PE MSK Flashcards
What are the 2 patterns of involvement?
Migratory = pain transferred to another location
Additive = increase in locations of pain with original joint involved is still affected
What is involved in the 5 min MSK exam?
GALS
Gait
Arms
Legs
Spine
What is the sequence of exmaination of the MSK?
Inspcetion
Palpation
Range of motion
Special maneuvers
what test is done for lumbar spine flexion?
Schober’s test
in what cases do u do Schober’s test?
px with ankylosing spondylitis
what should be checked from the side of the spine?
spinal curvatures: cervical concavity, thoracic convexity, lumbar concavity
lumbar spine & hip
what should be checked from the front of the spine?
range of motion
lateral cervical flexion
anterior/posterior neck flexion
what are the diff range of motion of the neck/cervical spine?
touch chin to chest (flexion)
put the head back (extension)
touch chin to each shoulder (rotation)
touch each ear to the corresponding shoulder w/o raising the shoulder (L bending)
what are the range of motion of spinal column?
flexion
lateral
rotary
what joints of the shoulder are tested for their ROM?
Glenohumoral
Acromioclavicular
Sternoclavicular
Costochondral
what should be examined in the shuolder?
subcromial and subdeltoid bursae
SITS muscles
what are the ROM of shoulder?
flexion
extension
abdunction
adduction
internal rotation
external rotation
what are the different maneuvers done for the shoulders?
Empty can = internal human rotation
Drop arm = supraspinatus
Yergason = transverse humeral ligament
Lateral epicondylitis = tennis elbow
Finkelstein’s = test for De quervain’s tensoynovitis
Phalen’s = Carpal tunnel syndrome
Tinel’s = Carpal tunnel syndrome
what are other special maneuvers for the shoudler?
Crossover test
Apley scratch test
Neer’s impingement sign
Hawkin’s impingement sign
Supraspinatus strength for empty can test
Infraspinatus strength
Forearm supination
Drop-arm sign
what is done in Hawkin’s impingement sign?
flex the px’s shoulder and elbow to 90deg with the palm facing down. With one hand on the forearm and one on the arm, rotate the arm internally
(+) = possible inflammation or rotator cuff tear
what is done in supraspinatus strength or empty can test?
elevate the arms to 90deg & internally rotate the arms with the thumbs pointing down, as if emptying a can.
Ask the px to resist as u place downward pressure on the arms
(+) = weakness indicates possible rotator cuff tear
what are the 3 articulations of the elbow?
humeroulnar joint
radiohumeral joint
radioulnar joint
what should be inspected of the elbow?
swelling over the olecranon prosses (olecranon bursitis)
inflammation of synovial fluid occurs in arthritis
what is done during palpation of the elbow?
palpate olecranon process & press over the epicondyles for tenderness or effusion
tenderness distal to the epicondyle is common in what condition?
L epicondylitis (tennis elbow) & less common in medial epicondylitis (pitcher’s or golfer’s elbow)
what are the diff ROM of the elbow?
flexion
extension
supination
pronation
what are important things to note of the hands & wrists?
- no swelling, deformity
- normal palms, supination-pronation, power grip and fine precision grip
what is examined upon inspection of hands wrists?
- inspect position of the hands in motion
- inspect the palmar & dorsal surface of the wrist & hand carefully for swelling over joints of signs of trauma
- note any deformities of the wrist, hand, or finger bones
- thenar & hypothenar eminences
- flexion contractures in the fingers
what is palpated in the hands & wrists?
- palpate the distal radius and ulna on the L & M surfaces
- palpate the groove of each wrist joint with your thumbs on the dorsum of the wrist, your fingers
- palpate the radial styloid bone and the anatomic snuffbox
