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ICE 2 > ORTHOS - LE > Flashcards

ORTHOS - LE Flashcards

1
Q

Lasague’s Test

A

PT: supine
doc: raises the leg, bends it, and then extends it again

= Lumbar N root compression / irritation, lumbar radic

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2
Q

Bechterew’s Test

A

pt: sit with legs off the table.
doc: instructs the pt to extend one leg at a time and then both

(+) can’t preform because of radic pn, or pt leans back

= compression of the sciatic N roots

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3
Q

Sicard’s test

A

SLR–> back off 5 degrees–> flex big toe

0=35: SI join disorder, M dysfunction, piriformis sx

35-70: Sciatic N root tension (L5,S1,S2)

70-90: Lumbar disorder

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4
Q

Minors sign

A

pt: sit to stand

(+) : lumbar radic will stand on healthy side and keep affected leg flexed

= lumbar radic

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5
Q

Antalgic Lean Sign

A

lateral disc: lean away from side of pn
medial disc: lean toward the side of pn
central disc: flexed position

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6
Q

Neri sign:

A

instruct pt to stand and bend over

(+): flexes knee on affected side

= lower lumbar N root irritation, disc, SI sublux

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7
Q

Fajersztan’s test

A

doc raises pt’s unaffected leg –> lowers –> DF foot

(+) incr radic leg pn
= medial disc: incr pn on affected side
= lateral disc: decr pn on affected side

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8
Q

Kemps

A

radicular pn= irritation of spinal N root
lateral disc herniation= radicular pn with ipsi bending
medial disc herniation= radicular pn with contra bending

local achy: facet problem, capsulitis, SI jt prob, M spasm

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9
Q

what levels are the femoral N root

A

L2,L3,L4

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10
Q

Femoral N traction

A

pt: lays with affected side up
doc: extend affected leg 15 degrees –> then flex the knee to stretch femoral N further

(+): pn radiating into anterior medial thigh (L3), Pain extending to mid tub (L4),

pn on contra side: N root compression

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11
Q

Brudzinski’s sign

A

pt supine–> flex head to chest –> knees bend

= meningeal irritation/ meningitis or N root
= radic pn
= bac. meningitis= head pn, neck stiffness, nuchal rigidity, temp

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12
Q

Kerning’s test

A

pt’s lower legs are // with table. instruct pt to extend leg upwards

(+) inability to straighten the leg or pn
= meningeal irritation, meningitis, N root, disc, tumor, lumbar radic

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13
Q

Goldwaiths test

A

fingers in interspinous space –> SLR

(+) radicular pn
before sp fan: SI jt disorder, piriformis M dysfunction

during SP fan: intrathecal SOL- disc, osteophyte, mass

After SP fan: lumbar M, lig disorder

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14
Q

Sign of the Buttock test

A

SLR–> restriction found–> flex pt’s knee to see if hip flexion occurs

(+) hip flexion doesnt increase when knee is flexed = SI jt dysfunction

= SI jt patho, inflam process, bursitis, mass or abscess

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15
Q

Hibb’s test

A

pt is prone –> flex leg to opposite butt

(+) pn in SI or hip jt
= abcess/ sp of SI; hip jt lesion

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16
Q

Pelvic Rock

A

(+) pn on either side of SI

= SI jt lesion such as inflammaotyr process in the jts

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17
Q

Gaenslen’s test

A

pt supine and slides over to one side of the table–> hang leg off table
unaffected leg is flexed to chest

doc: applies pressure to ea leg to shear SI jt -

(+) pn in the SI on the extended leg side
= SI jt inflam, infection, anterior SI lig sp

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18
Q

Lewin Gaenslen’s test

A

= general SI lesion of the iliofemoral, ischiofemoral ligaments
or inflammatory process

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19
Q

Piriformis test

A

pt is side-lying with knee up

doc: puts downward pressure on leg

(+) butt pn or sciatic radiating pn
= buttock pn for piriformis, radiating pn= impingement of sciatic N by piriformis

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20
Q

Patricks test (FABRE)

A

1st: press flexed leg into acetabulum
2nd: flex leg, externally rotate and abduct leg (figure 4)

(+) pn in groin/ hip or glut fold
= capsulitis, arthritis, fx, AVN inflam

Laguerre’s = FABRE in the air

21
Q

indications of trendelenburg

A

g. med weakness on stance side or hip path on stance side- superior glut N lesion

also (+) with: dislocation of hip, fx, sublux, legg calve perthes dz

22
Q

indications of Ely’s test

A

tight rectus femoris M or hip flexion contracture: tight psoas

23
Q

Thomas test

A

pt: hold knee to chest
doc: palpate opp. leg
(+): tightness, or involuntary leg flex

