PD Musculoskeletal Upper and Lower Extremity Exam Flashcards
oh lawd help me
Each extremity/joint needs to be inspected for these 7 things..
- Symmetry
- Atrophy/hypertrophy
- Swelling
- Erythema
- Deformity
- Bony landmarks
- Skin
Palpating a joint allows for assessment of…
Warmth, tenderness, deformity, crepitus
Range of motion tests should be ____ first then ____
Active, passive
Palpations on the shoulder
Sternoclavicular joint to acromioclavicular joint
Range of motion on shoulder
Flexion, extension, abduction, adduction, internal rotation, external rotation, Apley’s scratch test!!
Deltoid muscle strength test
Supraspinatus/empty can test
Lift off/subscapularis test
Serratus anterior test
Rhomboid test, verebral border of scapula should not wing out
Neer’s impingement sign, pain suggestive of subacromial impingement
Hawkins Kennedy test for impingement
Adson’s test for subclavian artery compression, thoracic outlet syndrome (don’t forget to palpate the pulse yo)
AC joint arthrosis test
Apprehension test for anterior shoulder instability
Sulcus sign for inferior shoudler instability
Jerk sign for posterior shoulder instability
Load and shift test for anterior and posterior shoulder instability
Range of motion on elbow
Flexion, extension, pronation, supination
Lateral epiconditis (tennis elbow), pain with resisted extension of wrist
Medial epicnodylitis (golfer’s elbow) test - palpate, resisted pronate, flex wrist
Range of motion on wrist
Flexion, extension, ulnar deviation, radial deviation
Finkelstein’s test for De Quarvian’s Tenosynovitis
Phalen’s test for carpal tunnel syndrome
Tinel’s sign for carpal tunnel syndrome
Bouchard’s nodes
Located at the PIP, indicative of osteoarthritis
Heberden’s nodes
Located at the DIP joint, indicative of osteoarthritis
Ulnar deviation is a sign of what disorder?
Rheumatoid arthritis
Dupuytren’s contracture
Chronic hand deformity that causes knots to form in the palmar tissue creating a consistent bent position for ring and pinky fingers, different from trigger finger
Swan neck deformity and boutoneire deformity
kind of as the name sounds, and what i have :(
Range of motion on hip
Gait, flexion, extension, abduction, adduction, external rotation, internal rotation
Groin and anterior thigh pain indicates…
…osteoarthritis of femoral head and acetabolum
Posterior hip pain indicates…
…sacroiliac pain
Lateral hip pain indicates…
Greater trochanteric bursitis
Patrick’s FABER test for sacroiliis
Trendelenberg test
Watch walking for a trendelenberg gait
Thomas test for flexion contracture of hip, flex knee and hip of other side to see if affected side remains in a flexion contracture
Length leg discrepency
Measure from ASIS to medial malleolus to determine if both sides are same
Genu varum
out bowing knees
Genu valgus
Inward bowing knees
Range of motion on knee
Flexion and extension
Varus knee stress test for LCL
Valgus stress knee test for mcl
Anterior and posterior drawer test
With a slightly flexed knee, pushing and pulling on the leg to assess the integrity of the ACL/PCL, not very accurate
Lachman’s test for ACL tear
Thesalay’s test for meniscus tear
McMurray’s test for meniscal tear
Apley’s grind test for meniscal tear
Patellar apprehension test for patellar sublaxation
Patellar compression test for patellofemoral syndrome
Range of motion on ankle
Flexion, extension, inversion, eversion
Kleigar’s test/external rotation test for anteiror tibiofibular ligament, high ankle sprain
Talar tilt test for calcenofibular lig
Anterior drawer test for anterior talofibular lig
thompson test for achilles tendon rupture
