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NMS 2 > Pelvis Orthopedic Tests > Flashcards

Pelvis Orthopedic Tests Flashcards

0
Q

What is the purpose of the Anterior Innominate Test?

A

Looking for unilateral forward displacement of the ilium, sacrum, or SI joint

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1
Q

How to perform the Anterior Innominate Test

A

Pt places unaffected foot 2-3 ft forward then flexes forward at the waist and attempts to touch their toes. If the rear foot remains flat they should take a step farther forward to torque the pelvis more.

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2
Q

What is a classic positive of the Anterior Innominate Test?

A

Local pain over the SI joint

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3
Q

How to perform the Belt Test/Supported Adam’s Test

A

Patient bends forward to touch toes, note any pain
Dr then braces patient’s hips with their hands and place their own hip against the sacrum then tells patient to bend forward again, note pain

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4
Q

What is a classic positive finding of the belt test/supported Adam’s test?

A

Pain in the 1st part of the test but no pain in the 2nd part or is able to bend further in the 2nd part indicates SI joint problem
Pain during both parts or lesser degree of flexion in the 2nd part indicates lumbar problem

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5
Q

How to perform Erichsen’s Test

A

Patient lies prone and Dr compresses SI joints by applying pressure to the PSIS’s with thenars or thumbs. This creates a double IN ilium.

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6
Q

Erichsen’s essentially creates a double ______ ilium.

A

IN

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7
Q

What is a classic positive finding of Erichsen’s test?

A

Pain in the SI joint from stressing the anterior SI joint ligaments

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8
Q

How is Gaenslen’s Test performed?

A

Patient is supine, Dr stands on the side and brings the unaffected knee up towards patient’s chest. Dr then slowly hyperextends the affected leg.

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9
Q

Classic positive of Gaenslen’s test?

A

SI joint pain on the side being tested or radiating pain into the thigh or groin

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10
Q

What is the purpose of Gaenslen’s test?

A

Looking for SI joint sprain or strain

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11
Q

How to perform Goldthwait’s/Smith-Peterson Test

A

Patient lies supine while Dr palpates L4 and S1 then elevates affected leg

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12
Q

What is a classic positive of Goldthwait’s/Smith-Peterson test?

A

Pain before the L5-S1 separation indicates S1 problem

Pain after the L5-S1 separation indicates lumbar problem

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13
Q

How to perform Hibb’s test

A

Patient prone, Dr flexes knee to 90 degrees and internally rotates the femur by pushing the foot laterally

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14
Q

What is the purpose of Hibb’s test?

A

Looking for sacroiliac lesion

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15
Q

What is a classic positive finding for Hibb’s test?

A

Pain in the SI joint specifically

Pain in the knee or hip is not considered a positive finding for this test

16
Q

How to perform Iliac Compression Test

A

Patient lies on their unaffected side and Dr compresses the iliac crest on the affected side toward the table, creating a double “EX” ilium

17
Q

Iliac compression test essentially creates a double _____ ilium

A

EX

18
Q

Classic positive for iliac compression test

A

Pain in the SI joint

19
Q

Purpose of the iliac compression test

A

Sprain of the posterior SI ligaments, SI joint inflammation, or subluxation

20
Q

How to perform the Lewin Gaenslen Test

A

Patient lies on unaffected side and brings their unaffected knee towards their chest, then Dr slowly hyperextends the affected leg

21
Q

Purpose of the Lewin Gaenslen test

A

Looking for SI joint sprain or arthritis

22
Q

Classic positive finding of the Lewin Gaenslen test

A

SI joint pain on the affected side or muscle tightness

23
Q

How to perform Yeoman’s test

A

Patient lies prone and Dr applies pressure to the sacrum with one hand and places the other hand on the affected side knee and lifts the knee off of the table, extending the thigh

24
Q

Purpose of Yeoman’s test

A

SI joint lesion specifically of the anterior SI ligament
Femoral nerve irritation
Iliopsoas or rectus femoris muscle contracture

NMS 2 (8 decks)

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