PRACTICAL #2 Flashcards
Trendelenburg test
for greater trochanteric pain syndrome, testing for gluteal weakness
test: ask patient to put hands on hip, life one leg and hold
- be STANDING ON AFFECTED leg
- see if hips are leveled
positive: compensation, hips drop bcs cannot contract
Thomas test
looking for tight hip flexors and hip contracture
- also iliopsoas contracture
- can present as lower back pain
have patient lay supine, then hug knee to chest/full flexion
- the NON-AFFECTED LEG IS LIFTED
put hand under back to see if lumbar lordosis
positive: at end range of flexion, the affected leg lifts off the table to compensate for tightness
ELY test
rectus femoris contracture
- ant thigh pain that inc w squatting, stretching, hip flexion
prone. put one hand on lower back, then other arm moves leg through full flexion
positive: affected hip lifts off the table to compensate, prevent musc stretch
FABER test
flexion, abduction, ext rot
SI pathology, lower back pain that extends to the leg
- BILATERAL
passively flex, abduct, then ext rot so knee lies just outside knee of other leg
support ASIS of other leg, then push down knee of affected leg
positive: recreation of pain on affected side
- may be unable to ext rotate
SI distraction test
SI pathology, low back pain that refers to leg, tight flexors/glutes
supine, place hands crossed on both ASIS and apply inferior and lateral pressure
- 3 to 6 times
positive: recreation of pain at SI or lower back
tests for hip and pelvis
- Trendelenburg
- FABER test
- ELY test
- thomas test
- SI distraction
test for foot
- ottawa ankle rules
tests for ankle
- kleiger test
- anterior drawer
- talar tilt test
test for knee
- thessaly test
- anterior drawer
- posterior drawer
- valgus stress test
- varus stress test
ottawa ankle rules
to see if suspect fracture/need x ray
- palpate posterior edge of lateral and medial malleoli, then palpate 6cm upwards
- palpate base of 5th MT (moving distally to toes), and navicular tuberosity at same time
- ask patient to walk 4 steps
- positive = inability/unwillingness to weight bear or walk
posterior drawer test
for PCL instability
lay supine w hip at 45, knee 90deg
palpate jt line, then abruptly move tibia posteriorly
positive = excessive mvmnt, soft end feel
anterior drawer
ACL instability/tear
lay supine w hip 45, knee 90…sit on their foot
palpate jt line, abruptly move tibia anteriorly
positive = excessive mvmnt, mushy end feel
thessaly test
for meniscus injury
- perform bilaterally
stand on injured leg that’s 20 deg flexed, then hold onto your arms for support
rotate the leg over the tibia 3x
positive = pain in joint line
valgus stress test
for MCL injury
MOI = valgus force
one hand above ankle jt, other supporting lateral femur
slight ext rot and ABDUCTION so stress medial side
- then again at 20-30deg
positive = pain, laxity
varus stress test
LCL tear
MOI: varus force
supine w their leg over yours, one hand on medial femur and other just above ankle jt
slight ext rot, then ADDUCTION so stresses lateral side
- then again at 20-30deg flexion
positive = jt laxity, pain
kleiger test
dorsiflexion and external rotation test
- doorknob motion
use forearm to keep ankle in dorsiflexion
- bilateral
MOI: inversion, anterior pain, click/pop
looking for: syndesmotic injury/separation tib and fib
positive: pain above ankle jt or medial jt line
talar tilt test
MOI: forced inversion or eversion
- injured either deltoid lig (eversion) or lateral ligaments, calcaneofibular lig (inversion)
BILATERAL
positive: excessive gapping, pain
support lower leg w one hand, and move ankle to full inversion/eversion w other while SUPPORTING CALCANEUS
- hold close to, but above mortise
lay supine
anterior drawer (ankle)
testing ATFL/anterior talofibular ligament
MOI: inversion
- pain at lateral/ant ankle, pop, swelling
support distal tibia and draw ankle upwards (parallel to leg)
- rlly use shoulder
positive: excessive translation, pain
