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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
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
26
Bragard
SLR then back off from pain, dorsiflex foot Sciatica, cord tumors, disc, nerve irritation
27
Deyerle's
Pt seated, extend leg til pain then flexed while strong pressure in popliteal fossa Sciatica above knee
28
Lindner's
Flex head to chest Pain in sciatic region-root sciatica
29
Turyn's
Legs relaxed but straight out, dorsiflex big toe Sciatica
30
Sicard's
SLR, back off, extend big toe Sciatica
31
Elwin punch
Punch buttock Spinal lesion-disc
32
Beery's
Pain in trunk while standing, better while sitting with knees flexed Hamstring tightness
33
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
34
Belt test
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
Lesegue rebound test
SLR, drop leg without warning Sciatica, mm spasm and/or disc
36
Nachlas
Prone and heel to butt SI or L/S Pain in ant thigh-femoral nerve stretch
37
Bonnet's
Supine, int rotation, adduction and SLR Sciatica
38
Lewin Standing
Stabilize pelvis and pull knee into extension Pain followed by snap back into flexion-hamstring spasm
39
Hibb's
Prone, flex knee to 90, push ankle lateral (int rotation of the hip) Hip or SI
40
Anterior innominate test
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
Erichsen's sign
Prone-hands over dorsum of ilia and forceful B/L thrust toward midline SI
42
Ely's sign
Prone, heel to opposite buttock, thigh extended Hip lesion, lumbar nerve root irritation
43
Allis' sign
Supine, knees flexed, feet flat on table, malleoli approximated-look at height of knees Knee lower-ipsi hip dislocation
44
Slocum's test
Supine, knee flexes to 90, hip flexed to 45-tibia drawn forward Then externally rotate 15 degrees and draw tibia forward ACL tear
45
Fiuchet's sign
Supine, knee extended, compress patella, if no pain run patella transversely Tracking disorder or other patellar issue
46
Hoover's sign
Supine, hand under each heel, raise affected limb If no downward pressure from heel on unaffected side then malingering
47
Burn's bench test
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
Magnuson's
Point to pain, later points to different spot Malingering
49
Mannkopf
Feel pulse, push painful spot, pulse increase 10 or more beats is normal Doesn't increase-malingering
50
Shepelmann's
Raise arms above head and lat flex at waist Pain concave-intercostal neuritis Pain convex-intercostal myofascitis or pleurisy
51
Libman's
Pain tolerance-pressure to mastoid
52
Forestier's bowstring
Lat flex- concave mm tightening ALS
53
Lewin supine
Supine, Dr holds legs while pt sits up without hands Can't do it-AS
54
Sternal compression
Supine-pressure on sternum Pain at lat border-rib fx
55
Kernig sign
Supine-flex hip and knee to 90 then try to extend Pain prevents, resistance, involuntary flexion of opposite leg Meningeal irritation
56
Bikele's
Arm in ext and abd and elbow fully flexed, ext elbow-resistance, radicular pain Brachial plexus neuritis or meningeal irritation
57
Guilland's sign
Supine and firmly pinch quads-brisk hip and knee flexion Meningeal irritation
58
Beevor's sign
Supine-watch umbilicus while pt does a partial sit up Unilateral lesion-umbilicus moves away from lesion and toward working mm
59
Barre-leiou sign
Seated, rotate side to side slowly then until tolerance reached Vertigo, blurred visions, nausea, etc Buckling of ipsi vertebral artery
60
Dekleyn's test
Supine head extended off table, hyperextend and rotate, hold for 15-45 seconds Vertebrobasilar circulation compromise
61
Hallpike
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
Hautant's
Seated, extends arms forward to shoulder level supinated, close eyes, rotate and extend neck to one side Drifting of arms-vertebrobasilar compromise
63
Underberg's
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
Vertebrobasilar artery functional maneuver
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
Rovsing sign
Pressure in LLQ causes pain in RLQ Appendix
66
Psoas sign
Flex thigh against resistance pain Appendix
67
Obturator's sign
Thigh flexed then internally rotated pain Appendix
68
Cutaneous hyperesthesia
Lightly stroke over appendix with thumb and forefinger Appendix
69
Blumberg's rebound tenderness
AT McBurney's point Appendix
70
Rebound tenderness
Anywhere BUT McBurney's point Appendix
71
Jackson's compression test
Seated then lat flex and downward pressure Radicular pain-nerve root
72
Passive shoulder approximation
Pt standing, Dr lifts shoulders up and back-pain in scapular region T1 or T2 nerve root issue on side of pain
73
Bryant's
Dr observes heights of axillary folds Lower fold-shoulder dislocation
74
Pinch grip test
Pinch thumb and forefinger pads together Median nerve
75
Millgram's
Pt supine, hold legs 6 inches off table for as long as possible (30 sec min) Pain- space occupying lesion
76
Leg lowering test
Dr picks legs up to 90 and pt slowly lowers them Low back pain- space occupying lesion
77
Heel walk
L5
78
Toe walk
S1
79
Femoral nerve traction test
Side lying, involved side up, Dr brings hip in 15 degrees extension Ant thigh pain- L2, L3, L4 nerve root
80
Neri's sign
Standing, pt bends forward at waist Knee buckles- hamstrings, disc, SI or lumbosacral sprain/strain
81
Amos' sign
Side lying asked to stand up Pain or lack of ROM- AS, severe IVD or sprain/strain
82
Rib compression
Wrap arms around patient and compress lat ribs Costochondritis
83
Stork test
Dr behind pt, raise one leg and lean back Pain-suggestive of spondy

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