= hip flexion contracture–> if tightness isnt palpated it can be restriction at the hip joint

24
Q

Ober’s test indication

A

tight iliotibial band or TFL contracture

25
Q

Modified Helfet’s test

A

(+) tibial tub remains at midline with patella with knee extension –> normal would move inline with LATERAL border of patella with extension

= rotation is blocked due to torn meniscus

26
Q

Bounce home

A

(+) unable to extend the knee fully or rubbery end feel on full extension
= meniscus

27
Q

McMurray’s test

A

IR and ER listening to jt line for clicking or popping

= meniscus

28
Q

Steinman’s tenderness displacement test

A

doc: place hands on jt line -> flex and extend knee

(+) pn moves anterior during knee extension or posteiror during knee flexion
= meniscus dysfunction

29
Q

structures effected during anterior drawer

A

ACL
MCL if more than 1 cm of movement
Posterolateral capsule, posteromedial capsule, Iliotibial band, posterior oblique lig, arcuate popliteus complex

30
Q

structures effected during posterior drawer

A

PCL, posterior oblique lit, ACL

31
Q

Slochum test

A

pts leg is flexed 45 degrees and IR
doc: pulls P-A

(+) 5 mm of tibial movement
= ACL, posterolateral capsule, LCL or ITB

32
Q

Hughston’s drawer test

A

Pt has leg flexed

Doc pushes AP in IR and ER

IR: PCL and MCL
ER: PCL and LCL

33
Q

Lachman’s test

A

doc stabilized the femur with 1 hand and grabs the prox tib –> pulls PA

= ACL

34
Q

Reverse lachman’s test

A

pt is prone
doc: stabilize posterior thigh with one hand–> grasp tib and press AP

(+) pn with AP pressure , soft end feel
= PCL

35
Q

Lateral Pivot Shift (Test of MacIntosh)

A

doc: raise leg to 30 degrees, IR tibia–> apply valgus stress

(+) tibi reduced, pt will experience “giving away” –> ITB pulls back

= ACL, posterior capsules or LCL

36
Q

structures indicated in adduction stress test of the knee

A

when in ext: fibular collateral lig, posterior lateral capsule, ACL, PCL, ITB

when in flexion: fibular collateral lig (LCL) posterolateral capsule, ITB

37
Q

nobles compression

A

doc: pressure on the lateral condyle–> extend the knee

(+) pn under the thumb at the lateral condyle in 30 degrees of flexion (w/ cc of pn with activity)

= ITB friction sx

38
Q

what is the difference btw fairbanks apprehension test and patellar apprehension test

A

fairbanks: knee is flexed to 30 degrees

patellar apprehension: no flexion

39
Q

Indication of patellar grinding test:

A

chondromalacia patella, retropatellar arthrits, chondral fx, prepatellar bursitis

40
Q

Clarke’s sign

A

at 30, 60, and 90 degrees: doc uses a web contact at superior pole of the patella–> asks pt to contract quads

(+): retropatellar pn, cant hold contraction
= chondromalacia

41
Q

Dreyers test:

A

pt cant raise leg actively–> stabilize the quad tendon –> pt can raise the leg with stabilization
= fx of the patella

42
Q

Mediopatellar Plica test

A

knee flexed to 30 degrees–> push patella medially with thumb

(+) pn or clicking

43
Q

Hughston’s PLICA

A

doc flexes the knee and medially rotates the tibia –> press patella medially with the heel of the other hand –> doc is flex/ ext the knee

(+) popping
= suprapatellar plica

44
Q

Buerger’s test

A

raise one leg and PF/DF for 2 min –> then hang leg off the table –> venous return in less than 1 min
= arterial compromise

45
Q

Homan’s sign

A

raise leg and DF foot (stretches the calf/ tension on deep veins) –> doc squeezes the calf

(+): deep pn at posterior leg or calf
= thrombophlebitis/ DVT

46
Q

Moses

A

prone pt–> doc flexes knee 90 degrees –> doc squeezes the pt’s calf
(+): pn in calf
= phlebitis or vascular occulsion/ DVT

47
Q

Thompson’s test

A

prone pt–> flex leg –> doc squeezes calf–> no PF

= ruptured achilles

48
Q

tinel’s tap foot sign

A

prone pt–> leg flexed–> tap behind medial malleolus
(+) paresthesia radiating to the foot
= posterior tibial N

ICE 2 (4 decks)

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