards
Foraminal compression
Pt rotates-note pain
Back to neutral-compress
Rotate (good side first)-compress
Local pain-foraminal encroachment
Radicular pain-nerve root
O’Donoghue
Active mvt then passive
Pain active-mm
Pain passive-ll
Max cervical compression
Active rotation and extension
Rotation and flexion if no pain on first
Concave side pain-nerve root or facet
Convex side pain-mm
Shoulder depression
Depress shoulder and lat flex head away
Radicular pain-adhesions of dural sleeves, nerve root or shoulder jt capsule
Spurling’s
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
Soto hall
Hand on sternum and passively flex head to chest
Boney disease of C/S.
Ant pain-ant compression fx
Post pain-post ll sprain
Bakody
Hand on head reduces pain
Nerve root irritation
Allen’s
Occlude radial and ulnar aa then release one by one
Occlusion of corresponding a. if more than 10 sec
Reverse Baokdy
Hand on head produces pain
TOS
Halstead
Find radial pulse, traction arm down and pt extends neck
TOS
Costoclavicular
Eden’s
Extend arm put down pressure on shoulder pt flexes neck
Costoclavicular TOS
Adson’s and modified Adson’s
Scalenus anticus and scalenus medius
Radial pulse, slight abduction and extension of arm pt rotates toward and extends neck- pt holds breath
Pt rotates away
TOS
Wright’s
Hyperabduction
Radial pulse and abduct arm
Pec minor TOS
Roos
East’s
Arms at 90, open and close hands
TOS
Dugas
Arm across chest to opposite shoulder and touch chest with elbow
Can’t touch-shoulder dislocation
Yergason’s
Elbow 90, stabilize elbow, active supination
Pain over bicipital groove-instability of biceps tendon
Mazion’s shoulder rock
Hand to opposite clavicle-elbow from chest to forehead
Shoulder or arm pain ipsi side
Supraspinatus press
Empty can
Start in straight abduction then move to scapular plane
Kaplan’s
Grip strength with arm straight out
Improve grip strength and less pain
Lateral epicondylitis
Wartenberg’s
Thumb and forefinger of opposite hands touch held out in front of pace
Thumbs can’t touch-ulnar nerve palsy
Finsterer’s sign
Grip doesn’t show prominence of 3rd metacarpal-tapping it causes wrist pain
Kienbock’s
Shrivel test
Fingers don’t shrivel in water after 30 minutes
Denervation
Froment’s paper sign
Can’t grip paper with thumb and forefinger
Ulnar nerve paralysis
Bracelet test
Squeeze distal radius and ulna
RA
Lasegue
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
Bragard
SLR then back off from pain, dorsiflex foot
Sciatica, cord tumors, disc, nerve irritation
Deyerle’s
Pt seated, extend leg til pain then flexed while strong pressure in popliteal fossa
Sciatica above knee
Lindner’s
Flex head to chest
Pain in sciatic region-root sciatica
Turyn’s
Legs relaxed but straight out, dorsiflex big toe
Sciatica
Sicard’s
SLR, back off, extend big toe
Sciatica
Elwin punch
Punch buttock
Spinal lesion-disc
Beery’s
Pain in trunk while standing, better while sitting with knees flexed
Hamstring tightness
Goldwait’s sign
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