Orthos Flashcards
Thomas test
+ = opposite thigh or knee rises off table
Hip flexion contracture
Dugas
+ = UTP
Shoulder dislocation
Froment’s
+ = unable to keep paper between fingers
Ulnar Nerve palsy
Lesegue
aka = SLR #2
+ = pain down raised leg
sciatica, disc or SOL
Fajerstazn’s
AKA = Well leg raise
+ = pain
Medial disc lesion
Reverse Bakody’s
+ = increased pain
brachial plexus syndrome
Medial / Lateral Stability of Foot
+ = XS gap
Inversion = Ant Talofib or calcaneofib ligament tear
Eversion = Deltoid lig tear
Insertion point for teres minor muscle
greater tubercle
Adson’s
+ = decrease pulse amplitude
Anterior scalene or cervical rib
Shoulder Apprehension
+ = painful facial expression
Shoulder dislocation
Varus stress
+ = pain or laxity
LCL
Finkelstein’s
+ = pain over snuff box
DeQuervain’s (aka = stenosing tenosynovitis)
Codman’s Arm Drop
+ = unable to hold position
Supraspinatus tear
Reverse Cozen’s
+ = medial elbow pain
medial epicondylitis
golfer’s elbow
MC injured muscle of knee
Vastas Medialis
Minor’s sign
+ = patient supports body
SOL or sciatica
Burn’s Bench test
+ = patient refuses to perform kneeling test
Malingering
Jackson’s Compression test
+ = Radicular pain
Nerve root compression
Millgram’s
6” test
+ = pain
SOL
Gaenslen’s
+ = pain
SI lesion
Motion for Teres Minor muscle
External rotation
Modified Adson’s
+ = decrease pulse amplitude
Medius scalene
Bakody’s
+ = Pain relief
IVF
Slocum’s
Int Rot + AP = pain = LCL
Ext Rot + AP = pain = MCL
Heel points to problem side
Hip Abduction
+ = PSIS pain
SI joint problem or gluteus medius weak
Normal Chest Expansion
Male
Female
Male = 2 to 3 inches
Female = 1.5 to 2.5 inches
If AS suspected then chest expansion will be less than minimum
Valgus Stress
+ = incr pain
MCL
Bonnet’s sign
+ = radicular pain
Piriformis Syndrome
(Int rot of leg + adduct + SLR)
sitting on my Bonnet = piriformis
Nerve for Teres Minor
Axillary Nerve
Yergason’s
+ = click sound
Bicipital tendon instability
Iliac Compression
+ = SI pain
SI lesion
Lasegue Sitting test
+ = No pain when there had been a + SLR
Motion for Supraspinatus muscle
ABduction
Nachlas
+ = SI pain
SI lesion
or if anterior thigh pain = femoral nerve stretch
Apley’s Compression
+ = knee pain
Meniscus
Heel points to lateral or medial meniscus
Nerve for Supraspinatus
Suprascapular N
Lewin-Gaenslen’s
+ = SI pain
SI lesion
Lachman’s
+ = laxity
ACL
Max Cervical Compression
+ = Radicular pain
Nerve root compression
Insertion point for Infraspinatus muscle
greater tubercle
Distraction test
+ = relief of pain
(if increased pain then = sprain/strain injury)
Supported Adams
No Pain when stabilized = lesion in pelvis
With Pain at both position = lesion in spine
McMurray’s
+ = painful snap or click
Int Rot = lateral meniscus
Ext Rot = medial meniscus
Heel points to problem side
Hoover’s
+ = Dr does not feel unaffected side pushing down
Malingering
Nerve for Subscapularis
Subscapular Nerve
Patella Apprehension
+ = contract quads or look of fear
Patella Dislocation
Roo’s
+ = reproduction of symptoms
TOS
Cozen’s
+ = lateral elbow pain
lateral epicondylitis
tennis elbow
Becterew’s
+ = pain or patient leans backwards
SOL
or Posterior Medial disc if pain when good leg raised
Neri Bowstring
+ = knee buckles
Tight hamstrings
Hibb’s
+ = SI pain
SI lesion
Ely’s
+ = radicular pain
SOL
Lindner’s
+ = pain in lumbar spine radiating to sciatic nerve
Sciatica
Ortolani’s
Ext rot of infant legs
+ = audible or felt click
Congenital Hip dislocation
Mill’s
+ = lateral elbow pain
tennis elbow
Soto Hall
+ = local pain
Fracture
Valsalva
+ = radicular pain
SOL
Phalen’s
+ = tingling into lateral 3 fingers
Carpal Tunnel
50 % of cervical flex/ext occurs at which spinal level?
