OSCE 2 Flashcards
Anterior innominate
unaffected foot forward and flexes at waist attempts to touch toe, look for rear heel to lift off. Local pain over SI joint
Belt Test
First patient bends forward and touches toes, then doc braces hips and patient repeats. pain first part but not second SI, pain in both Lumbar
Erichsen’s Test
patient prone, compress Si joints by pushing in on the PSIS, elicit pain in the SI joint
Gaenslen’s Test
patient supine, doctor stands on side and brings unaffected knee up to patient’s chest, looking for SI. SI joint pain on side being tested or radiating pain to thigh or groin
Goldthwait’s sign
How much does gold weigh. pain before L5-S1 separation it is SI; after it is lumbar
Hibb’s Test
patient prone, flex knee to 90 then internally rotates femur by pushing foot laterally, sacroiliac lesion with positive test which is pain
Iliac compression test
patient on unaffected side, doctor compresses iliac crest, sprain of posterior SI ligament, SI joint inflammation or sublux; pain is positive
Lewin Gaenslen Test
patient lies on unaffected side and brings unaffected knee toward chest, doc slowly hyper-extends affected thigh, SI joint sprain or arthritis
Yeoman’s Test
patient lies prone and doctor applies pressure to sacrum with one and places hand under affected side knee and lifts that knee off table; SI joint issues, femoral nerve irritation, Iliopsoas or rectus femoris muscle contraction
Actual leg length
ASIS to medial mal difference greater than 6mm, hip defficiency
Apparent Leg length
umbilicus to center medial mal, spinal or pelvic sublux difference greater than 6mm
Allis’ sign (Galeazzi’s)
supine with feet flat on table looking for tibial and femur length discrepancy
Anvil Test
doc elevates foot then hits bottom of foot, looking for fracture in any one of the bones leading to hip or hip arthritis
Gauvain’s Sign
patient with affected side up, one hand on abdominals and the other just above ankle, abduct the leg the internally and externally rotates thigh. looking for AVN, infection, fracture or gout; ipsi contraction of abs, pain in hip, reffered pain groin and anterior thigh
Hip Telescoping test
patient supin doctor felxes hip and knee on affected side. Doc grasps calf and thigh on affected side, other hand on thigh just above knee, push femur into table and distract femur; hip dislocation or dysplasia
Patrick’s Test
stand on unaffected side, instruct patient to make figure 4 position, stabilize the opposite ASIS on table and downward pressure on 4; hip pathology
Ober’s TEst
affected side up, doc stand behind, doc uses other hand to abduct and extend the thigh and hip (done with knee bent at 90) then slide hand to angle and let knee adduct; spastic contractions IT band related
Thomas Test
patient supine, actively pulls unaffected knee to chest while keeping other straight; contracture of iliopsoas on affected side, lumbar maintains lordosis or unable to keep thigh flat on table
Trendelenburg’s Test
patient stands on affected foot and raises unaffected foot off ground, observed for pelvic unleveling; look for paralysis or weakness of hip abductors on affected side, high iliac crest on supported leg and low on lifted
Ortolani’s TEst
infant supine, doctor grasps both thighs at level of less trochanter, doctor flexes and abducts thighs bilaterally; congenital femoral dislocation or instability, click or clunk
Valgus/Varus test
supine with leg bent to 30, doc stabilizes medial ankle lateral sides of knee, then foot between legs and wiggle back and forth; pain or increased motion
Apley’s Compression
Patient prone with knees flexed at 90, doc grasps foot, pushes down and medially/laterally rotates foot; meniscus tears, internal lateral meniscus, external medial meniscus
Patella Ballottement Test
patient supine with leg straight, doc pushes down on patella, moves it lateral and medial; looking for boggy feel
Bounce Home Test
Patient lies supine, doc lifts leg and bends to 20, doc allows knee to drop into full extension; meniscal tear, pain or inability to fully extend
Clarke’s Sign
patent lies supine and doc applies S-I pressure on top of patella, patient contracts the quads; chondromalacia patella or degeneration of patellofemoral joint
McMurray Sign
patient supine with hip and knee at 90, doc graps knee and heel then rotates tibia externally while applying varus stress while extending then perform opposite motion, meniscal tears
Lateral Pivot Shift Maneuver
patient supine with hip and knee at 5, doc applies internal rotation, valgus stress and flexes knee; ACL tear, patient feels like knee is going to pop or give out
Lachman Test
Test for ACL, same as Drawer test but knee flexed to 25-30, doc holds femur and lifts Tibia; pain normal translation sprain, patin with increased translation rupture
Drawer test
Patient supine with knee at 90, doc sits on patient’s foot, doc pulls tibia and pushes tibia; excess translation
Q-Angle Test
patient standing, draw line from ASIS through midpoint of patella, then another from tibial tuberosity to patella; angle less than 13 patellofemoral dysfunction or patella alta, angle greater than 18 suggests patellofemoral dysfunction