C0/C1
Patrick’s
+ = hip pain
Hip lesion
Unhappy Knee Triad
Injured MAM
a) Medial Meniscus
b) ACL
c) MCL
Goldthwait’s
+ = pain (depends how far leg is raised)
0 - 30 = SI joint
30 - 60 = L/S joint
60 - 90 = Lumbar spine or contra SI
Apley’s Distraction
+ = pain in knee
Heel points to side of problem
Kemp’s
Posterior Medial side = Kemps away from pain
Posterior Lateral side = Kemps into pain
Motion for Supscapularis muscle
Internal Rotation
Posterior Sag of knee
+ = tibia drops (sags)
PCL
Sicard’s
+ = pain when big toe is dorsiflexed
SOL or sciatica
Mannkopf’s
+ = increase in pulse rate at painful location
NOT Malingering if at least 10 BPM increase
Magnusson’s
+ = different location pointed to by patient as pain location
Malingering
Spurling’s test
+ = pain in neck, shoulder, or arm
SOL
Insertion point for Supraspinatus muscle
Greater tubercle
Anterior Foot drawer
+ = talus slides forward
Anterior Talofibular Lig instability
Infraspinatus Nerve
Suprascapular N
Barlow’s
Baby given AP pressure on hip
+ = audible thunk sound
Congenital Hip Dysplasia
MC injured Knee Ligament
ACL
Ely’s Sign/Test
+ = pain
Sign = Rectus Femoris tight
Test = Hip lesion
Shoulder Depression test
+ = Pain
Nerve root adhesion
Knee Drawer
+ = laxity
AP = ACL
PA = PCL
Nerve for Rhomboid muscles (major & minor)
Dorsal Scapular N
Naffzinger’s
+ = pain
SOL
Allen’s test
+ = Greater than 10 sec for blood to return to hand
occluded artery
MC Rot Cuff tear
Supraspinatus TENDON
Dawbarn’s
+ = decr pain when pinching AC joint
Subacromial bursitis
Nachlas
+ = SI pain
L/S joint lesion
Ober’s
+ = knee stays elevated
Tight TFL
Insertion point for Subscapularis muscle
lesser tubercle
Bragard’s
+ = radicular pain
SOL or sciatica
Bounce Home
+ = incomplete extension
Torn Meniscus
Motion for infraspinatus muscle
External rotation
Foraminal Compression Test
+ = Nerve Root compression
Apley’s scratch test
+ = pain or decr ROM
Rot Cuff tendinitis
Halstead’s
+ = decrease in pulse amplitude
cervical rib
Yeoman’s
+ = SI pain
SI lesion
Bikele’s sign
(Frisbee throw)
+ = radicular pain
TOS/Brachial plexus neuritis/ Meningeal irritation
Thompson’s Squeeze
AKA = Simmond’s
+ = no plantar flexion
Achillies Tear
50% of cervical Rot occurs at which spinal level?
C1/C2
Laguerre’s
+ = hip pain
Hip lesion
Eden’s test
+ = decrease pulse amplitude
costo-clavicular syndrome
Trendelenburg’s
+ = buttock on foot that is elevated drops
Gluteus Medius Weak on stance leg
Wright’s
+ = decrease in pulse amplitude
Pec Minor syndrome (axillary artery)
Tinel’s Wrist
+ = tingling into lateral 3 fingers (Carpal tunnel)
or meidal 2 fingers (Ulnar N impingement)
Bowstring’s sign
+ = pain when popliteal fossa compressed
SOL or sciatica
